Pharmacy First: Otitis Media

Kieran Reynolds talks to Professor Nick Francis and Rahul Sharda about some of the clinical issues you may encounter when providing the otitis media service under Pharmacy First. Discussion includes information to provide patients who don’t require antibiotics, signposting to resources to help with otoscope examination and why the otitis media service is limited to individuals aged 1-17 years. (15m 50s) Professor Nick Francis – GP & Head of School at School of Primary Care, Population Sciences and Medical Education, University of Southampton Rahul Sharda - Community pharmacist, Butt Lane Pharmacy Kieran Reynolds – Advanced Specialist Pharmacist (Medicines Governance), SPS Useful links: NHS England Pharmacy First resources https://www.england.nhs.uk/primary-care/pharmacy/pharmacy-services/pharmacy-first/ Healthier Together guidance (otitis media (earache) for pharmacists https://www.what0-18.nhs.uk/professionals/pharmacists/safety-netting-documents-parents/earacheotitis-media-advice-sheet NICE otitis media (acute) antimicrobial prescribing guidance https://www.nice.org.uk/guidance/ng91 Otoscope examination resources: CliniSkills: Clinical Examination Skills Training for Community Pharmacists https://www.cliniskills.com/community-pharmacists/ CPPE: Ear, nose and throat examination – advancing clinical assessment skills workshop https://www.cppe.ac.uk/programmes/l/ent-w-01/ CPPE: NHS Pharmacy First: Otitis Media e-learning https://www.cppe.ac.uk/programmes/l/nhsphfrst-e-01/ British Society of Audiology Recommended ear examination procedure https://www.thebsa.org.uk/wp-content/uploads/2023/10/OD104-54-BSA-Recommended-Procedure-Ear-Examiniation-February-2022.pdf