Impetigo Service

Pharmacy First Impetigo Service Specification 2018-20.  Please read all of this information

Pharmacies offering the Pharmacy First Impetigo Service

The lists below show pharmacies Signed Up to Provide the Service in 2018-19.  Please note these lists include all 4 locally commissioned Pharmacy First Services.  Only those pharmacies which have a tick in the relevant box have a signed SLA lodged with NHSE Shropshire & Staffordshire.

Pharmacy Services Sign-Ups Sept 2019

If your pharmacy is signed up to deliver a Pharmacy First Service you have signed an SLA agreeing to offer the service over all of your usual opening hours….

Q. What if you are signed up for the service but are not able to offer this service today? 

A. This situation should NOT be the norm, you need to ensure that any locums you use are service ready – all of the information on pharmacist requirements is available on this website on the relevant pages.  This service does not require the pharmacist to attend special training, simply to understand the service, ensure that their clinical knowledge is up to date and to be familiar with the PGDs.

If you are not able to offer the service on a particular day (for any reason) you must NOT refer the patient to NHS111 or back to the surgery – the whole point of this service is helping reduce demand and helping patients to be seen and helped by the community pharmacy.

You should refer to the spreadsheet which shows pharmacies signed up to the service and direct the patient to a pharmacy which has a pharmacist available to see the patient.  

This spreadsheet lists all of the pharmacies in Staffordshire and Shropshire and if they offer the Impetigo service there will be a tick in this column.   Pharmacy Services Sign-Ups Sept 2019

Please think about your patient and also about the reputation of community pharmacy – we are asking GP practices, Care Navigators and NHS111 to refer patients to us, we must then step up and offer the service we have signed up to.

We receive reports of pharmacies which are signed up to the service but who turn patients away saying either that they don’t do the service today.  Failure to provide the service to your patients means that we risk the situation where referral rates will drop as patients and referrers become disillusioned by the one or two pharmacies which are not delivering the service correctly.  Please contact the LPC if you need more information on the service or Andy at NHSE if you want to withdraw from the service.

Service Spec

The 2018-20 service spec is written with a general PGD Service spec at the beginning and then individual specs for the Impetigo and the UTI service which means that pharmacies can sign up to one or both of these PGD services.

It is envisaged that further PGD services may follow and these will all sit in the Pharmacy First PGD family of services and would be covered by the PGS Service SLA.

Pharmacy First PGD Service Letter (UTI & Impetigo) 2018

Pharmacy First PGD Services Spec April 2018

In order to provide the service,  the signed SLA should be returned to Andy Pickard at:

2018 – 2020 PGDs for Staffordshire

For use from 1st August 2018 and due for revision before 31.3.2020 (or in response to new local / national guidelines).

All pharmacists delivering the service should be familiar with and sign all of the PGDs.  

You need to keep a copy of the signed PGDs in the service file in the pharmacy (signed by all pharmacists delivering the service) but you are not required to send the PGD signature page to Andy Pickard, NHSE or the LPC.  It is to be kept in your pharmacy records.

Pharmacy First Service PGD Letter 300718

Flucloxacillin PGD 

Clarithromycin PGD

Fusidic Acid 2% PGD

Further Service Paperwork

Declaration of patient exemption

Patient Consent Impetigo Service

Referral from Community Pharmacy to GP or another Health Care Professional – Impetigo Letter

Impetigo Service Staffordshire ProForma 2018 to be used only where there is no live link to PharmOutcomes in the consultation room.  From September 2018 you are expected to record all Pharmacy First Service consultations live unless you have an IT failure in the pharmacy.

Shropshire PGDs – treatment length differs:

Please note that pharmacies in Shropshire have separate PGDs – the antibiotics used are the same but the treatment length varies due to differences in the antibiotic formulary for Shropshire.  When you sign up to the service and get access to PharmOutcomes you have access to a module that is specific to the location of your pharmacy and the correct PGDs are available within the module.  Treatment depends on the location of the pharmacy, not on the location of the patient’s GP or whether the patient lives in Shrops or Staffs.

Please read all of this information

Recording on PharmOutcomes:

The LPC have produced a series of videos explaining how to use PharmOutcomes to record services.  There are several short videos which can be used by the whole  pharmacy team and also by locums and relief pharmacists to help them understand how the system works and how to use it.

We suggest you start by watching the “Welcome to PharmOutcomes” video followed by “The Services Tab” video.

After that simply select the clip which is relevant to your needs.

Follow this link to the relevant page


Links to service documentation can be found at the bottom of this page.


The service aims to provide any eligible patient who is registered with a GP practice contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S), with access to medication for the treatment of impetigo and simple urinary tract infection (UTI) via Community Pharmacy. The service will be provided through Community Pharmacies contracted to NHS England North Midlands (Shropshire & Staffordshire Area) who have signed up to provide this service.

Aims of the scheme

The overall aim of the scheme is to ensure that patients can access self-care advice for the treatment of impetigo and simple urinary tract infection (UTI) and, where appropriate, can be supplied with antibiotics, at NHS expense, to treat their infection. 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, or via a walk-in centre or accident and emergency.

  • Improve patients’ access to advice and appropriate treatment for these two common ailments
  • Reduce GP workload for these common ailments allowing greater focus on more complex and urgent medical condition
  • 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. Patients may choose to refuse this service and continue to access treatments in the same way as they have done previously.

The service is only available for the treatment of impetigo in adults and children and un-complicated urinary tract infection (UTI) in adult females. Only medicines specified in the PGDs may be supplied following the correct protocols and only in the pharmacies who have signed up to the service.

Service Requirements – as outlined in SLA and PGD.

Who can provide the service?

This service may be provided by authorised Community Pharmacies contracted to NHS England North Midlands (Shropshire & Staffordshire Area), who are committed to making staff available to provide the service, subject to the following:

All professional consultations, with a service accredited pharmacist, must take place in a confidential environment.

Signed SLAs should be returned to Andy Pickard at NHSE.  Please also include Gill Hall to ensure that your pharmacy becomes accredited on PharmOutcomes. and

Pharmacist training requirements

Pharmacists working at participating pharmacies can provide this Enhanced Service if they have completed the mandatory training requirements.  The requirement is that the pharmacist accesses the CKS summaries on urinary tract infections and impetigo. Please access the summary; background information; diagnosis; management; prescribing information and evidence sections for each condition to ensure that you have up to date, relevant clinical knowledge on these two conditions:!topicsummary

They must document their service readiness using a Declaration of Competence (DoC) specifically for this service. This DoC is separate from the DoC which may already have been completed for the supply of OTC medications on the original Pharmacy First Common Ailments Service.

As with all PGDs pharmacists must sign the pharmacy copy of the PGD in every pharmacy where they deliver this service.

DoC Process for this service:

The pharmacist will need to log in to the CPPE website and access the DoC section to download the DoC Self-Assessment Framework for Minor Ailments. (Impetigo and simple UTI service is a Level 2 Minor Ailments Service involving supply of POM medication under a PGD).

The DoC framework document allows the pharmacist to assess their readiness against the mandatory core competencies (consultation skills and safeguarding) as well as suggesting other training they may find useful in regard to minor ailments and PGDs.

The pharmacist then needs to download their personalised Minor Ailments DoC (interactive PDF document).

Section 1 of the DoC will automatically contain details of all CPPE training and assessments they have undertaken and which are relevant to this service.

In section 2 of the pharmacist will need to add details of the mandatory training they have completed. Namely that they have worked through the CKS summaries on impetigo and simple UTIs. They must ensure that they have the correct clinical knowledge to provide the service.

The pharmacist should then print their DoC and add the heading “Staffordshire and Shropshire Pharmacy First for Impetigo and Simple UTIs”. It must then be signed and dated to complete the process. The pharmacist must confirm on the CPPE website that they have completed and signed the DoC.

The accuracy of the DoC is the pharmacist’s professional responsibility.

All Pharmacists working at participating pharmacies and providing the scheme should ensure that they continue, through continuing education and CPD, to keep up to date with guidance issued around of the treatment of impetigo and simple UTIs.

Service Recording on PharmOutcomes

Only pharmacies who have returned the signed SLA to NHSE will access to the new PharmOutcomes modules.  There are several modules for completion.

Pharmacist Enrolment

In order to record the consultations on PharmOutcomes the pharmacist must complete a pharmacist enrolment form within the Impetigo and UTI module. They must give the CPPE system permission to allow PharmOutcomes to access their CPPE record in order to confirm completion of the DoC for this service. If this was not done while on the CPPE website a link within the PharmOutcomes pharmacist enrolment module will take the pharmacist to the relevant part of the CPPE website.  For more information on PharmOutcomes and DoC please see the relevant pages on this website.

Pharmacy First – Impetigo and Simple UTI – Patient Registration

This registration module should be completed the first time a patient registers for this service in you pharmacy.  This is a separate registration to the module for common ailments and so will need to be completed even if the patient has accessed the common ailments service in your pharmacy.  If the patient has registered with another service at your pharmacy you will see their details in a drop down list – you can select this if it is the correct patient but you will still need to complete this registration module to record consent to this service specifically etc.

Pharmacy First – Impetigo Consultation and Supply 

Complete this module for every impetigo consultation and if a supply is made this is also recorded on the same module (please note this removes the 2 stage process used for the old service recording).

Pharmacy First – Simple UTI Consultation and Supply 

Complete this module for every simple UTI consultation and if a supply is made this is also recorded on the same module.

Service Variations

Please note there are variations in the antibiotic treatment / course length for Staffordshire and Shropshire pharmacies.  This is because the formularies for the two counties differ and the service offered in the pharmacy must mirror the treatment offered at GP surgeries.

The treatment to be offered is determined by the location of the PHARMACY not the home address of the patient.

Topical fusidic acid is not to be provided under this service.  This is because the formulary has been altered to reduce the amount of fusidic acid supplied in order to save fusidic acid in it’s injectable form for the treatment of bone infections.

Declaration of Exemption Pharmacy First UTI and Impetigo 2016

Patient Consent Form to be used where not recording consultation live on PharmOutcomes

Referral from Community Pharmacy