Start with you.
You don’t need to know whether it’s an addiction, a problem or a habit before exploring support.

WELCOME TO FIRST REACH CLINIC
A personal approach to recovery and emotional wellbeing. Space to understand what’s happening, explore your options and consider your next step.
Our online service is in preparation. Appointments are not yet available.

You don’t need to know whether it’s an addiction, a problem or a habit before exploring support.
Medical assessment, talking therapy and medicines support have different roles. We explain how they fit together.
Read about the planned service and find independent organisations you can contact today.
A CONVERSATION THAT FITS YOUR LIFE
Perhaps something has changed. Perhaps a concern has been with you for a while. Either way, it can help to explore it.
The first step is understanding what’s happening, how it affects your life and what you would like to change. First Reach is preparing private online care pathways for sleep, pain, anxiety, recovery and emotional wellbeing — bringing assessment, therapy and ongoing support together.
Get to know First ReachWHAT’S ON YOUR MIND?
Explore the concerns that may bring you here, and where to find further support.
When drinking has become a concern, understanding the pattern is a place to begin.
Explore consultationsInformation and support for concerns about prescribed painkillers, opioids and other substances.
Find medicines supportSpace to understand anxiety, low mood, OCD-related concerns or loneliness and their effect on everyday life.
Explore anxiety supportUnderstand your sleep, explore CBT-I and digital support, and consider suitable investigation where needed.
Explore sleep supportPAIN ASSESSMENT & SUPPORT
Pain affects more than one part of life. Our proposed pathway starts with understanding the cause and its effect on movement, sleep and everyday activities.
Explore physiotherapy and exercise support, psychological approaches to persistent pain, and appropriate non-opioid treatment options.
Explore pain assessment & supportProposed service. Clinical scope and referral arrangements are being developed.

UNDERSTANDING THE APPROACH
A medical consultation reviews health concerns and whether further assessment or treatment is appropriate. Counselling and therapy offer space to explore experiences, emotions and patterns of behaviour.
Smiths Medical Group Ltd is our clinical provider, and Jayty Ltd through Inspire Pharmacy — Ibstock is our dispensing pharmacy. Therapy and referral arrangements are being developed; bookings and prescribing are not yet available through this website. Meet the organisations behind your care.
Our consultation approachYOUR FIRST STEPS
A simple guide to the proposed consultation journey. Any treatment will depend on individual assessment and the confirmed service scope.
Appointment informationRead about consultations, their limits and the independent support available while the service is being prepared.
Once bookings open, a consultation will be a chance to discuss your concerns, relevant history and what you hope to change.
Discuss what support may be appropriate. An appointment does not guarantee treatment or a prescription.

YOUR NEXT CHAPTER
Recovery is personal. It may start with wanting more time with family, feeling more present or finding enjoyment in the everyday again.
Understanding what matters to you is part of exploring a way forward.
Our story and approachNo. You can begin by exploring the concerns you have and the support you are looking for. You do not need to arrive with a label or diagnosis.
Not yet. Our clinical provider and dispensing pharmacy are identified on the Company page. Service scope and booking arrangements are being finalised. You can read the consultation information and access independent support now.
No. Any treatment or prescribing decision depends on an individual clinical assessment and whether it is safe and appropriate.
SUPPORT FOR YOUR NEXT STEP
Find independent medicines support, talking therapies and helplines, or learn more about the First Reach service in preparation.