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Obviously, this refocussing has required its own plan
         and investment hence the Pharmacy First Scheme and
         the £645 million investment to support community
         pharmacy services over the next two years.
         So, what does the planned role look like? Well, I see
         this as two-fold really. There is the expansion of some
         of the activities already introduced in 2023 such
         as the oral contraceptive service and BP detection
         service and then there is the Pharmacy First plan,
         launched January 2024. Between these three services
         they are expected to eventually save up to 10 million
         appointments in general practice a year.
         So, what additional services will Pharmacy First
         actually offer to our patients?
         Pharmacy First will enable pharmacists to supply
         POMs (Prescription Only Medicine), including
         antibiotics and antivirals, where clinically appropriate,
         to treat seven common ailments:










                                                                                              Sinusitis
                       Impetigo








                                                                                   Sore Throat
          Earache                           Shingles


                                                                                                      Urinary Tract
                                                                                                       Infections
                                                                                                       in Women
                                                                   Insect Bites




         Consultations for these seven clinical pathways can be provided
         to patients presenting to the pharmacy as well as those referred
         by NHS 111, general practices and others.
         I know there has been much talk about how this will affect
         things like antimicrobial stewardship and inappropriate use
         of antibiotics, but I think we should not be such doubting
         Thomases.  All these consultations are robustly supported by
         clear clinical pathways, eligibility criteria and PGDs. In other
         words, there are strict rules in place and the pharmacists will
         be trained to check they understand their responsibilities here.
         It should also be noted that the consultation fee is paid to the
         Pharmacy, regardless of there being an antibiotic supplied or not.





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