NEW for 2025. This discussion outlines the NHS Pharmacy First service, a new initiative launched in January 2024 allowing pharmacists in England to treat seven common conditions and provide urgent medicine supplies. The service integrates the previous Community Pharmacist Consultation Service elements and requires participating pharmacies to have a consultation room, standard operating procedures, and business continuity plans in place. Pharmacies must utilize NHS-assured IT systems for record-keeping and data submission, and patient consent is needed to access their medical records, which will be updated via GP Connect. Compensation includes both a fee per consultation and a monthly payment tied to meeting specific clinical pathway consultation targets, with variations for distance selling pharmacies.