Pharmacists in England will soon be able to treat 12 common conditions, an expansion that allows patients to receive on-the-spot care for ailments such as migraines and acne without first consulting a general practitioner (GP). This initiative is designed to alleviate pressure on busy GP practices and emergency departments while providing more convenient access to healthcare.
The expansion adds five new conditions to the seven already treatable by pharmacists. These include low-frequency migraines in adults, ear infections in adults, mild to moderate acne in young people and adults, scabies, and blocked noses. Previously, pharmacists could prescribe medication for sore throats, earaches, sinusitis, shingles, impetigo, infected insect bites, and uncomplicated urinary tract infections (UTIs).
NHS England stated that the move is a response to increased demand on healthcare services, including record-high A&E attendances during the summer months. Prime Minister Andy Burnham expressed support for the plan, emphasizing that it would allow people to get help closer to home and save them time off work.
Initially, a limited number of pharmacies will offer treatments for the five newly added conditions, with a gradual rollout planned to extend the service to thousands of community pharmacies across England. Beyond prescribing, these pharmacies also offer support for healthy eating, exercise, smoking cessation, blood pressure monitoring, contraception, and vaccinations.
The Migraine Trust welcomed the news, calling it a significant opportunity for improved care pathways for migraine sufferers. Dr. Amanda Doyle of NHS England highlighted the goal of providing more community-based support to prevent unnecessary hospital admissions.
However, pharmacy representative bodies have raised concerns about the current government funding not adequately covering the workload associated with these expanded services. Henry Gregg, chief executive of the National Pharmacy Association, stated that pharmacies are under significant financial pressure and called for greater investment in the pharmacy network.
The Pharmacy First scheme, which began in England in 2024, has facilitated 14 million consultations, including millions for sore throats and UTIs. Patients can access these services through referrals from NHS 111 or their GP, or by visiting a pharmacy directly. Similar schemes are already in place in Scotland, Northern Ireland, and Wales, with Scotland offering treatment for up to 27 conditions at its pharmacies.