Pharmacy First Service
The Pharmacy First launched as an Advanced Service on 31st January 2024.
The Community Phamacy England website includes a range of resources to support you and your team to deliver the service.
New Resources
Pharmacy First products – over the counter refer
Key Documents
- Service Sepcification, PGDs, Protocol & Pathways
- Pharmacy owner implementation checklist: Pharmacy First service
- Pharmacist implementation checklist: Pharmacy First service
- Pharmacy First – medicines list for clinical pathway consultations
- Briefing 040/23: Initial briefing for pharmacy teams – the Pharmacy First service
Training
- Download the Cheshire & Mersey Training Summary here (Updated June 2024)
- Download the slides from the Community Pharmacy Halton, St Helens & Knowsley Pharmacy First Event here
- Access the CPE Clinical Pathway videos here
- Watch a recording of our webinar below:
- Dermatology related bits of Phamacy First video
Locally Provided Resources
The Big 6
- Alder Hey Hospital: The Big 6 (The Most Common Conditions That Children Present With For Urgent Care)
Spotting the sick child
Register here to access. A free resource endorsed by RCPCH aimed at teaching people the signs of illness in infants and children.
Pediatric Assessment Triangle
The assessment triangle is a quick way of assessing whether a child is sick or not.
Here is a video from the DFTB team that talks through it: https://www.youtube.com/watch?v=ZV-ItIkvDXE
Pain Assessment
- Alder Hey Hospital: Pain ‘Cries Score’ – developed by Alder Hey for use in their ED
- For younger children and those with limited communication: The FLACC Score
Looking at throats in toddlers
Taking a picture with a phone (and the light) can make it easier – get the child to do a dinosaur/lion/monster roar.
Making it a game can help: https://pediatricanswers.com/cool-trick-seeing-kids-throat/
Firm hold by carer often the key for the reluctant although if the pathway is from age 5 years may not be as much of a challenge.
