Pharmacy First Pathway Editor

Acute Sore Throat (Pharmacy First)

Keep the flow legible first. Use the inspector for detail work and keep repetitive shapes in templates.

28 nodes 29 edges
No selection
Workspace Drag to move nodes. Scroll to zoom. Hold Shift to multi-select.
100%
0>=1NO>=1Mild0–1SevereYes2–34–5No0>=10YesNoMildSevereYesNoYesNoyes
Outcome

Offer clarithromycin for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_clarithromycin outcome info
Outcome

Offer erythromycin for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_erythromycin outcome info
Referral

Urgent: call 999 or signpost patient to A&E immediately. Consider calculating NEWS2 Score ahead of signposting patient to A&E or calling 999 in a life-threatening emergency.

outcome_emergency referral info
Outcome

Self-care and pain relief: • Antibiotics make little difference to how long symptoms last • Withholding antibiotics is unlikely to lead to complications

outcome_score_mid outcome info
Info

Ask patient to return to Community Pharmacy if no improvement within 3–5 days for pharmacist reassessment.

revisit_score_mid outcome info
Outcome

Mild symptoms: consider pain relief and self care as first line treatment. Ask patient to return if no improvement within 3–5 days.

outcome_high_mild outcome info
Info

After pharmacist reassessment (including red flags) patient can be offered antibiotics if appropriate based on clinician global impression.

outcome_returning outcome info
Outcome

Patient is not eligible for this pathway. Refer to GP or appropriate service.

outcome_not_eligible spacer info
Question

Shared decision making approach using TARGET RTI resources and clinician global impression. Decide symptom severity:

severity_high decision select
Question

Consider the risk of deterioration or serious illness. Select ANY that apply.

emergency_screen decision select_multiple
Question

Returning patient for acute sore throat (after being originally advised to return if no improvement in 3-5)?

returning_patient_copy select
Outcome

Offer phenoxymethylpenicillin (if no allergy) for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_penicillin_v outcome info
Referral

Onward referral: • General practice • Other provider as appropriate

outcome_differential_referral referral info
Outcome

Self-care and pain relief: • Antibiotic is not needed • Offer over the counter treatment for symptomatic relief • Drink adequate fluids

outcome_score_low outcome info
Question

Reported penicillin allergy (via National Care Record or Patient/Carer)?

allergy_check decision select
Question

Is the patient eligible for the Acute Sore Throat pathway? Select ANY that apply.

eligibility spacer select_multiple
Info

Ask patient to return to Community Pharmacy after 1 week if no improvement for pharmacist reassessment.

revisit_score_low outcome info
Info

Patient presenting with signs and symptoms of acute sore throat?

intro_guidance spacer info
Question

Shared decision making approach using TARGET RTI resources and clinician global impression. Decide symptom severity:

severity_high_copy_1773697996604_0 select
Outcome

Mild symptoms: consider pain relief and self care as first line treatment. Ask patient to return if no improvement within 3–5 days.

outcome_high_mild_copy_1773697996863_1 info
Question

Reported penicillin allergy (via National Care Record or Patient/Carer)?

allergy_check_copy_1773697996965_2 select
Outcome

Offer phenoxymethylpenicillin (if no allergy) for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_penicillin_v_copy_1773697997066_3 info
Question

Is the patient pregnant?

pregnancy_check_copy_1773697997167_4 select
Outcome

Offer clarithromycin for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_clarithromycin_copy_1773697997273_5 info
Outcome

Offer erythromycin for 5 days (subject to inclusion/exclusion criteria in PGD) plus self care.

outcome_erythromycin_copy_1773697997384_6 info
Question

Is the patient pregnant?

pregnancy_check decision select
Question

Does the patient have signs or symptoms requiring onward referral? Select ANY that apply.

differential_screen checklist select_multiple
Question

Use FeverPAIN Score to assess: 1 point for each Select ANY that apply.

feverpain_score decision select_multiple 3 lanes

Workflow Editor

Workflow details

Active

Keep the core metadata tight and scan-friendly. Less common content sits in its own section.

Record settings Save after changing metadata or publishing state.