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6 Conditions Your Pharmacist Can Treat Without a GP Appointment

Pharmacy First

Written by the Veritas Pharmacy clinical team. Address: 113 Chester Road, Sunderland. Registered with the General Pharmaceutical Council, registration number 9012617.

Booking a GP appointment for a sore throat or a bothersome insect bite can mean days of waiting for something that needs treating now. NHS Pharmacy First changes that for six common conditions at Veritas — assessed and treated by a pharmacist directly, free, on the same day, with no GP referral needed. Ear infections, the seventh condition covered by the national scheme, aren’t currently offered on the NHS pathway at Veritas, but are available privately without the scheme’s usual restrictions.

What Pharmacy First actually is

Pharmacy First is an NHS England scheme covering seven common conditions nationally, allowing pharmacists to assess and treat them directly, without needing to contact a GP first. At Veritas, six of these are currently offered on the free NHS pathway. Clinical advice and treatment, where appropriate, are provided in a single visit. The service is free to any patient registered with an NHS GP in England — not just patients registered locally.

The six NHS-funded conditions covered

Sore throat — assessed using a standardised clinical tool (FeverPAIN or Centor score) to determine if treatment is needed. Sinusitis — blocked or painful sinuses lasting over 10 days, often following a cold. Urinary tract infection — for women aged 16 to 64 with uncomplicated symptoms. Impetigo — a contagious bacterial skin infection with sores and crusting. Shingles — a painful rash from chickenpox virus reactivation, where early treatment matters considerably. Infected insect bite — where the bite site shows redness, warmth, swelling, or pus.

Ear infections — available privately, without the usual restrictions

Ear infection is the seventh condition covered by the national NHS Pharmacy First scheme, but it isn’t currently offered on the free NHS pathway at Veritas. It is available privately instead — and, unlike the NHS pathway elsewhere, without age restrictions, so it’s open to patients of any age rather than a limited eligible group. An ear check to assess for earwax is free of charge. Where an infection is suspected and assessment or treatment is needed, this is a private consultation priced at £35.

Suspect an ear infection? Book a private consultation.

Book an ear consultation — £35

Ear check for wax is free of charge. Or call 0191 503 4053.

Not sure if you qualify? Book online or call and the pharmacist will assess and advise. If Pharmacy First does not apply, guidance is still given on private consultation, GP referral, urgent care, or appropriate self-care — nobody leaves without direction.

What happens at the appointment

A short clinical history is taken and symptoms assessed using standardised tools where relevant. Where clinically appropriate, a prescription-only medicine is supplied under a Patient Group Direction. With consent, a consultation summary is shared with the registered GP afterwards, keeping the medical record up to date without any extra effort required.

Ready to book? Same-day slots are usually available.

Book a Pharmacy First appointment

Free for eligible patients. Or call 0191 503 4053. Address: 113 Chester Road, Sunderland, SR4 7HG.

Frequently asked questions about Pharmacy First

Is Pharmacy First really free?
Yes. It is an NHS-funded service, with no charge for the consultation or any medicine supplied under the scheme, provided registration is with an NHS GP in England.
Do I need to be registered with a Sunderland GP?
No. The service is free to any patient registered with an NHS GP in England, regardless of location.
What if my condition isn’t one of the six?
Book online or call and the pharmacist will assess. Ear infections, for example, aren’t currently on the free NHS pathway at Veritas but are available privately for £35 (an ear check for wax alone is free). For other conditions, advice is given on private consultation, GP referral, urgent care, or appropriate self-care.
Can children use Pharmacy First?
Yes, most conditions are covered for all ages. The UTI pathway applies to women aged 16 to 64 only. Under-18s should be accompanied by a parent or guardian.
Why isn’t ear infection covered free on the NHS pathway at Veritas?
Ear infection is one of the seven conditions in the national NHS Pharmacy First scheme, but Veritas doesn’t currently offer it on the free NHS pathway. It’s available privately instead — for £35 if an infection needs assessing, or free of charge if it’s just an ear check for wax — without the age restrictions that apply to the NHS ear infection pathway elsewhere.

Related reading: Pharmacy First at Veritas Pharmacy · New Medicine Service · Urine Test, for wider urinary concerns · Private pharmacist consultation · More Pharmacy First articles

NHS pharmacy service, Pharmacy First, shingles treatment, sore throat treatment, Sunderland Pharmacy, UTI treatment