Pharmacy First Extended Care Pilot


The Pharmacy First Extended Care Pilot for ENT & Eye aims to provide eligible patients who are registered with a GP practice contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S) with access to medication via Community Pharmacy for the treatment of ear, nose, throat (ENT) conditions  and for acute bacterial conjunctivitis not suitable for treatment under the Pharmacy First Common Ailments Service. The service can ONLY be provided through Community Pharmacies contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S) who have been selected for the pilot service and have signed the Service Level Agreement.

Aims of the scheme

The overall aim of the scheme is to ensure that patients can access self-care advice for the treatment of ENT and Eye, where appropriate, can be supplied antibiotics or other appropriate treatments as the pharmacist see fit at NHS expense to treat their condition. This provides an alternative location from which patients can seek advice and treatment, rather than seeking treatment via  a prescription from their GP or out of hours (OOH) provider, walk in centre or accident and emergency.

  • Educate patient’s to seek advice and treatment from the most appropriate healthcare setting
  • Improve patient’s access to advice and appropriate treatment for these ailments via Community Pharmacy
  • Reduce GP workload for these ailments allowing greater focus on more complex and urgent medical conditions
  • Promote the role of the pharmacist and self-care
  • Improve working relationships between doctors and pharmacists

The service is offered as a quicker alternative for patients to access healthcare. Patient may choose to refuse this service and continue to access treatments in the same way as they have done previously.


All recording of service provisions will be via  PharmOutcomes and the 10 participating pharmacies will be given access to these modules.


Service Paperwork

Pharmacy First Scheme extended care pilot Service Level Agreement (final version)

Flow Chart to show patient journey through the service

Patient consent to participate in the extended care service

Declaration of Exemption from NHS Prescription Charges

Proforma for Extended Care Pilot

Extended Care Pilot Patient Questionnaire

Referral from Community Pharmacy Extended Care Pilot Service

Service summary (for briefings with GPs and other Healthcare Colleagues)


PGDs and Protocols for service:

Acute Bacterial Conjunctivitis

First line treatment  Chloramphenicol Eye Drops PGD FINAL v1.1 003

Second line treatment  Fusidic Acid Eye Drops PGD FINAL v1.1 008

Acute Otitis Externa

Protocol for use of Ear Calm EarCalm Acute Otitis Externa Protocol FINAL

Acute Otitis Externa with suspected secondary infection

PGD for treatment  Locorten Vioform Ear Drops PGD FINAL v1.1 009

Acute Otitis Media

First line treatment  Amoxicillin AOM PGD FINAL v1.1 001

Second line treatment Clarithromycin AOM PGD FINAL v1.1 004

Acute Bacterial Sinusitis

First line treatment Doxycycline Sinusitis PGD FINAL v1.1 007

Second line treatment Clarithromycin Sinusitis PGD FINAL v1.1 005

Chronic Sinusitis and Seasonal Allergic Rhinitis

PGD for treatment Beclometasone Nasal Spray PGD FINAL v1.1 002

Sore Throat

First line treatment Phenoxymethylpenicillin Sore Throat PGD FINAL v1.1 010

Second line treatment Clarithromycin Sore Throat PGD FINAL v1.1 006


Pharmacies offering the service:

There are currently 10 pharmacies in Staffordshire and Shropshire involved in the pilot – these are:

Cleobury Mortimer Pharmacy, Off Vaughan Road, , Cleobury Mortimer, , DY14 8DB

Conway Pharmacy, 238 Monkmoor Road, Shrewsbury SY2 5SR

Cornwells Pharmacy, 51 Bodmin Avenue, Weeping Cross, Stafford ST17 0EF

Donnington Pharmacy, Donnington Medical Practice, Wrekin Drive, Donnington, Telford, Shropshire, TF2 8EA

Kitching’s Chemist, Limes Walk, Oakengates, Telford TF2 6EP

Meir Hay Pharmacy, Unit 3, Amison Street, Meir Hay, Stoke-On-Trent ST3 1LD

Morrisons Pharmacy, Morrisons Store, Wellington Road, Burton On Trent DE14 2AR

Morrisons Pharmacy, Goose Street, Off Brook Lane, Newcastle Under Lyme ST5 3HY

Northwoods Fradley Pharmacy, Unit 6 The Stirling Centre, Tye Road, Fradley, Lichfield WS13 8ST

Trent Health Pharmacy, 339 Ashbank Road, Werrington, Stoke-On-Trent ST9 0JS

You can download and print a list of participating pharmacies with phone numbers: Pharmacies in Staffordshire and Shropshire offering the pilot ENT & Eye service