There will be times when a pharmacist will need additional advice or will need to escalate a patient to a higher acuity care location (e.g., a GP, UTC or ED). Pharmacists should use their clinical judgement to decide the urgency, route and need for referral and then choose one of the options below:
Option A – Refer the patient for an urgent in-hours appointment with their own GP. After agreeing this course of action with the patient, the pharmacist should contact the patient’s general practice to secure them an appointment.
Option B – Call the NHS 111 service when the patient’s own general practice is not available. The pharmacist should call NHS 111 using the healthcare professionals’ line for access to a clinician, to seek advice.
Option C – Signpost the patient to A&E or call 999. If the patient presents with severe symptoms indicating the need for an immediate medical consultation, the pharmacist should tell the patient to attend A&E immediately or call an ambulance on behalf of the patient.
All this information can be found in the service specification.