Patient Group Directions

Patient Group Direction Policy
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

A Patient Group Direction (PGD) is a written direction, signed by a doctor or dentist, and by a pharmacist, relating to supply and administration only, of a prescription-only medicine (POM) or pharmacy medicine (P) to persons generally (subject to specific exclusions set out in the legislation). PGDs can be authorised by Health Boards in Scotland and other NHS bodies.

A PGD must not be confused with a Written Direction which must be patient specific.

In most cases, the most appropriate clinical care will be provided on an individual basis by a specific prescriber to a specific individual patient. PGDs for the supply and/or administration of medicines should only be considered where it would offer a benefit to patient care without compromising safety in any way. This is best achieved by engaging representatives of all the health care professionals involved, including a representative from the professional group expected to supply or administer medicines under the direction. A senior representative of each profession should be responsible for ensuring the suitability and competence of the professionals operating within the scheme.

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For all COVID Vaccine National Protocols please see the A-Z Local Policies and Guidance under section 'C' here

 

Patient Group Direction Policy

GPs who do not wish to develop their own PGDs can authorise nurses and appropriate healthcare professionals to administer/supply medicines under an approved NHS Grampian PGD by "adopting" the PGD using the appropriate documentation. Development of any new PGD should be in accordance with the NHS QIS Best Practice Statement ~ March 2006 - Patient Group Directions.
Policy For Patient Group Directions (PGDs) For Staff Working Within NHS Grampian
Guidance for the use of Patient Group Directions (PGD's)

A

Adrenaline (Epinephrine) in cases of suspected Anaphylactic reactions 
Advanced Practitioner Radiographers Formulary By Advanced Practitioner Radiographers Working in Breast Screening and Clinic E Within NHS Grampian 

 

B

Bacillus Calmette-Guerin (BCG) Vaccine AJV (AJ Vaccines)
Xeomin® By Intramuscular Injection By Approved Physiotherapists
 

C

Carbomer 0.2% Eye Drops   (Now incorporated in the new Ophthalmic PGD Formulary)
Chloramphenicol 1% Eye Ointment Following Minor Lid Surgery (Now incorporated in the new Ophthalmic PGD Formulary)
Local Corticosteroid Injections And/Or Lidocaine 

Coronavirus Disease (COVID-19) For National Protocols please see the A-Z Local Policies and Guidance under section 'C' here

Coronary Care Unit (CCU) PGD Formulary

Community Pharmacy Urgent Supply (CPUS) PGD for Urgent Provision of Medicines, Appliances and ACBS Products 

Cyclopentolate (Now incorporated in the new Ophthalmic PGD Formulary)

D

Dental Formulary By Approved Healthcare Professionals 
Diphtheria, Tetanus, Pertussis with or without Poliomyelitis Vaccine 
DTaP/IPV/Hib/HepB Vaccine (Hexavalent) 
Low Dose Diphtheria, Tetanus And Inactivated Poliomyelitis Vaccine (Td/IPV) (REVAXIS®)


 

E


ENT Formulary For Nurses Working Within NHS Grampian, Highland And Shetland

 

F

Fluorescein Sodium 2% Single Dose Eye Drops For Corneal Staining (Now incorporated in the new Ophthalmic PGD Formulary)

 

G

For GMED PGDS see 'O' for Out of Hours Services
 

H

Hepatitis A
Hepatitis A and Hepatitis B Combined Inactivated Vaccine  
Hepatitis B Vaccine 
Haemophilus Influenzae Type b And Meningococcal C Conjugate Vaccine (Hib/MenC) 
Human Papillomavirus (HPV) Vaccine
 

I


Inactivated Influenza Vaccine By Approved Healthcare Professionals

Live Attenuated Intranasal Influenza Vaccine (LAIV) 

 

J

 
 

K

 

L

Local Anaesthetic Formulary For Insertion/Removal Of Central Venous Catheters and Radial Artery Sheaths By Approved Healthcare Professionals
 
 

M

Measles, Mumps And Rubella (MMR) Live Vaccine 
Meningococcal Group B Conjugate Vaccine (Bexsero®)  
Meningococcal ACWY Conjugate Vaccine
Medicines As Included In The Royal Aberdeen Children’s Hospital PGD Formulary
Minor Injuries/Illness PGD Formulary 
Midwives PGD Formulary
MVA-BN (Monkeypox) Vaccine 

 

N

Naloxone (Prenoxad® Or Nyxoid®)
 
 

O

Ophthalmic Formulary 
Oxybuprocaine 0.4% w/v  (Now incorporated in the new Ophthalmic PGD Formulary)
OOH (GMED) Supply/Administration Of Emergency Medicines
OOH (GMED) Supply/Administration of Medicines for Minor Illness
 

P

Paracetamol Or Ibuprofen To Children Awaiting Treatment For Minor Injury Or With Pyrexia
 
Pharmacy First Scotland PGDs

Pharmacy First Scotland PGDs - Hayfever Bundle

Pneumococcal Conjugate Vaccine (Prevenar 13) 
Pneumococcal Polysaccharide Vaccine (PPV) 
Paracetamol 120mg/5mL Oral Suspension, At The Time Of Administration Of Meningococcal Group B Conjugate (Bexsero) Vaccine
Plasma-Lyte® 148 (pH 7.4) Solution For Infusion By Community Midwives 
Xeomin® By Intramuscular Injection By Approved Physiotherapists
 
 

Q

 

R

Radiographers Contrast Agent PGD Formulary
Radiographers Medicines PGD Formulary
Radiotherapy - Supply of supportive drugs to Radiotherapy Patients by Radiographers
Respiratory Syncytial Virus Vaccine for Protection of Infants Through Maternal Vaccination and Older Adults (RSV) by Approved Healthcare Professionals Working Within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles
For Repevax (including temporary programme of pertussis (whooping cough) vaccination of pregnant women) see 'D' above dTaP/IPV
For Revaxis see 'D' above dT/IPV
Rotavirus Live Vaccine (Rotarix®) By Approved Healthcare Professionals Working Within NHS Grampian, Highland, Orkney, Shetland, Tayside And Western Isles 
 
 

S


Sexual and Reproductive Health - These PGDs must not be used by staff unless specific sexual health or contraception training has been undertaken.
 
Aciclovir Tablets For Treatment of Genital Herpes Simplex Infection 
Azithromycin By Approved Healthcare Professionals For Treatment Of Uncomplicated Genital Chlamydia Infection, Uncomplicated Mycoplasma Genitalium And Non-Gonococcal/Non-Specific Urethritis
Azithromycin Tablets By Pharmacists For Treatment Of Uncomplicated Genital Chlamydia Infection Where First Line Treatment With Doxycycline Is Contraindicated 
Ceftriaxone Injection (Reconstituted With Lidocaine 1% W/V Injection)
Combined Hormonal Contraceptive (CHC) Transdermal Patch 
Combined Oral Contraception (COC) 
Clotrimazole Cream 1% For Treatment of Candidiasis
Clotrimazole 500mg Pessary For Treatment of Vulvovaginal Candidiasis
Doxycycline Capsules By Nurses For Treatment Of Uncomplicated Genital Chlamydia Infection, Uncomplicated Mycoplasma Genitalium And Non-Gonococcal/Non-Specific Urethritis
Doxycycline Capsules By Pharmacists For Treatment Of Uncomplicated Genital Chlamydia Infection 
Etonogestrel Implant Nexplanon
Imiquimod 5% w/w Cream For Treatment of External Anogenital Warts
Levonorgestrel Emergency Contraception (LNG-EC) 
Lidocaine 1% Injection For The Insertion/Removal Of The Etonogestrel Implant Nexplanon 
Medroxyprogesterone Acetate (IM-DMPA) Injection 
Medroxyprogesterone Acetate (SC-DMPA) Injection 
Metronidazole Tablets By Nurses For Treatment of Bacterial Vaginosis and Trichomonas Vaginalis
POP - Desogestrel Progestogen Only Contraceptive Pill
POP Desogestrel Progestogen-Only Contraceptive Pill by Community Pharmacists   
PHS Combined EHC and Bridging Contraception template Once for Scotland - Patient Assessment Form
PHS Bridging Contraception Desogesteral PGD GP Notification Form
Supporting Guidance EHC and Briding Contraception
Podophyllotoxin For The Treatment Of External Genital Warts 
Progestogen-Only Intra-Uterine Device (LNG-IUD)
(PrEP) Emtricitabine 200mg/Tenofovir Disoproxil 245mg Tablets For Pre Exposure Prophylaxis (PrEP) To Individuals At Risk Of HIV Infection
Ulipristal Acetate Emergency Contraception (UPA-EC) 

Salbutamol Unit Dose Vials Via Nebuliser 
Salbutamol via a Large Volume Spacer 

Shingles (Herpes Zoster) Vaccine Shingrix

Sodium Chloride 0.9% Intravenous Infusion By Haemodialysis Nurses
Sodium Chloride 0.9% w/v Solution For Injection For Flushing Intravenous Catheters/Cannulae
 
 

T

Travel Vaccine PGDs - These PGDs must not be used by staff unless specific training in travel health and vaccination has been undertaken. 
 
Cholera Oral Vaccine 
(Td/IPV) (REVAXIS®) Vaccine
Hepatitis A Vaccine
Hepatitis B Vaccine
Hepatitis A and B Combined Vaccine
Japanese Encephalitis Vaccine
Malaria Prophylaxis PGD Formulary (Atovaquone/Proguanil, Doxycycline and Mefloquine)
Meningococcal ACWY Conjugate Vaccine
Rabies Vaccine
Tick-borne Encephalitis Vaccine
Typhoid Vaccine (Injection)
 
Human Tetanus Immunoglobulin By Nurses Working Within NHS Grampian For The Immediate Prophylaxis Of Tetanus-Prone Wounds
Tropicamide Eye Drops And 2.5% Phenylephrine Eye Drops (Now incorporated in the new Ophthalmic PGD Formulary see 'O')

U

V

Varicella Vaccine (Live Attenuated)
 
 

W

 

X

 

Y

 

Z

Zostavax see 'S' shingles (Herpes Zoster) vaccine
Published: 20/11/2024 10:03