Patient Group Directions (PGD) and Protocols

Patient Group Directions (PGDs) and Protocols

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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.

The protocols listed within this A-Z are medicine specific and will authorise Health Care Professionals to administer 'P' or 'GSL' medicines. A protocol can be used where a PGD is not legally required but the administration of the medicine still requires govenance.

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
• Policy For North Of Scotland Patient Group Direction (PGD) Working For Healthcare Professionals - Under review
• Guidance for the use of Patient Group Directions (PGD's)

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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 

Protocol for the Administration of Oral Chlorphenamine By Nurses Working In Radiology Departments Within NHS Grampian

Coronavirus (COVID-19) National PGDs

• COVID-19 Vaccines (Individuals 18 years and over)
  • COVID-19 Vaccines (Individuals 18 years and over) - Appendix 1
  • COVID-19 Vaccines (Individuals 18 years and over) - Appendix 2
• COVID-19 Vaccines (Individuals under 18 years)
  • COVID-19 Vaccines (Individuals under 18 years) - Appendix 1
  • COVID-19 Vaccines (Individuals under 18 years) - Appendix 2
• COVID-19 Nuvaxovid XBB.1.5 Vaccine
  • COVID-19 Nuvaxovid XBB.1.5 Vaccine - Appendix 1
  • COVID-19 Nuvaxovid XBB.1.5 Vaccine - Appendix 2

Coronavirus (COVID-19) National Protocols

• COVID-19 Vaccines Individuals Aged 18 Years and Over Protocol 
  • Annex B - COVID-19 Vaccines to Individuals Aged 18 Years and Over Protocol
  • Annex C - COVID-19 Vaccines to Individuals Aged 18 Years and Over Protocol

• COVID-19 Vaccines to Individuals Aged Under 18 years Protocol 
  • Annex B - COVID-19 Vaccines to Individuals Aged Under 18 years Protocol
  • Annex C - COVID-19 Vaccines to Individuals Aged Under 18 years Protocol

Coronary Care Unit (CCU) PGD Formulary

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

• CPUS - What's New
• CPUS - Authorisation Form
• CPUS - A to Z List

Cyclopentolate (Now incorporated in the new Ophthalmic PGD Formulary)

D

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

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I

PGD For Paracetamol Or Ibuprofen To Children Awaiting Treatment For Minor Injury Or With Pyrexia see 'P'

Influenza National PGDs

Inactivated Influenza Vaccine By Approved Healthcare Professionals

• Influenza PGD - Appendix 1
• Influenza PGD - Appendix 2

Live Attenuated Intranasal Influenza Vaccine (LAIV) 

• LAIV PGD Appendix 1
• LAIV PGD Appendix 2
   

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

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P

• Aciclovir Tablets by Community Pharmacists
  • Aciclovir Individual Authorisation Form
  • Aciclovir Patient Assessment Form
  • Aciclovir Supply Form
• Flucloxacillin capsules/oral solution by Community Pharmacists
  • Flucloxacillin Individual Authorisation Form
  • Flucloxacillin Patient Assessment Form
  • Flucloxacillin Supply Form
• Fusidic Acid Cream By Community Pharmacists
  • Fusidic Acid Individual Authorisation Form
  • Fusidic Acid Patient Assessment Form
  • Fusidic Acid Notification of Supply
• Trimethoprim Tablets By Community Pharmacists
  • Trimethoprim Individual Authorisation Form
  • Trimethoprim Patient Assessment Form
  • Trimethoprim Notification Of Supply

Pharmacy First Scotland PGDs - Hayfever Bundle

• Beclometasone 50micrograms/Actuation Nasal Spray
• Fexofenadine 120mg Tablets
• Mometasone Furoate 50micrograms/Actuation Nasal Spray
• Olopatadine 1mg/mL Eye Drops
  
  • Hayfever - Individual Authorisation Form
  • Hayfever - Patient Assessment Form
  • Hayfever - Notification of Supply

Protocol For The Administration Of Phosphate Enema By Nurses Working Within NHS Grampian To Individuals Prior To Undergoing Bowel Investigations

PGD For Pneumococcal Conjugate Vaccine (Prevenar 13)

PGD For Pneumococcal Polysaccharide Vaccine (PPV) 

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• 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

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