
Get Free NHS Treatment for Sinusitis

1
Questions
2
Results
FREE NHS TREATMENTS
Learn More About the Medications That Can Treat Sinusitis
VIRTUAL HEALTHCARE
What to Expect From Your Online Video Consultation


How do I check if I’m eligible for a video consultation?
Video consultations are suitable for most patients who do not need a physical examination. They may not be appropriate if you require hands-on physical examination or need laboratory tests that cannot be done remotely. Video consultations are not a substitute for your regular doctor if you have a serious or life-threatening condition.
How do I complete my health profile?
Before booking, ensure your health profile is up to date. Your clinician will use this information to provide safe, personalised care. You may need to provide current medications and supplements, known allergies and adverse reactions, existing medical conditions, previous surgeries or hospitalisations, family medical history (where relevant), current symptoms or health concerns, height and weight (for BMI calculation), and blood pressure readings (where required).
How do I check my device is ready for a video consultation?
Make sure NowPatient has permission to access your camera and microphone, you have a stable internet or Wi-Fi connection, and you are using a compatible smartphone, tablet, or PC.
How do I select a service?
Log in to your NowPatient account and navigate to the relevant Service Card on your homepage. Follow the prompts for the service you need (e.g., NHS Pharmacy First, Weight Loss, Buying Treatments Online). Please remember, some services have eligibility requirements before you can book a consultation.
How do I choose a date for my appointment?
Select your preferred consultation date. You can add notes at this stage to help the clinician prepare for your session. Click Continue.
How do I choose a time for my appointment?
Select your preferred appointment time from the available slots and click Continue. Slots are available up to 7 days in advance.
How do I choose a clinician?
Browse available clinicians trained for your chosen service. You can filter by gender or spoken languages. Each clinician's full name, licence number, and specialist credentials are displayed. Select your preferred clinician and click Continue.
How do I review my booking?
Check the summary of your appointment and read the Pre-consultation Requirements for tips on how to prepare. Click Continue.
What safety information do I need to provide?
Enter your consultation address (where you will be during the call) and emergency contact details. You can also opt in to receive an SMS reminder 30 minutes before your appointment.
How do I confirm my booking?
Click Confirm Booking. You will receive an in-app confirmation pop-up, push and in-app notifications, and a confirmation email with details of what to expect.
How do I take my blood pressure via the app?
Some services require a recent blood pressure reading before your consultation. If prompted, open the blood pressure tool in the NowPatient app, read and agree to the disclaimer, enter your age, height, and gender, and follow the on-screen instructions. The tool uses your smartphone's front-facing camera — no cuff or wearable required. Classified as a Class I Medical Device (CE and UKCA certified). Available on iOS and Android only.
How do I join my video consultation?
At your scheduled time, open the NowPatient app and join your consultation.
How does identity verification work?
Your clinician will introduce themselves and verify your identity. Please have your ID ready.
What declarations do I need to confirm?
You will be reminded that you must complete the consultation for yourself, disclose all medical conditions, illnesses, and operations, disclose all prescription medications you are currently taking, and provide accurate and honest responses throughout. Withholding or providing false information can severely harm your health.
What happens during my clinical assessment?
Your clinician will carry out an assessment relevant to your chosen service. Depending on the service, this may lead to issuance of a prescription (added to your cart), guided counselling, discussion of test results, or general health advice.
What does it mean to consent to inform my doctor?
With your consent, your clinician may inform your regular doctor of the consultation outcome. NowPatient strongly recommends agreeing to this, as your GP is responsible for your overall care.
How will I receive my post-consultation summary?
You will receive a notification summarising the outcome of your appointment, any referrals made to your doctor, and any advice given by your clinician. If a referral letter was issued, you can view it in the Documents section of your account.
How do I complete my order if treatment was prescribed?
If your clinician prescribed a treatment, go to your Cart, complete any payment exemptions (such as NHS Exemption Declaration if applicable), select Checkout, choose your delivery address and method, confirm your billing address, review your order and submit payment. Your order will be sent to NowPatient’s licensed online pharmacy for processing and dispatch.
How do I complete the feedback survey?
You may receive a short survey about your experience. NowPatient encourages all patients to complete it — your feedback helps improve the service for everyone.
How do I cancel a video consultation, and what happens if I miss my appointment?
To cancel an appointment:
Go to the Consultations section of your account.
Select Upcoming Consultations.
Choose the appointment you wish to cancel.
Click Cancel and confirm.
Please cancel at least 24 hours in advance.
Missed appointments: After two missed appointments, your booking rights will be temporarily revoked. Contact the NowPatient support desk if you believe this was applied in error.
How do I contact NowPatient for help and support?
Contact Method | Details |
UK Phone | +44 20 388 51 500 |
US Phone | 1-866-967-1977 |
Hours (UK) | Monday–Friday, 9am–6pm GMT |
Hours (US) | Monday–Friday, 8am–5pm EST |
Support |
YOUR QUESTIONS, ANSWERED
We Can Answer Your Questions Quickly


What is NHS Pharmacy First?
NHS Pharmacy First is a free service that lets you get a remote video consultation and treatment for six common conditions without visiting your GP. It is available through NowPatient to NHS patients aged 18 and over in England.
What conditions can be treated through NHS Pharmacy First?
The service covers six conditions: sinusitis, sore throats, infected insect bites, impetigo, shingles, and uncomplicated urinary tract infections (UTIs) in women. Each condition is subject to an eligibility screening before you can book a consultation.
Is the service really free?
Yes, the video consultation is completely free. If your clinician prescribes medication and you are not exempt from NHS prescription charges, you will pay a single NHS prescription charge. If you are exempt (for example, you are over 60 or on Income Support), there is no charge at all.
Is NHS Pharmacy First available outside England?
No. The service is commissioned by NHS England and is only available to patients registered with a GP in England. It is not available in Scotland, Wales, Northern Ireland, or outside the UK.
Who is eligible for NHS Pharmacy First?
You are eligible if you are aged 18 or over and registered with the NHS in England. You must also pass a condition-specific eligibility screening, which is carried out by an assessment tool before you can book your consultation.
What happens if I do not pass the eligibility screening?
If you do not qualify for the service, NowPatient will signpost you to the right NHS care provider or service so you can still get the help you need. You can also download a referral note, explaining why you failed the assessment.
Can I use this service for conditions not on the list?
No. NHS Pharmacy First through NowPatient currently covers only the six listed conditions. For other conditions, please contact your GP or visit an NHS walk-in centre.
How do I book an NHS Pharmacy First consultation?
Log in to your NowPatient account and go to the NHS Pharmacy First Service Card in the NHS Hub. Select your condition, complete the eligibility screening, and if you qualify, follow the prompts to choose your preferred date, time, and clinician.
Can I choose which clinician I see?
Yes. During booking, you can browse available clinicians and filter by gender and spoken languages. You can view each clinician’s name, licence number, and credentials before making your choice.
How should I prepare for my video consultation?
After booking, you will see a ‘Pre-consultation Requirements’ section with tips on how to prepare. You will also be asked to provide your consultation address and emergency contact details. You can opt in to receive an SMS reminder 30 minutes before your appointment.
What happens during the video consultation?
The clinician will ask you questions to assess your condition and explore treatment options. If treatment is appropriate, you and the clinician will agree on the best option together. Medication is not guaranteed — it is provided only at the clinician’s discretion.
Will the clinician tell my GP about the consultation?
With your consent, the clinician may inform your GP of the treatment prescribed. We recommend agreeing to this, as your GP is responsible for your overall care and should have a record of the consultation.
Will I receive a summary after the consultation?
Yes. You will receive an in-app and push notification summarising the consultation outcome, including any referrals to your GP and advice given by the clinician. You can view this in the ‘Notifications’ section of your homepage.
What happens if I am prescribed treatment?
If your clinician prescribes medication, you will be directed to your Cart to complete the checkout process. This includes confirming your NHS exemption status, choosing a delivery address and method, and submitting payment.
Do I need to pay for the prescribed medication?
If you are not exempt from NHS prescription charges, you will pay a single prescription charge per item. If you are exempt, you will not be charged. You will be asked to confirm your exemption status during checkout.
Do I need to give consent before the consultation?
Yes. During the consultation, we will ask for your consent to provide the service. This allows us to communicate with your GP and share information with NHS England, NHS Improvement, and the NHS Business Services Authority (NHSBSA) when required.
Who are the clinicians providing this service?
Our clinicians are board-certified pharmacists registered with the General Pharmaceutical Council (GPhC). All clinicians undergo DBS background checks and a comprehensive licence verification process. The conditions and medications they can prescribe are strictly governed and reviewed in line with NHS guidelines.
Is the NHS Pharmacy First service safe?
Yes. The service is classified as a Class I medical device under UK MDR 2002 regulations. It complies with NHS standards DTAC, DCB 0160, and DCB 0129. Consultations are delivered via live video to ensure clinical safety and appropriate prescribing.
Is my personal health information secure?
Yes. NowPatient operates from a HIPAA, DTAC, and Cyber Essentials Plus certified platform that ensures the highest levels of information security. Clinicians access systems on a zero-trust basis with single sign-on (SSO) technology.
Can the clinician access my GP records?
Yes. As an NHS patient, our clinicians can access your GP record, including your medications, observations, and investigations. This helps them assess your condition safely and accurately.
Where does NowPatient deliver Pharmacy First prescriptions?
We deliver to all postcodes in England. Some rural areas may experience slightly longer delivery times.
How is my medication packaged?
All orders are shipped in discreet, unmarked packaging. Temperature-sensitive medications are sent in cold chain-validated packaging to ensure product quality and safety.
What delivery options are available?
We offer Royal Mail Standard Tracked & Signed (2–3 days) and Royal Mail Special Delivery (next working day, guaranteed before 1pm). Orders placed before 3pm Monday–Friday are dispatched the same day.
Can I choose where my order is delivered?
Your first order must be delivered to the address registered with NowPatient. After that, you can choose any delivery address, including your workplace.
What should I do if my order has not arrived?
Check the tracking details in the ‘Notification Feed’ section of your dashboard. If your delivery has not arrived within 10 days of the dispatch notification, contact us and we will work to resolve the issue.
What order status updates will I receive?
NowPatient sends status updates by email and in-app notifications at every stage of your order, from placement through to delivery.
Can I get medication advice after my consultation?
Yes. NowPatient’s pharmacists provide medication advice and counselling across all dispensing services. If you have questions about your prescribed medication, our pharmacy team is available to help.
Will I be asked for feedback after my consultation?
You may receive a short survey about your experience. We encourage you to complete it, as your feedback helps us improve the service. It is especially helpful if you highlight areas for improvement.
What are NHS Prescription Exemption Categories?
You may be entitled to free NHS prescriptions from the NHS Pharmacy Service if you meet specific eligibility criteria. To claim exemption, the appropriate category must be selected on the prescription form and valid evidence may be required. The exemption categories are listed below:
Age-Related Exemptions
A: Aged 60 or over, or under 16 (unless date of birth is printed on the form)
B: Aged 16, 17, or 18 and in full-time education
Certificate-Based Exemptions
D: Maternity exemption certificate
E: Medical exemption certificate
F: Prescription prepayment certificate
W: HRT-only prescription prepayment certificate
G: Ministry of Defence prescription exemption certificate
L: HC2 (full help) certificate
Benefit-Related Exemptions
H: Receiving Income-related Employment and Support Allowance (ESA)
S: Receiving Pension Credit Guarantee Credit (including partners)
U: Receiving Universal Credit and meeting eligibility criteria (Earnings ≤ £435, or ≤ £935 [if UC includes child element or limited capability for work)], in most recent assessment period)
Important
You must only claim an exemption if they are entitled to it. Incorrect claims can result in penalty charges. Proof of eligibility should be provided if requested when collecting medication.
Prescription Item Level Exemptions
You may be entitled to certain medication items for free as listed below. Make sure you declare this when you checkout your prescription order.
For Contraceptive Use
For STI (Sexually Transmitted Infection) Treatment
For latent or active Tuberculosis (TB) or to treat adverse effects of TB treatment
Check if you have an exemption from paying NHS costs
You can check your exemption status by clicking below
MEDICAL INFORMATION
Sinusitis Key Facts
(Current Version)
Sinuses are small air-filled cavities or sacs located throughout the body. The most commonly known Sinuses are those that are located in the skull, near the nose. There are four paired cavities which are connected by narrow passages. These cavities are located between the eyes and behind the forehead, nose, and cheekbones.
Sinusitis or sinus infection is a medical term used to describe the inflammation of the mucous membranes that line the sinuses and is usually caused by an infection or irritants like allergens.

Sinusitis is fairly common and most cases usually resolve within 2-3 weeks and don’t require any treatment.
What are the causes of Sinusitis?
Sinusitis can be caused by:
Infections
Most adults will get colds or upper respiratory tract infections up to three times a year. Both viral and bacterial infections cause swelling of the tissues inside the nose and thickening of the normal mucus. This slows down or even stops proper sinus drainage and infection in the sinus may ensue.
Irritants
Air pollution, smoke and chemical irritants, for example, some sprays containing pesticides, disinfectants and household detergents, may cause swelling and blockage of the lining of the nose causing a narrowing of the drainage opening from the sinuses. This can once again lead to impairment of sinus drainage and consequent infection.
Allergies
Allergies can cause inflammation inside the nose. Common symptoms of an allergic reaction include nasal stuffiness, runny nose, sneezing and itchy watery eyes. Allergies are responsible for asthma in some patients and may also cause nasal stuffiness making the asthma more difficult to control.
Structural problems
Occasionally structural problems within the nasal cavity can cause a narrowing. Some of these can as a result of trauma while others may develop during the growth period. Occasionally the structural narrowing can be so severe that mucus builds up behind these areas of blockage giving rise to sinus infection.
What are the symptoms of Sinusitis?
Sinusitis is characterised by one or more of the following symptoms:
- Runny nose with thick yellow or green mucus
- Postnasal drip (mucus dripping down your throat)
- Blocked or stuffy nose
- Pressure around your nose, eyes and forehead, which gets worse when you move your head around or bend over
- Pressure or pain in your teeth
- Pressure or pain in your ears
- High temperature (Fever)
- Halitosis (bad breath)
- Cough
- Headache
- Tiredness
- Sounding nasal when speaking
Is Sinusitis contagious?
Sinusitis itself is not contagious. However, the viruses and bacteria that can cause it are. Always follow good handwashing and personal hygiene practices.
When to get advice from a GP
You should contact your GP if you suspect you have Sinusitis and you have:
- Had four or more annual episodes without persistent symptoms in the
- intervening periods
- symptoms that last for more than 12 weeks (indicates possible Chronic Sinusitis)
- An anatomic defect(s) causing nasal obstruction
- Nasal polyps
Check if you qualify for FREE treatment with NHS Pharmacy First, without seeing your GP
You can check your eligibility to use the NHS Pharmacy First service if you suspect you have Sinusitis and you:
- Are 18 years or over
The NHS Pharmacy First service may be suitable if you have:
- Nasal blockage (obstruction/congestion) OR
- Nasal discharge (anterior/posterior nasal drip)
AND ONE or more of the following:
- Facial pain/pressure (or headache) OR
- Reduction (or loss) of the sense of smell (in adults) OR
- altered speech indicating nasal obstruction, and tenderness, swelling or redness over the cheekbone or periorbital areas
- Symptoms that have been present for 10 days or more with little improvement
The NHS Pharmacy First service is available to all NowPatient users who are registered with the NHS in England. If you are exempt from paying for your prescriptions, the service and the treatments are provided free of charge. If you are not exempt from paying prescription charges, treatments are provided at the prevailing NHS prescription charge rate. There is no charge for consultations.
What NHS Pharmacy First treatments are available for Sinusitis?
If your Sinusitis symptoms persist for more than 10 days and you do not have a weakened immune system due to a particular health condition or medication that suppresses your immune system, then you may qualify to be treated under the NHS Pharmacy First service.
If the Pharmacy First clinician suspects that your Sinusitis needs treatment, then they may prescribe the following medications:
- Steroid nasal sprays or drops to reduce the swelling in your sinuses
- Antibiotics. However, this is not common as sinusitis is usually caused by a virus, not bacteria
Mild Sinusitis can be treated without seeing a GP by:
- Getting plenty of rest
- Drinking plenty of fluids
- Taking analgesia like paracetamol or ibuprofen (do not give aspirin to children under 16)
- Avoiding triggers like certain allergens
- Avoid smoking
- Cleaning your nose with a saltwater solution
- Using over-the-counter remedies like decongestant nasal sprays or drops that can unblock your nose
- Using antihistamines, if the cause of your Sinusitis is an allergy
To clean your nose with a saltwater solution, use the following method:
- Boil a pint of water
- Let the water cool
- Mix 1 teaspoon of table salt with 1 teaspoon of bicarbonate of soda into the water.
- Now wash your hands
- While standing over a sink, cup the palm of 1 hand and our a small amount of the solution you made, into it
- Sniff the water into one nostril. Then breathe through your mouth and allow the water to pour back into the sink. Avoid letting the water trickle to the back of your throat
- Repeat the steps above, 3 times a day until your symptoms are more comfortable
If your Sinusitis does not resolve, you should contact your GP who may refer you to an ear, nose and throat (ENT) specialist if you:
- Still have sinusitis after 3 months of treatment
- Keep getting sinusitis
- Only have symptoms on 1 side of your face
Sources
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
Related Articles
OUR CUSTOMERS VIEW
What Customers Love About Our Service
We want everyone to be happy and healthy, that’s what keeps us going. Read what some of them have to say about us.
Medicines Experts
Meet Our Medical Team
We are a broad skilled and passionate group of clinicians with experience of operating in regulated health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process






































