A guide to the Pharmacy First service, how pharmacists can help manage uncomplicated urinary tract infections, and what to expect if you seek treatment at your local pharmacy.
What Is Pharmacy First?
The Pharmacy First service was introduced to make it easier for patients to access treatment for a range of common conditions without needing a GP appointment. For eligible patients, community pharmacists can assess symptoms, provide clinical advice and, where appropriate, supply treatment.
The service is designed to improve access to care and help people receive support more quickly when they become unwell. For many women experiencing UTI symptoms, this means being able to speak directly to a healthcare professional without waiting for a GP appointment.
Can a Pharmacist Treat a UTI?
Yes. Under the Pharmacy First service, our trained pharmacists can assess uncomplicated urinary tract infections in eligible women. Following an assessment, they can provide advice on symptom management and, where clinically appropriate, supply treatment — allowing many patients to access care quickly and conveniently through their local pharmacy.
Who Is Eligible for UTI Treatment Through Pharmacy First?
The Pharmacy First service includes specific eligibility criteria for urinary tract infections. Eligibility is currently limited to women aged 16 to 64 years who are experiencing symptoms consistent with an uncomplicated lower urinary tract infection. An assessment is always required — not every patient with urinary symptoms will be suitable for treatment through the service.
- Are a woman aged 16 to 64 years
- Have pain or a burning sensation when passing urine
- Need to urinate more frequently than usual
- Feel a sudden or urgent need to urinate
- Are pregnant
- Have symptoms that suggest a more serious infection
- Fall outside the eligible age range
During the consultation, the pharmacist will ask a series of questions to ensure that Pharmacy First is the most appropriate route for your care.
What Happens During a Consultation?
A pharmacist will assess your symptoms and advise on the most appropriate next steps. During the consultation, you will be asked questions about your symptoms, how long they have been present and your medical history — to ensure that any treatment provided is safe and appropriate for your individual circumstances.
The pharmacist will also consider whether your symptoms could be caused by another condition, and will explain any treatment options, how they should be used, what improvements you can expect, and when to seek further medical attention if needed.
When Might Treatment Be Offered?
If your symptoms are consistent with an uncomplicated bacterial UTI and you meet the eligibility criteria, treatment may be offered as part of the Pharmacy First service.
- Nitrofurantoin — an antibiotic commonly used to treat uncomplicated UTIs, supplied where clinically appropriate
- Cystitis relief sachets — recommended where symptoms are mild or antibiotic treatment is not required, to help ease discomfort while symptoms improve
- Treatment or referral for other conditions — if symptoms such as irritation, itching or unusual discharge suggest vaginal thrush or bacterial vaginosis (BV) rather than a UTI
When Will a Pharmacist Refer You Elsewhere?
While many UTIs can be managed through Pharmacy First, some symptoms require further medical assessment. A pharmacist may refer you to your GP or another healthcare service if your symptoms suggest a more complex infection or a condition that requires additional investigation.
This ensures that patients receive the most appropriate level of care for their situation.
What to Do Next
Urinary tract infections can be uncomfortable and disruptive, but prompt assessment can help ensure that you receive the right advice and treatment. The Pharmacy First service allows many women with uncomplicated UTI symptoms to access professional care quickly and conveniently through their local pharmacy.
We offer Pharmacy First consultations and can assess your symptoms, provide advice and determine whether treatment may be appropriate. Complete our online booking form today to arrange a quick Pharmacy First consultation and get the support you need without waiting for a GP appointment.

