Pharmacy First: Sinusitis

What Is Sinusitis?

Sinusitis is inflammation of the sinuses, usually following a cold, causing a blocked or runny nose and facial pain or pressure. Most cases clear up on their own, but under the free NHS Pharmacy First service our pharmacist can assess your symptoms and offer treatment without a GP appointment.

Am I Eligible?

This pathway is available for patients aged 12 and over whose symptoms have lasted more than 10 days, or who are getting worse after initially improving. Our pharmacist will check your symptoms against the NHS clinical criteria at the start of the consultation.

What Happens at the Consultation?

Our pharmacist will ask about your symptoms and how long you've had them, and check for anything that needs referring to a GP. Most consultations take around 15 minutes and can be done on a walk-in basis or by appointment.

What Treatment Might Be Offered?

Depending on your symptoms, our pharmacist may recommend self-care advice, a nasal spray, or — where clinically appropriate — a short course of antibiotics issued directly under the Pharmacy First patient group direction, without needing a separate GP prescription.

When Should I See a GP Instead?

If you have severe symptoms, a high fever, swelling around the eyes, or symptoms that don't improve or keep coming back, our pharmacist will refer you on to your GP or another appropriate service.

Frequently Asked Questions

Is Pharmacy First free?

Yes, Pharmacy First is a free NHS service. Usual prescription charges may apply to any medicine issued.

Do I need to be registered with a GP?

You don't need to be registered with our pharmacy, but you do need to be registered with a GP practice in England to access the service.

Will antibiotics always be given?

No — antibiotics are only issued where clinically appropriate. Many cases of sinusitis are viral and settle with self-care advice alone.