Millions of women will be able to get free contraceptive pills on the high street without having to see a GP under new NHS plans.
Starting next month, women in England can obtain a first prescription of the pill by visiting their local pharmacy.
The move will give women greater choice over where to get the pill and will free up appointments in GP surgeries.
If women opt for the combined oestrogen and progestogen pill, they will have a check-up with a pharmacist to record their blood pressure and weight.
No checks are needed for the mini-pill (progestogen-only), which is also the case in other settings, NHS England said.
Pharmacies need to sign up for the new service, meaning it will not be available immediately everywhere in England.
An NHS spokesperson told ITV News that the service will be available to all women from menarche (when they get their first period) and up.
However, extra checks will be carried out for under-16s. Assessments will be made based on Fraser guidelines on young people's sexual health and contraception.
"If the individual is less than 13 years of age, the pharmacist should speak to the local safeguarding lead and follow the local safeguarding policy," the spokesperson added.
As more pharmacies join the scheme, the nhs.uk web page will be updated so women can check which locations offer the service.
Already the "very popular" services are being rolled out in NHS Scotland and Wales, Boots say.
Women who are too overweight or whose blood pressure is high – putting them at higher risk of blood clots on the combined pill – may be referred to their GP for further checks.
Funding has also been put in place so more pharmacies can offer repeat prescriptions of all types of pill.
The ongoing checks on blood pressure and weight that women need when they are on the pill will also be available in pharmacies.
NHS England said it expects almost half a million women to be able to access the pill next year without needing to contact their GP first, with the figure rising after that.
Prescription figures for 2022/23 suggest there were almost 3 million prescriptions for the combined pill and more than 4 million for the mini pill.
NHS chief executive, Amanda Pritchard, said: “This is really good news for women – we all lead increasingly busy lives, and thanks to this action, rather than making a GP appointment, they can simply pop into their local pharmacy when they need or want to access contraception.
“We will also be expanding services so that more health checks are available for patients on the high street, which is not only better and easier for patients but also frees up NHS time for more GP appointments for those who need them most.”
Under wider plans, pharmacists will be offering more blood pressure checks to at-risk patients, with a commitment to deliver 2.5 million a year by spring 2025.
NHS England estimates this could prevent more than 1,350 heart attacks and strokes in the first year.
Victoria Atkins, health and social care secretary, said: “For the public, these changes will mean more options for women when making a choice about their preferred contraception, reduce the risks of people suffering heart attacks and strokes and make it easier to access medicines for common conditions.
“And for healthcare professionals, this will free up GP appointments and make better use of the skills and expertise within community pharmacies.”
Janet Morrison, chief executive at Community Pharmacy England, said: “It makes perfect sense to use community pharmacies as a first port of call for healthcare advice, access to contraception and health checks such as blood pressure tests.
“Local pharmacies are staffed by highly qualified healthcare professionals and empowering them to do more is a logical next step for primary care.
“These new services will help patients and the public, as well as reducing pressure on GPs and the wider NHS.”
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