New scheme could free up thousands of GP Appointments

Specially trained pharmacists will be able prescribe an antibiotic to women aged 16 to 65 with uncomplicated urinary tract infections.
Specially trained pharmacists will be able prescribe an antibiotic to women aged 16 to 65 with uncomplicated urinary tract infections.

A new service could free up tens of thousands of GP appointments every year across the North East, NHS Grampian said today.

The service will allow patients in Grampian to get antibiotic treatment for one of the most common acute medical conditions without the need to see their doctor.

Specially trained pharmacists will now be able prescribe an antibiotic to women aged 16 to 65 with an uncomplicated urinary tract infections (UTI) following suitability assessment by the pharmacist.

NHS Grampian is the first health board in the country to roll out the service and more than 90 Community Pharmacies have signed up to offer the treatment.

It will provide women with quicker, easier access to more effective treatments from their community pharmacy.

NHS Grampian estimates the scheme could free up nearly 25,000 GP appointments a year.

Dr Alasdair Jamieson, GP Lead for Aberdeen City with NHS Grampian, said: “While the condition affects both men and women, it is far more common in women.

“Around half of all women will have a UTI at least once in their lives, usually more frequently as they age. Consequently, many people are acutely aware when they have a UTI and when it requires treatment.

“Previously, over-the-counter treatments from community pharmacies for UTI would only relieve the symptoms and didn’t address the root bacterial infection.“That wasn’t ideal for patients and we’ve made these changes to ensure that people are able to get the right treatment at the right time.

“Antibiotic treatment for UTI isn’t always necessary, as uncomplicated cases can resolve in a few days, however, if symptoms are moderate to severe, an antibiotic is recommended.”

Dr Jamieson said UTI is one of the most common conditions seen in female patients across general practice: “It accounts for 1-3% of all GP consultations each year, and for a significant proportion of women it would be appropriate to be seen and treated by their community pharmacist.

“That has real potential to reduce GP workload, freeing up appointments and allowing greater focus on more complex, urgent medical conditions. Clearly that will have significant direct and indirect benefits for patients right across general practice.”

Dr Caroline Hind, Deputy Director of Pharmacy and Medicines Management for NHS Grampian said: “We’ve worked closely with community pharmacists across Grampian to prepare for this change.

“That’s included specialist training and guidelines that allow pharmacists to operate within defined protocols to provide an antibiotic for uncomplicated cases.

“Community Pharmacies play a critical role in helping to improve timely access to assessment and treatment and we are delighted with the support we’ve received in introducing this service which should really improve access to effective treatment for patients.”

Dr Hind added that UTIs in men are rarely “uncomplicated” which means they will still require a GP appointment or referral.

Sheilann Strachan, Pharmacist at Boots Garthdee, one of the participating pharmacies, said: “We are delighted to support this new service which will allow community pharmacists to have access to a more effective treatment option for women presenting with a UTI.

“In the majority of cases, we hope that the service will result in quicker treatment and symptomatic relief without the need to refer women to their GP for further care.

“As a key partner with the NHS, we aim to deliver services that are designed to meet the specific needs of our customers and patients in their local communities. This new service will allow us to do just that by offering the full range of our expertise to patients.

“The pharmacist will need to ask some questions to find out the exact problem. They may also need a urine sample and we are able to provide further advice and referral if required.

“If further treatment is needed, the pharmacist will also be able to provide the appropriate information and referral.”

Further information on participating pharmacies can be found at