NHS service
NHS Pharmacy First at Miles Pharmacy, Ewell
Seven common conditions the pharmacist can treat without you seeing a GP first. No appointment needed, no referral, and you do not have to be registered with us.
Common symptoms
This checks which conditions we can treat. It does not diagnose. If you feel very unwell, call 111.
What is covered
The seven conditions we can treat
Each one has an age range set nationally by the NHS. If you fall outside it the pharmacist can still advise you, but treatment will need to come from your GP.
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Blocked nose, sinus pain, facial pressure. For 12 years and over.
Book this : Sinusitis -
Painful swallowing, tonsillitis. For 5 years and over.
Book this : Sore throat -
Earache, ear infection in children. For 1 to 17 years.
Book this : Acute otitis media -
A bite that has gone red, hot or swollen. For 1 year and over.
Book this : Infected insect bite -
School sores, golden crusty patches. For 1 year and over.
Book this : Impetigo -
Painful rash or blisters on one side of the body. For 18 years and over.
Book this : Shingles -
Cystitis, burning when you wee. For Women aged 16 to 64.
Book this : Uncomplicated urinary tract infection - Not sure if yours fits? Describe it in the checker at the top of this page. It says whether we can treat it here, and who can if we cannot. Check your symptoms
Eligibility last checked against the NHS England service specification on .
Announced 10 September 2026
Five more conditions from this autumn
NHS England confirmed in September 2026 that Pharmacy First is expanding. Five more conditions are being added at pharmacies with a registered prescribing pharmacist: outer ear infections in adults, hay fever in children aged 4 to 11, mild to moderate acne, episodic migraine in adults, and scabies. Once it is running, the NHS expects up to three million appointments a year across those five conditions alone.
Not everywhere, and not yet. This starts at pharmacies registered with NHS England as prescribing pharmacies and grows from there through autumn 2026. It is not something every pharmacy will be able to offer.
We will update this page when these become available here.
- Acute otitis externa Adults 18 and over
- Seasonal allergic rhinitis Children aged 4 to 11
- Mild to moderate acne Young people
- Migraine Low frequency, episodic, adults 18 to 64
- Scabies To be confirmed when the pathway is published
What to expect
What happens at your appointment
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Tell us what is wrong
Book online, call on 020 8393 1000, or walk in. You do not need a GP referral and you do not need to be registered with us.
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A private consultation
You will be seen by a pharmacist in the consultation room, not across the counter. They will ask about your symptoms and check whether the condition fits the NHS pathway.
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Treatment, or the right next step
If treatment is appropriate, the pharmacist can supply it there and then, including some prescription-only medicines. If it is not, or if something needs a GP or urgent care, they will tell you and make sure you know where to go.
What it costs. The consultation is free on the NHS. If the pharmacist gives you a medicine, the usual NHS prescription charge applies, unless you are exempt.
Being straight with you
When to go elsewhere
Pharmacy First covers specific conditions within specific age ranges. If your problem is not on the list above, or you fall outside the age range, the pharmacist can still give advice, but treatment will need to come from your GP.
Call 999 or go to A&E if you have chest pain, difficulty breathing, a stiff neck with a rash that does not fade, sudden confusion, or a baby under three months with a fever.
Call 111 if you are unwell and unsure, or outside our opening hours.
Before you come in
Questions people ask about Pharmacy First
Answered by the pharmacy team.
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You can come straight to us. For a set of common conditions, including sore throats, sinusitis, earache, shingles and uncomplicated urinary infections, a pharmacist can assess you and, where it is right, provide treatment on the NHS without a GP appointment.
If what you have needs a doctor, I will say so plainly and help you get there. Nobody leaves without a next step.
How Pharmacy First works
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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Then I tell you, straight away and in plain words, and I help with the next step. That might be a same-day call to your GP surgery, a referral, or advice on where to go if it should not wait. You will leave knowing exactly what to do next. That is the promise.
What Pharmacy First can and cannot treat
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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No. Pharmacy First is open to anyone registered with a GP practice in England, whoever that practice is.
You do not need to have used us before and you do not need to move your prescriptions to us afterwards.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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No, you can walk in, though booking means you will not wait.
If we are busy, the pharmacist may ask you to come back at a set time rather than keep you standing in the shop.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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The consultation is free on the NHS.
If you are given a medicine, the standard NHS prescription charge applies unless you are exempt.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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Sometimes. Each condition has a nationally agreed pathway setting out when antibiotics are appropriate.
If they are not, the pharmacist will explain what will help instead. Being told you do not need antibiotics is a proper outcome of the appointment, not a refusal.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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Yes. With your consent, a record of the consultation is sent to your GP practice so your notes stay up to date.
That is the point of the service being on the NHS rather than beside it: what happens here goes into the same record.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
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Yes, for the conditions where children are covered. Earache is for ages 1 to 17, sore throat from 5, and impetigo and infected insect bites from 1 year.
If your child falls outside the age range the pharmacist can still advise you, but treatment will need to come from your GP.
Samit Patel
Superintendent Pharmacist and Director · GPhC 2076789
Find the pharmacy
Location & opening hours
Ewell, Epsom, Surrey KT19 9UR
How to get here Parking, trains, buses and step-free access
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The door is on Chessington Road, with step-free access
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The station car park, on Station Approach off Chessington Road
- Address Elizabeth Court, Station Approach, KT17 1DR
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Step-free to all platforms, by a footbridge with lifts
- Step-free to every platform (National Rail step-free category A)
- Lifts two, on the footbridge
Checked against nationalrail.co.uk
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Outside the pharmacy, with a stop on each side of Chessington Road
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Cycle parking at the station
Take this with you
Point your phone's camera at the code and this page opens there, with the directions one tap away.
No appointment needed
Come in today.
Choose Pharmacy First and a time that suits you, or walk in and ask at the counter. The consultation is free on the NHS.
- Private and NHS
- GPhC premises 9011598
- Closed now
Prefer to talk? 020 8393 1000
Appointments at Miles Pharmacy
What can we help with?
Vaccinations and travel
Feeling unwell
Men's and women's health
Everyday health
Not sure which you need? Start without choosing 020 8393 1000