NHS Aligned

Right care.
Right place.

The NHS Pharmacy First scheme enables pharmacists to treat common conditions. Medelic automatically identifies eligible cases during triage and routes them appropriately.

All Features

Patient calls with sore throat

AI Triage Assessment

Red flags? Complications? Duration?

Pharmacy First

Uncomplicated, eligible

GP Review

Red flags or complications

7
Conditions Covered
10k+
Pharmacies Participating
15%
GP Workload Reduction
Same
Day Treatment

Pharmacy First Conditions

Seven conditions. One seamless pathway.

Medelic's protocol engine includes specific pathways for each Pharmacy First condition, ensuring appropriate identification and safe routing.

Sinusitis

Acute symptoms without red flags

Sore Throat

Uncomplicated pharyngitis

Earache

Acute otitis media in appropriate patients

Infected Insect Bites

Localised infection without systemic symptoms

Impetigo

Non-bullous, limited area

Shingles

Uncomplicated, early presentation

UTI (Women)

Uncomplicated lower UTI, 16-64 years

How It Works

Intelligent routing in action.

1

Symptom Detection

During triage, Medelic identifies symptoms matching Pharmacy First conditions using clinical keywords and contextual understanding.

2

Eligibility Screening

The protocol checks for exclusion criteria: red flags, comorbidities, age restrictions, medication interactions, and symptom duration.

3

Patient Choice

Eligible patients are offered the Pharmacy First option with clear explanation of what to expect. They can still choose GP if preferred.

4

Pharmacy Referral

Clinical summary sent to chosen pharmacy. Patient receives SMS with pharmacy details and what to bring.

Example Triage Flow
[PATIENT] "I've had burning when I pee for two days"
[SYSTEM] UTI_PATHWAY_TRIGGERED
[AI] "I understand. Are you experiencing any fever, back pain, or blood in your urine?"
[PATIENT] "No, none of those"
[SYSTEM] Checking eligibility: Female ✓ Age 16-64 ✓ No red flags ✓
PHARMACY_FIRST_ELIGIBLE
Uncomplicated UTI - Community pharmacy can supply antibiotics
[AI] "Based on your symptoms, you may be able to get treatment today from your local pharmacy without needing a GP appointment. Would you like me to arrange this?"

Benefits

Better for everyone.

For Patients

  • Same-day treatment without GP wait
  • Convenient high street locations
  • No prescription charge (NHS funded)
  • Extended opening hours

For Practices

  • Reduced appointment demand
  • GP time freed for complex cases
  • Automated safe routing (no manual triage)
  • Full audit trail of referrals

For the NHS

  • Better use of pharmacy workforce
  • Reduced primary care pressure
  • Improved antibiotic stewardship
  • Aligned with NHS Long Term Plan

Align with NHS Pharmacy First.

Automatically route appropriate cases to community pharmacy and free up GP capacity.