Urinary Tract Infections (UTIs) — Care at Highfield Pharmacy

Urinary tract infections (UTIs) are a common cause of discomfort and disruption to daily life. This page explains what an uncomplicated UTI is, who can use our Pharmacy First service, typical symptoms, how Highfield Pharmacy in St Albans manages UTIs and how to book an assessment.

What is a UTI?

A urinary tract infection (UTI) is an infection of any part of the urinary system, most commonly the bladder (a lower UTI). UTIs are usually caused by bacteria and often produce symptoms such as pain when passing urine, urgency and frequency.

Most uncomplicated lower UTIs are straightforward to treat and respond well to short courses of antibiotics where appropriate. At Highfield Pharmacy we follow NHS guidance to ensure safe, effective care.

Who is this service for and eligibility

NHS Pharmacy First eligibility

Highfield Pharmacy offers UTI assessment through the Pharmacy First minor ailments programme. This service is typically available for people with symptoms of an uncomplicated lower UTI, often women presenting with new-onset urinary symptoms.

Patients who are not suitable for Pharmacy First assessment may be referred to their GP or another healthcare service. Examples include those with complicating conditions such as diabetes, recent kidney problems, pregnancy, recurrent UTIs, or signs suggesting an upper urinary tract infection.

If you are unsure whether this service is right for you, please speak to one of our pharmacists for advice prior to booking.

Symptoms checklist and how we assess you

If you have any of the following, you may have a lower UTI:

• Pain or burning when passing urine (dysuria)
• Urgency or needing to pass urine more often
• Passing only small amounts of urine
• Cloudy or strong-smelling urine
• Blood in the urine

During a consultation we will ask about the duration and severity of symptoms, medical history, current medicines and any allergies. Assessment is primarily symptom-based and may not require a urine test.

Self-care and prevention

Simple measures can help relieve symptoms and reduce recurrence:

• Drink plenty of fluids to stay hydrated and help flush the urinary tract.
• Take analgesics such as paracetamol or ibuprofen for pain relief, if suitable for you.
• Practise good personal hygiene and wipe front to back.
• Empty your bladder after sexual intercourse.
• Avoid scented products that can irritate the genital area.

Cranberry products have limited evidence for prevention and are not a substitute for medical assessment or treatment when needed.

How Highfield Pharmacy delivers UTI care

Consultation and clinical assessment

Consultations are carried out by a pharmacist or trained member of the clinical team in a private consultation room. We will take a focused clinical history to determine if your symptoms fit an uncomplicated lower UTI and if Pharmacy First treatment is appropriate.

Treatment options

Where clinically appropriate and in line with NHS guidance, we may supply antibiotic treatment for uncomplicated lower UTIs. We provide clear instructions on how to take medicines and what to expect from treatment.

We also offer advice on symptom relief, hydration and prevention. If your symptoms are not suitable for Pharmacy First management we will explain the reasons and help arrange onward care with your GP or another service.

Confidentiality and follow-up

All consultations are confidential. We can offer follow-up advice if symptoms persist or change, and we will record any NHS-arranged treatment in line with local care pathways to ensure continuity of care.

How to book

To use our Pharmacy First UTI service you can:

• Pop into Highfield Pharmacy and ask at the counter for a Pharmacy First consultation.
• Call the pharmacy to arrange a convenient appointment.
• Book via our website if online booking is available.

Please bring a list of current medicines and be prepared to discuss allergies, pregnancy status and any ongoing medical conditions. The Pharmacy First UTI service is delivered according to NHS arrangements and many eligible patients receive assessment and treatment under that programme.

Frequently asked questions

Q: Can men or children use the Pharmacy First UTI service?

A: The Pharmacy First pathway is mainly for adults with uncomplicated lower UTIs. Men, children and those with complex or recurrent infections are usually referred to their GP or another appropriate service.

Q: Will I always get antibiotics?

A: Antibiotics are only supplied when clinically appropriate and in line with NHS guidance. Your pharmacist will assess your symptoms and recommend the best course of action, which may include self-care alone or a prescription.

Q: How quickly will symptoms improve after treatment?

A: Many people notice improvement within a couple of days when antibiotics are appropriate. Your pharmacist will explain what improvement to expect and how to manage symptoms while they settle.

If you have further questions about suitability or what to bring to your appointment, please contact the pharmacy before your visit.

We are here to help. If you live in St Albans and think you have a UTI, please visit Highfield Pharmacy, book an appointment or speak to our pharmacist for a confidential assessment and prompt, evidence-based care.