Pharmacy First Toolkit
Purpose of the toolkit
This toolkit is aimed at those who are involved with the implementation of the Pharmacy First service within the Shropshire Telford and Wrekin ICS. It is expected to be especially useful for general practice and community pharmacy teams, but it may also be of benefit to staff working in other sectors such as UEC. The contents of the toolkit are not intended to be used as patient/public facing information.
Within this toolkit you will find a variety of resources that can be used to support the implementation of the Pharmacy First service. It includes background information for the service, reference materials, supportive resources and referral aides.
The resources contained within this toolkit can be used to support the implementation of the service, growing of the service, and resolving issues that you may experience. If you need any further information or support, please reach out to one of the contacts listed at the end of this toolkit.
Overview of the service
The Pharmacy First service was announced as part of the Primary Care Access and Recovery Plan in May 2023. Following a period of negotiation and service design, the service was formally launched on 31st January 2024.
Pharmacy First is a new NHS Advanced Service for Community Pharmacies. The service will include 7 new clinical pathways and builds upon the previous Community Pharmacy Consultation Service (CPCS). The full service is made up of the following three elements:
- Pharmacy First (clinical pathways)
- Allows pharmacy teams to assess and treat seven common conditions that traditionally would need to be treated in general practice.
- See below for details of 7 common conditions
- Pharmacy First (urgent repeat medicines supply)
- This allows UEC and 111 settings to refer patients to community pharmacy for a supply of an urgent repeat medicine.
- General practices are not able to refer into this element of Pharmacy First
- Pharmacy First (NHS referrals for minor illness)
- This allows patients to be referred from general practice, UEC or 111 settings to a community pharmacy for a consultation with a community pharmacist. The pharmacist will assess the patient, offer advice, recommend treatments, or refer to another setting or service if needed.
The seven common conditions which can be treated as part of the clinical pathways arm are:
Further details on inclusion/exclusion criteria can be found in the resources below.
General practices should refer patients to pharmacies using an integrated GP IT solution. Practices will receive information back on consultation outcomes.
To see an outline of the patient journey through Pharmacy First, click here.
All community pharmacies in Shropshire Telford and Wrekin are signed up to deliver all elements of Pharmacy First. There are 3 ways you can find pharmacy details:
- Integrated GP IT referral system (EMIS local services) – When sending a referral, the system will automatically return nearby pharmacies that are currently able to offer the Pharmacy First service.
- NHS Service Finder – Tool for healthcare staff to search for live services close to a defined postcode. Search for ‘Pharmacy First’ under Type of Service
- NHS Find a Pharmacy – Public facing portal to enable anyone to search for a pharmacy close to a defined postcode. Cannot search for pharmacies specifically offering Pharmacy First, but 95% of pharmacies in England offer the service, rising to 100% in Shropshire Telford and Wrekin.
Below you will find a suite of resources that can be used to support the implementation of Pharmacy First in a community pharmacy.
- Pharmacy First best practice checklist – This is a checklist based upon learnings from the CPCS service. Pharmacy teams can use the prompts in this checklist to maximise on service delivery and enhance collaborative working practices.
- Local Media Assets – These assets can be used to promote the Pharmacy First service.
- National Media Assets - These assets can be used to promote the Pharmacy First service.Pharmacy First clinical escalation process – Please contact one of the ICB contacts for a copy of this document - Printable poster on how pharmacy teams should escalate referrals from NHS 111 – including how to access the 111 healthcare professionals line
- Process for updating DoS – Printable poster on what pharmacy teams must do if they cannot open or temporarily offer Pharmacy First
- Escalation process for Pharmacy First issues - The process that should be followed if there are any issues with Pharmacy First referrals. Contains link to report repeated issues to the ICB
- NHS Midlands Pharmacy First Resource pack – This is a Pharmacy First resource pack produced by NHS Midlands
- National Blood Pressure Check - Pharmacy Toolkit
Below you will find a suite of resources that can be used to support the implementation of Pharmacy First in general practice.
- Pharmacy First best practice checklist – This is a checklist based upon learnings from the CPCS service. General Practice teams can use the prompts in this checklist to maximise on service delivery and enhance collaborative working practices.
- Seven clinical pathways poster – Practice staff poster detailing the 7 clinical conditions that can be treated under Pharmacy First, including appropriate age ranges.
- Pharmacy First inclusion/exclusion poster – Printable posters for GP reception teams detailing inclusion and exclusion criteria for Pharmacy First minor illness & clinical pathways
- Simplified Pharmacy First inclusion/exclusion poster – Simplified printable poster for GP reception teams detailing inclusion and exclusion criteria for Pharmacy First clinical pathways.
- Local Media Assets – These assets can be used to promote the Pharmacy First service.
- National Media Assets - These assets can be used to promote the Pharmacy First service.
- GP Videos:
- Escalation process for Pharmacy First issues – The process that should be followed if there are any issues with Pharmacy First referrals. Contains link to report repeated issues to the ICB.
- Pharmacy First summary for GP teams – NHS Midlands produced Pharmacy First summary aimed at GP reception teams and care navigators. This can be used to support training
- NHS Midlands Pharmacy First Resource pack – This is a Pharmacy First resource pack produced by NHS Midlands
- National Blood Pressure Check - Partner Toolkit
NHS Community Pharmacy Oral Contraception Service – This service enables people seeking contraception to obtain supplies from community pharmacies without first visiting a GP or sexual health clinic.
Members of the public can find a local pharmacy offering this service by utilising the NHS Find a pharmacy offering contraception tool.
For further information on how this can help support your practice, please contact James Milner – ICS Community Pharmacy Clinical Lead (james.milner1@nhs.net)
NHS Community Pharmacy Blood Pressure Check Service – This service allows community pharmacy teams to offer people over the age of 40, without a diagnosis of hypertension, a BP check to find those with undiagnosed hypertension. In addition, they can also carry out BP checks (including ABMPs) at the request of practices.
Members of the public can find a local pharmacy offering this service by utilising the NHS Find a pharmacy offering blood pressure checks tool.
For further information on how this can help support your practice, please contact James Milner – ICS Community Pharmacy Clinical Lead (james.milner1@nhs.net)
If you need further support with any of the services aligned to support the Primary Care Access and Recovery Plan, please contact the ICB or LPC using the details below:
ICB – James Milner – ICS Community Pharmacy Clinical Lead – james.milner1@nhs.net
ICB – Claire Hand – Integrated Pharmacy and Workforce Lead – claire.hand1@nhs.net
LPC – contact TBC