Home > Core Services > NHS Pharmacy First What is Pharmacy First Scotland?
NHS Pharmacy First Scotland is a service that allows community pharmacies to provide expert assistance in treating conditions such as sore throats, earaches and cold sores, as well as common clinical conditions like urinary tract infections (UTIs).
Pharmacy teams offer advice, treatment, or referral to other healthcare professionals if necessary.
This week, CPS Policy and Development Pharmacist Gordon Winter joined BBC Radio Scotland’s Drivetime programme to discuss what the data means for community pharmacy and the wider primary care landscape.
Six years of NHS Pharmacy First Scotland, with more than 1.9 million people using the service and continued expansion of independent prescribing.
Latest update for Community Pharmacy Independent Prescribers and trainees, including training pathways, next steps and upcoming support.
Find patient information resources, Approved List and guidance for the NHS Pharmacy First Scotland service.
The top question for this week is around the eligibility of patients to receive the service.
Reminders and revisit ahead of the holiday season and upcoming events. NHS Pharmacy First (Scotland) Service – including Community Pharmacy Independent Prescribing
Update to the NHS Pharmacy First Scotland Approved List from 1 June 2026, including changes for oral thrush and allergy treatments.
A new report published by Public Health Scotland show that community pharmacy continue to play an important role in supporting the health and wellbeing of people across Scotland
Summary of the 1st April 2026 updates to the NHS Pharmacy First Scotland Approved List, including changes to oral thrush, allergy/itch and previous cough removals.
A new national PGD for oral candidiasis is being added to NHS Pharmacy First Scotland. Guidance for Health Boards and community pharmacy teams.
Scottish Government circular announcing a new Patient Group Direction for skin inflammation within NHS Pharmacy First Scotland.
Pharmacy teams will start to notice two new UCF modules appearing in their PMRs from next week - one each for the previously-announced Nystatin and Hydrocortisone PGDs.
Understand the top 25 Pharmacy First rejected items, why claims fail, and how to ensure compliance with NHS Scotland requirements.
On behalf of NHS Health Boards, we are collecting suggestions for amendments to the Approved List from our members and their pharmacy teams, which can be for additions to the list, replacements or deletions.
The NHS Pharmacy First Scotland approved product list has been updated for January 2026. Key changes include eczema treatments and cough remedies.
If you are a CP Employee starting your CPS/NES Funded IP Course in Jan 2026 at RGU or Strathclyde University, please make sure you have completed and returned the form sent to you by CPS during December.
We are currently reviewing future budgets and training capacity requirements for CPS/NES Funded Employee CPIP Training. To do this, we need a clear picture of how many CP employees in the network have not yet completed their training.
We have put together the following Frequently Asked Questions (FAQs) for the circularPCA P(2025)24.
Last Thursday the CPS team held a webinar which covered the recent changes to NHS Pharmacy First Scotland remuneration, and gave attendees the opportunity to ask questions of the team.
CPS updates on rejected item reporting for Pharmacy First claims. Learn common reasons for rejection and how to avoid them.
Community Pharmacy Scotland will be hosting a webinar on Thursday 20 November at 7.00pm via Microsoft Teams, this webinar is for CPS contractor members and their teams.
The Scottish Government has released circular PCA(P)(2025)24 which details changes to the remuneration of all components of the NHS Pharmacy First (Scotland) service.
Updated PGDs for UTIs and impetigo approved for NHS Pharmacy First Scotland. Health Boards to implement locally.
Pharmacy First Scotland product list updates on 1 September 2025. QV Skin Lotion removed from NHS Borders, Fife & Lothian emollient options.
This circular reminds community pharmacy contractors of the key service requirements for NHS Pharmacy First Scotland, highlighting the importance of face-to-face consultations, correct use of NHS branding, and adherence to national service guidelines.
Read Victoria’s incredible real-world story of how a routine consultation through the NHS Pharmacy First Plus service led to the urgent referral of a patient who was later diagnosed with leukaemia.
Check out our Policy & PR Pharmacist, Sarah Scott, speaking to BBC Radio Scotland this morning about how people can manage their hay fever symptoms and access expert support through NHS Pharmacy First Scotland.
The approved list of products for the NHS Pharmacy First Scotland Service has been updated from the 1st April 2025.
A new national PGD for oral candidiasis is being added to NHS Pharmacy First Scotland. Guidance for Health Boards and community pharmacy teams.
Scottish Government circular announcing a new Patient Group Direction for skin inflammation within NHS Pharmacy First Scotland.
The Scottish Government has released circular PCA(P)(2025)24 which details changes to the remuneration of all components of the NHS Pharmacy First (Scotland) service.
This circular reminds community pharmacy contractors of the key service requirements for NHS Pharmacy First Scotland, highlighting the importance of face-to-face consultations, correct use of NHS branding, and adherence to national service guidelines.
This Circular advises Health Boards and community pharmacy contractors of updated Patient Group Directions (PGDs) that are to be implemented for the treatment of shingles and skin infections under NHS Pharmacy First Scotland.
This Circular provides updated guidance aimed at both community optometry and community pharmacy teams and an updated referral form for the assessment and treatment of minor eye conditions.
Patient Group Directions (PGDs) that are to be added to the NHS Pharmacy First Scotland service for the treatment of seasonal allergic rhinitis (hay fever).
This Circular advises Health Boards and community pharmacy contractors of updated Patient Group Directions (PGDs) that are to be implemented for the treatment of urinary tract infections (UTI) and impetigo under NHS Pharmacy First Scotland.
Circular PCA(P)(2021)5 set out the arrangements for the settlement for pharmaceutical services for the period 2020-21, including for NHS Pharmacy First Scotland.
This Circular reminds community pharmacy contractors of the requirements of delivering the NHS Pharmacy First Scotland service
This Circular encloses a revised Approved List of Products for the NHS Pharmacy First Scotland service, which will come into force from 1st October 2021.
The Scottish Government have released circular PCA(P)(2021)09 which advises of changes to the Drug Tariff with respect to remuneration arrangements to regulate the delivery of the remuneration Global Sum for 2020/21.
Circular PCA(P)(2021)07 advises that Patient Group Directions (PGDs) supporting two further common clinical conditions will be added to the NHS Pharmacy First Scotland service.
This Circular provides information for community optometry teams about the NHS Pharmacy First Scotland (NHS PFS) service. It also provides guidance aimed at both community optometry and community pharmacy teams and a referral form for the assessment and treatment of minor eye conditions.
This circular informs NHS Boards and community pharmacy contractors of the intention to establish a combined National Foundation Programme and Independent Prescriber (IP) Career Pathway for community pharmacists.
This circular encloses amendments to the Health Board Additional Pharmaceutical Services (Minor Ailment Service (Scotland) Directions 2016 for the Minor Ailment Service (MAS) in respect of eligibility for the service, which come into effect on 1 April 2020
This Circular advises community pharmacy contractors and NHS Boards of a one-off payment available to community pharmacy contractors to cover the completion of e-learning modules for the roll-out of the new NHS Pharmacy First Scotland service.

Pharmacy First Scotland refresher: join our live AMA on Thursday 20th August, 19:30–21:00 on Microsoft Teams. Bring your questions