Helpful for service navigation and common pharmacy questions. For urgent or severe symptoms, use NHS 111, urgent care, or emergency services.
Speak to a pharmacist for assessment, advice, and treatment where clinically appropriate for earache (1-17 years), impetigo (1 year plus), infected insect bites (1 year plus), sinusitis (12 years plus), sore throat (5 years plus), shingles (18 years plus), and uncomplicated urinary tract infections in women (16-64 years).
Service summary
About this service
Pharmacy first helps eligible patients get assessment and treatment for selected common conditions without waiting for a routine GP appointment.
At Goshen Pharmacy, a pharmacist will assess your symptoms, ask clinical safety questions, and decide whether advice, pharmacy treatment, referral, or urgent care is most appropriate.
The seven Pharmacy first conditions are listed below so patients can check whether the service may be relevant before booking.

Service overview
A clearer look at Pharmacy first
Assessment for seven common conditions
Advice and treatment where appropriate
Referral when needed
Faster access to clinical advice for common conditions.
Treatment can be supplied where clinically appropriate and within NHS criteria.
The pharmacist can refer you to the right service if symptoms suggest another route is safer.
The consultation helps reduce avoidable GP pressure while keeping care clinically structured.
Why patients use it
Local pharmacy care with practical next steps.

Consultation flow
A structured conversation before any treatment decision.
The pharmacist will check your age, symptoms, duration, medical history, allergies, and medicines.
They will look for red flag symptoms that may need urgent medical assessment.
If Pharmacy first is suitable, the pharmacist will explain the recommended care plan and how to use any treatment safely.
Before you visit
Bring the details that help the team assess you safely.
After your appointment
Clear advice before you leave the pharmacy.
Pharmacy first covers: Earache for children aged 1 to 17 years; Impetigo for patients aged 1 year plus; Infected insect bites for patients aged 1 year plus; Sinusitis for patients aged 12 years plus; Sore throat for patients aged 5 years plus; Shingles for adults aged 18 years plus; Uncomplicated urinary tract infections in women aged 16 to 64 years.
The service is NHS funded for eligible patients and eligible conditions.
For severe pain, severe illness, breathing difficulty, confusion, symptoms in very young children, pregnancy concerns, or rapidly worsening symptoms, use NHS 111, urgent care, or 999 as appropriate.
Structured module
Use the guided Pharmacy First questionnaire before booking.