~90s Average Consultation
Full pathway in under two minutes
Hand a patient an iPad. Deterministic clinical AI — built on Google's MedGemma and structured prompt engineering — runs the full NHS Pharmacy First consultation autonomously, no pharmacist present. One report follows: gateway outcome, PGD determination, full transcript, step-by-step clinical reasoning.
pharmacy1st.ai runs the full Pharmacy First consultation — screening, scoring, red flags and PGD supply — leaving a traceable report for review.
A patient presents at the pharmacy with a Pharmacy First eligible condition. A staff member hands them an iPad or any web-enabled device running pharmacy1st.ai. No pharmacist involvement needed at this stage — the AI takes it from here.
The patient interacts directly with the AI. The clinical engine runs on a proprietary deterministic logic architecture — not a black-box language model — layered over Google's MedGemma foundation model and driven by structured clinical prompts. It executes the complete Pharmacy First pathway: gateway screening, validated clinical scoring, red flag detection, and PGD exclusion logic.
Once the consultation ends, the pharmacist receives a complete report: gateway outcome, medication recommendation determined through PGD exclusion logic, full Q&A transcript, deterministic reasoning at every decision point, and a SNOMED CT-coded clinical summary — ready for PharmOutcomes or Sonar submission.
Conduct the structured clinical interview from scratch — history, symptoms, duration, red flags.
Apply FeverPAIN, PATSS, or pathway-specific scoring tools by hand or in the PMR.
Work through contraindications, drug interactions, age and weight thresholds one by one.
Select medication, dose, and duration — cross-referenced against formulary and guidance.
Hand-type the record into PharmOutcomes or Sonar, then file against the patient.
Manually apply SNOMED CT terms and dm+d codes so the claim is accepted.
The AI runs the full Pharmacy First consultation autonomously — gateway, scoring, red flags, PGD.
Gateway outcome, medication determination, transcript, and SNOMED-coded summary — ready for PharmOutcomes.
Enter your consultation volume. We'll show you pharmacist time reclaimed, NHS gateway income generated, and your net monthly and annual return.
Estimated % of consultations that qualify.
Your plan
Assumptions: Standard consultation = 25 min pharmacist time · pharmacy1st.ai QA = 2 min · Pharmacist wage = £30/hr · NHS Pharmacy First gateway fee = £15 per qualifying consultation · 22 working days/month.
NHS claims covered the subscription twice over inside two weeks.
Net monthly benefit
Time saved + NHS income, minus subscription
Net annual benefit
Projected 12-month return
Pharmacist hours freed
84h 20m
per month
Staff cost saved
£2,530
pharmacist time reclaimed
NHS gateway income
£2,310
154 qualifying consultations
Monthly breakdown
“The numbers matched our first month almost to the pound.”
Fully validated clinical logic for every condition in the NHS Pharmacy First service framework, updated to reflect current NICE guidance.
Topical vs oral treatment pathways.
Antihistamine and safety-netting logic.
Antiviral window assessment and referral triggers.
Validated scoring with antibiotic guidance.
FeverPAIN scoring with stewardship guidance.
Diagnostic scoring with antibiotic selection.
Paediatric pathway with treatment escalation.
Pharmacists using pharmacy1st.ai report faster consultations, cleaner audit trails, and more confidence at the counter.
Consultations that used to take twelve minutes now close in under five, and the audit trail is cleaner than anything we built ourselves.
The coded reports drop straight into PharmOutcomes. I claim at the end of the day without unpicking a single consultation.
Walked into a new branch and was running Pharmacy First consultations before lunch. No training manual required.
Twenty minutes. We’ll walk through onboarding, PharmOutcomes integration, and pricing — no obligation.