What can your pharmacy offer?

How Get Real Health's 60+ private PGDs compare with the NHS-funded Pharmacy First (England), Pharmacy First Scotland, and the Welsh Common Ailment Service. Use this to see what you can already deliver on the NHS — and where private PGDs unlock additional revenue.

56
GRH PGDs
11
Pharmacy First (Eng)
16
Pharmacy First (Sct)
24
Welsh CAS / IPS
Legend: ✓ Service offered— Not coveredGRH services are private/paid. NHS schemes are free at point of use for eligible patients but limited in scope. Reviewed May 2026.

Sexual Health & Men's Health

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Erectile dysfunction
✓
Sildenafil, tadalafil, vardenafil, avanafil, alprostadil cream (Vitaros)
View PGD
———
Premature ejaculation
✓
Dapoxetine (Priligy)
View PGD
———
Benign prostatic hyperplasia (BPH)
✓
Tamsulosin, finasteride
View PGD
———
STI screening / testing
✓
Postal NAAT test kits + clinical assessment
View PGD
———
Gonorrhoea treatment
✓
Ceftriaxone IM (with sexual health pathway)
View PGD
———
Genital herpes
✓
Aciclovir, valaciclovir
View PGD
———
Genital warts
✓
Podophyllotoxin, imiquimod
View PGD
———

Women's Health

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Uncomplicated UTI (women)
✓
Nitrofurantoin, trimethoprim, fosfomycin
View PGD
✓
Women aged 16–64; nitrofurantoin only
✓
Women 12+; trimethoprim or nitrofurantoin
✓
Women aged 16+; nitrofurantoin
Recurrent UTI prophylaxis————
Vaginal thrush — single-agent
✓
Fluconazole 150mg OR clotrimazole pessary
View PGD
——
✓
Free OTC supply
Bacterial vaginosis
✓
Metronidazole oral or vaginal gel
View PGD
———
Emergency contraception
✓
Levonorgestrel, ulipristal acetate
View PGD
—
✓
Free supply
—
Period delay (norethisterone)
✓
Norethisterone 5mg
View PGD
———
Postnatal contraception
✓
POP, COC supply with contraceptive consult
View PGD
———

Weight Management

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Wegovy (semaglutide)
✓
Semaglutide 0.25–7.2 mg weekly (incl. 7.2 mg high-dose)
View PGD
———
Mounjaro (tirzepatide)
✓
Tirzepatide 2.5–15 mg weekly
View PGD
———
Saxenda (liraglutide)
✓
Liraglutide 0.6–3.0 mg daily
View PGD
———
Orlistat (Xenical / Alli)
✓
Orlistat 60–120 mg with meals
View PGD
———
Mysimba (naltrexone/bupropion)
✓
Naltrexone 8 mg / bupropion 90 mg titration
View PGD
———

Skin & Dermatology

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Acne vulgaris (mild–moderate)
✓
Topical adapalene + benzoyl peroxide; clindamycin / adapalene combinations; oral lymecycline
View PGD
——
✓
Free OTC supply
Rosacea (papulopustular)
✓
Topical metronidazole or azelaic acid
View PGD
———
Eczema / dermatitis (mild–moderate)
✓
Emollients, topical hydrocortisone, clobetasone, betamethasone
View PGD
——
✓
Free OTC supply
Cold sores (HSV labialis)
✓
Aciclovir 5% cream, oral aciclovir
View PGD
——
✓
Free OTC supply
Impetigo (non-bullous)
✓
Topical fusidic acid; hydrogen peroxide; oral flucloxacillin
View PGD
✓
All ages 1+
✓
All ages
✓
Independent Prescribing Service (IPS)
Wound infection (cellulitis, infected bite)
✓
Flucloxacillin, clarithromycin, doxycycline
View PGD
✓
Infected insect bites only
✓
Skin infections via PFP
—
Hair loss (androgenetic)
✓
Finasteride 1 mg, topical minoxidil
View PGD
———
Athlete's foot———
✓
Free OTC supply
Ringworm / fungal skin infection———
✓
Free OTC supply
Scabies———
✓
Free OTC supply
Verrucae / warts———
✓
Free OTC supply
Head lice———
✓
Free OTC supply

Acute & Infection

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Acute sore throat / pharyngitis
✓
Phenoxymethylpenicillin, clarithromycin
View PGD
✓
Age 5+, FeverPAIN ≥4
✓
Pharmacy First service
✓
Free OTC supply
Acute otitis media (ear infection)
✓
Amoxicillin, clarithromycin
View PGD
✓
Age 1–17
✓
Pharmacy First service
✓
Free OTC pain relief
Acute sinusitis—
✓
Age 12+; phenoxymethylpenicillin
——
Shingles (herpes zoster)—
✓
Age 18+; aciclovir
✓
Pharmacy First service
—
Hayfever / allergic rhinitis
✓
Cetirizine, loratadine, fexofenadine, intranasal steroids, montelukast
View PGD
—
✓
Pharmacy First Plus pathway
✓
Free OTC supply
Conjunctivitis (bacterial)——
✓
Eye infections via PFP
✓
Free OTC supply
Constipation——
✓
Pharmacy First service
✓
Free OTC supply
Diarrhoea———
✓
Free OTC supply
Dyspepsia / heartburn———
✓
Free OTC supply
Mouth ulcers———
✓
Free OTC supply
Headache / migraine——
✓
Pharmacy First service
✓
Free OTC supply

Vaccines

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Seasonal influenza
✓
QIV, aQIV (over-65)
View PGD
✓
NHS scheme via separate service spec
✓
NHS scheme
✓
NHS scheme
COVID-19 booster
✓
Pfizer/Moderna mRNA (eligible cohorts) + private
View PGD
✓
NHS for eligible cohorts
✓
NHS for eligible cohorts
✓
NHS for eligible cohorts
Shingrix (shingles vaccine)
✓
Recombinant zoster vaccine — private
View PGD
———
Pneumococcal vaccine
✓
PPV23 / PCV13 — private
View PGD
———
RSV vaccine (older adults & pregnancy)
✓
Abrysvo / Arexvy
View PGD
———
HPV vaccine (private)
✓
Gardasil 9
View PGD
———
MMR (private catch-up)
✓
MMR-VaxPro / Priorix
View PGD
———
Varicella (chickenpox)
✓
Varilrix
View PGD
———
Meningitis B
✓
Bexsero
View PGD
———
Hepatitis B (occupational)
✓
Engerix-B / Fendrix
View PGD
———

Travel Health

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Travel core (consultation + risk assessment)
✓
Multi-vaccine, anti-malarials per itinerary
View PGD
———
Anti-malarials
✓
Atovaquone/proguanil, doxycycline, mefloquine
View PGD
———
Yellow fever (designated YFVC only)
✓
Stamaril (live attenuated)
View PGD
———
Rabies pre-exposure
✓
Rabipur
View PGD
———
Japanese encephalitis
✓
Ixiaro
View PGD
———
Meningitis ACWY (travel / Hajj)
✓
Nimenrix / Menveo / MenQuadfi
View PGD
———
Typhoid
✓
Typhim Vi (injectable) / Vivotif (oral)
View PGD
———
Dengue vaccine
✓
Qdenga (≥4 yo, prior infection or risk-stratified)
View PGD
———
Altitude sickness prophylaxis
✓
Acetazolamide
View PGD
———
Travellers' diarrhoea
✓
Standby azithromycin / ciprofloxacin
View PGD
———

Cardiovascular & Long-Term Conditions

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Asthma rescue (salbutamol)
✓
Salbutamol 100 mcg inhaler
View PGD
———
COPD inhaler initiation / monitoring
✓
LAMA / LABA / ICS regimens
View PGD
———

Mental Health & Lifestyle

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Situational anxiety (propranolol)
✓
Propranolol 10–40 mg PRN
View PGD
———
Short-term insomnia / jet lag
✓
Melatonin 2 mg MR
View PGD
———
Smoking cessation — varenicline
✓
Varenicline 0.5–1 mg
View PGD
—
✓
NHS smoking cessation
✓
NHS Help Me Quit
Smoking cessation — NRT
✓
Nicotine patches, gum, lozenges, inhalators
View PGD
✓
NHS scheme
✓
NHS Smoking Cessation
✓
NHS Help Me Quit
Alcohol reduction / dependence————

Paediatrics & Specialist

ServiceGRH
Private / paid
PF England
NHS, free
PF Scotland
NHS, free
Welsh CAS
NHS, free
Paediatric UTI————
Dental pain (antibiotic bridging)
✓
Amoxicillin, metronidazole
View PGD
———
Shingles treatment
✓
Aciclovir, valaciclovir, gabapentin for PHN
View PGD
✓
Age 18+; aciclovir only
✓
Pharmacy First service
—

Stack private revenue on top of NHS Pharmacy First

NHS schemes are free for patients but cover only a handful of conditions. Adding GRH's 60+ private PGDs lets you serve patients who fall outside NHS criteria — and capture the revenue.

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