Extended Care Services

April 2022 –  Service Specification Update. Those Contractors already providing Extended Care Services should receive the new service specifications into their generic nhs.net email boxes.


January 2022 – NHSE&I announcement

Extended care pharmacy services – sign ups for new providers has been paused.

The NHSE National Antimicrobial Resistance (AMR) Programme Board has requested that the DHSC UK AMR Board’s Research Co-ordination Group commission an National Institute for Health Research (NIHR) programme of work to look at the quality, safety, effectiveness and appropriateness of new and existing clinical services to manage infection provided by community pharmacies and other care settings, including the supply of antimicrobials without a prescription under the legal direction of a PGD. 

The Board has advised local commissioners to pause new services until this work has been undertaken.

Following this recommendation, a decision has been made regionally to suspend any new SLA sign up’s to the Midlands Region Extended Care Tier 1 and Tier 2 services with immediate effect.

This does NOT impact those pharmacies currently providing the service.

Community Pharmacies currently providing Tier 1 and Tier 2 services can continue to provide services to patients as normal. As a current provider, if you have a change in pharmacist, then they also can sign the PGD’s and provide the service(s). The suspension relates to the sign up of new sites only.  

The message informing pharmacies about this decision was sent by NHSE&I Midlands Region to all pharmacy NHS mail addresses and was also copied to all of the Midland Region LPCs.


Updated 22/04/2021


On 1st December 2020 the Community Pharmacy Extended Care Tier 1 services (Simple UTI and Bacterial Conjunctivitis) services were rolled out across the whole NHSE&I Midlands footprint. This means that these services are now accessible from participating pharmacies to patients registered with GPs n the East Midlands, Central Midlands and West Midlands areas.

In 2021, additional Tier 2 services were made available to pharmacies also delivering Tier 1 Services.

Aims of the Community Pharmacy Extended Care Service scheme

The overall aim of the scheme is to ensure that patients can access self-care advice and treatment of a range of conditions, and, where appropriate, can be supplied with antibiotics or other prescription-only medicines (POMs) to treat their condition. This provides increased accessibility for patients to seek advice and treatment, and act as an alternative to seeking treatment via a prescription from their GP or Out of Hours (OHH) provider, walk in centre or accident and emergency department. The scheme aims to:

  • Educate patients to seek advice and treatment from the most appropriate healthcare setting
  • Improve patient’s access to advice and appropriate treatment for minor ailments via Community Pharmacy
  • Reduce GP workload for these ailments allowing greater focus on more complex and urgent medical conditions
  • Educate patients with aim of reducing requests for inappropriate supplies of antibiotics
  • Promote the role of the pharmacist and self-care
  • Improve working relationships between doctors and pharmacists

The service is offered as a quicker alternative for patients to access healthcare. Patient choice is critical, and some may choose to refuse the service and continue to access treatments in the same way as they have done previously.

These extended care services are available for pharmacies to offer across the whole NHSE&I Midlands footprint. To ensure that you have the most accurate and up-to-date information regarding all of these services, South Staffordshire LPC are hosting the detailed service information pages for the whole region.

Please click here to access the Community Pharmacy Extended Care Suite of Services pages on their website