Urinary Tract Infection (UTI) Treatment – NHS Pharmacy First

Urinary Tract Infection (UTI) Treatment – NHS Pharmacy First

Fast NHS assessment for UTIs without needing a GP appointment

If you have symptoms of a urinary tract infection (UTI), you may not need to wait for a GP appointment.
Under the NHS Pharmacy First service, trained pharmacists can assess symptoms and provide treatment
for uncomplicated UTIs in eligible women.

This NHS service is designed to help you access care quickly, reduce discomfort,
and avoid unnecessary delays or time off work.


Who can use Pharmacy First for UTIs?

The NHS Pharmacy First UTI service is available for:

  • Women aged 16 to 64 years
  • Symptoms of an uncomplicated urinary tract infection
  • Non-pregnant patients

Your pharmacist will confirm eligibility during your consultation and follow NHS clinical guidance.


Common UTI symptoms

You may be suitable for a Pharmacy First consultation if you experience:

  • A burning or stinging sensation when passing urine
  • Needing to pass urine more often or more urgently
  • Passing small amounts of urine
  • Lower abdominal discomfort
  • Cloudy or strong-smelling urine

Why early assessment matters

UTI symptoms can worsen quickly if left untreated. While many infections are uncomplicated,
delaying assessment can increase discomfort and the risk of the infection spreading.

Prompt assessment and treatment help reduce the chance of:

  • Increasing pain and burning when passing urine
  • The infection spreading to the kidneys, which may require hospital treatment
  • Ongoing disruption to work, sleep, and daily activities
  • Needing more complex treatment later on

Accessing NHS Pharmacy First early allows symptoms to be reviewed quickly
and appropriate treatment started where suitable.


Hydration and recovery

Staying well hydrated is an important part of recovering from a urinary tract infection.
Alcohol can contribute to dehydration and may irritate the bladder, which can worsen symptoms.

Your pharmacist will provide clear advice on fluid intake and self-care measures
to support recovery.


What can the pharmacist do?

During your Pharmacy First consultation, the pharmacist will:

  • Ask NHS-approved clinical questions about your symptoms
  • Assess whether your infection is suitable for pharmacy treatment
  • Provide self-care and hydration advice
  • Supply NHS treatment where clinically appropriate
  • Refer you to a GP or urgent care if red-flag symptoms are identified

Antibiotics are only supplied when appropriate and in line with national NHS guidance.


Pharmacy First UTI treatment near you

This NHS Pharmacy First service is available at the following local pharmacies:

All locations provide private consultation rooms and trained NHS pharmacy teams.


When Pharmacy First is not suitable

Pharmacy First may not be appropriate if you:

  • Are pregnant
  • Are outside the eligible age range
  • Have symptoms such as fever, flank pain, or feeling seriously unwell
  • Have recurrent or complicated UTIs

In these cases, your pharmacist will advise you to seek GP or urgent medical care.


If you think you may have a UTI, visit your local NHS pharmacy for a Pharmacy First assessment.

More NHS services:
Pharmacy First (NHS)

Urinary Tract Infection (UTI) – Frequently Asked Questions (NHS Pharmacy First)

Can a pharmacist help with a urinary tract infection (UTI)?

Yes. Under the NHS Pharmacy First service, pharmacists can assess and treat uncomplicated urinary tract infections in women aged 16 to 64, without the need for a GP appointment.

What is a UTI?

A urinary tract infection (UTI) is an infection of the bladder or urinary system. It is usually caused by bacteria entering the urinary tract.

What are the common symptoms of a UTI?

  • A burning or stinging pain when passing urine
  • Needing to pass urine more often than usual
  • Passing small amounts of urine frequently
  • Cloudy, dark, or strong-smelling urine
  • Lower abdominal discomfort or pressure

Who can use NHS Pharmacy First for UTIs?

Pharmacy First for UTIs is available if:

  • You are a woman aged 16 to 64 years
  • Your symptoms are typical of an uncomplicated UTI
  • You are not pregnant
  • You do not have severe or high-risk symptoms

Can the pharmacy provide antibiotics for a UTI?

If a pharmacist assesses that you meet NHS criteria for an uncomplicated UTI, they may supply an NHS-approved antibiotic where clinically appropriate. Not all UTIs need antibiotics, and the pharmacist will advise based on your symptoms.

How long do UTI symptoms usually last?

  • Symptoms may start to improve within 24–48 hours of treatment
  • Mild UTIs can sometimes improve with self-care
  • If symptoms worsen or persist, further medical advice is needed

What self-care advice can help with a UTI?

  • Drink plenty of fluids
  • Pass urine regularly — do not hold it in
  • Take appropriate pain relief such as paracetamol if needed
  • Avoid alcohol until symptoms improve

When should I seek urgent medical help?

You should seek urgent advice if you experience:

  • Fever, chills, or feeling very unwell
  • Pain in your back or sides (possible kidney infection)
  • Blood in your urine
  • Nausea or vomiting
  • Symptoms lasting longer than 3 days or getting worse

For urgent advice, contact NHS 111. In an emergency, call 999.

Can men use Pharmacy First for UTIs?

No. NHS Pharmacy First for UTIs currently applies only to women aged 16 to 64. Men with urinary symptoms should contact their GP.

Can pregnant women use Pharmacy First for UTIs?

No. Pregnant women with UTI symptoms should contact their GP or midwife as soon as possible.

How do I access NHS Pharmacy First for a UTI?

  • Visit the pharmacy and ask for a consultation
  • Call the pharmacy for advice
  • Be referred by NHS 111 or your GP surgery

Eligibility and treatment availability depend on NHS clinical criteria and local pathways.