NHS Pharmacy First Treatment for Earache (Children & Young People)
If your child has earache, you may not need to wait for a GP appointment.
Under the NHS Pharmacy First service, trained pharmacists can assess ear pain, provide clinical advice, and offer treatment where appropriate.
This service is designed to help families get fast, same-day care for common ear conditions — without long waits, missed school, or time off work.
Who can use Pharmacy First for earache?
Pharmacy First earache consultations are available for:
- Children and young people aged 1 to 17 years
- New onset ear pain or discomfort
- Mild to moderate symptoms where urgent hospital care is not required
Our pharmacists follow NHS clinical pathways to ensure safe and appropriate care.
Symptoms that may be assessed
Your child may be suitable for a Pharmacy First earache consultation if they have:
- Ear pain or discomfort
- Ear pulling or irritability (in younger children)
- Reduced hearing
- Fever associated with ear pain
- Recent cold or upper respiratory infection
Leaving ear infections untreated can lead to worsening pain, sleep disruption, school absence, and further complications — which is why early assessment matters.
What can the pharmacist do?
During your visit, the pharmacist will:
- Assess symptoms using NHS-approved clinical questions
- Check for signs that require GP or hospital referral
- Provide self-care and pain relief advice
- Supply treatment where clinically appropriate under NHS guidelines
- Refer safely if symptoms fall outside Pharmacy First criteria
This ensures your child receives the right care, at the right time, in the right setting.
Why parents choose Pharmacy First
- No GP appointment required
- Same-day access at local NHS pharmacies
- Private consultation rooms
- Clinically trained pharmacy teams
- Less disruption to work and school routines
For many families, Pharmacy First avoids days of discomfort while waiting for an appointment.
Find your local Pharmacy First earache service
Earache consultations are available at our participating NHS pharmacies:
- Holden’s Chemist Scawsby – Doncaster
- Holden’s Chemist Bentley – Doncaster
- Holden’s Chemist Newark – Nottinghamshire
- Sherwood Avenue Pharmacy – Newark
Each location offers private consultation rooms and trained clinical staff.
When to seek urgent medical help
Pharmacy First is not suitable if your child has:
- Severe ear pain or swelling around the ear
- Discharge or bleeding from the ear
- Symptoms lasting more than a few days without improvement
- Signs of serious illness or worsening infection
In these cases, the pharmacist will advise immediate GP or urgent care referral.
Book or visit today
If your child has earache, don’t wait unnecessarily.
Visit your local Holden’s NHS pharmacy or book a Pharmacy First consultation to receive fast, professional advice and treatment where appropriate.
Earache – Frequently Asked Questions (NHS Pharmacy First)
Can a pharmacist help with earache?
Yes. Under the NHS Pharmacy First service, pharmacists can assess earache in children aged 1 to 17 years, give advice, and where appropriate recommend or supply treatment without the need for a GP appointment.
What causes earache?
Earache is commonly caused by:
- Middle ear infection (otitis media)
- Outer ear infection (otitis externa)
- Colds or upper respiratory infections
- Blocked ears or pressure changes
How long does earache usually last?
- Mild earache often improves within 2–3 days
- Most ear infections clear within 3–7 days
- Pain should gradually improve
When can NHS Pharmacy First be used for earache?
Pharmacy First may be suitable if:
- The child is aged 1 to 17 years
- Ear pain is recent and not severe
- There are no serious warning symptoms
The pharmacist will ask about pain, fever, discharge, hearing changes, and how long symptoms have been present.
Can antibiotics be given by the pharmacy for earache?
Most earaches do not need antibiotics. Many ear infections are viral and improve on their own. If a bacterial infection is suspected and NHS criteria are met, the pharmacist will advise on the appropriate NHS care pathway.
What treatments can help relieve earache?
A pharmacist may recommend:
- Age-appropriate pain relief such as paracetamol or ibuprofen
- Self-care advice to manage symptoms
- Monitoring symptoms for improvement
When should I seek urgent medical help?
You should seek urgent advice if the child has:
- Severe or worsening ear pain
- High fever or appears very unwell
- Swelling, redness, or tenderness behind the ear
- Discharge of blood or pus from the ear
- Hearing loss or dizziness
- Symptoms lasting longer than 3 days
For urgent advice, contact NHS 111. In an emergency, call 999.
Is earache contagious?
Earache itself is not contagious, but infections linked to colds or flu can spread. Good hand hygiene and avoiding close contact when unwell can help reduce spread.
Can adults use Pharmacy First for earache?
Currently, NHS Pharmacy First for earache applies to children aged 1 to 17 years. Adults with earache should speak to a pharmacist for advice or contact their GP if needed.
How do I access NHS Pharmacy First for earache?
You can:
- Visit the pharmacy and ask for a consultation
- Call the pharmacy for advice
- Be referred by NHS 111 or your GP surgery