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 The Development And Implementation Of Patient Group Directions (PGDs) For Staff Working Within NHS Grampian
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 

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

• 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
• VidPrevtyn Beta (Sanofi COVID-19 Vaccine (recombinant, adjuvanted))
  • VidPrevtyn Beta (Sanofi COVID-19 Vaccine (recombinant, adjuvanted)) - Appendix 1
  • VidPrevtyn Beta (Sanofi COVID-19 Vaccine (recombinant, adjuvanted)) - Appendix 2

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

Cyclopentolate (Now incorporated in the new Ophthalmic PGD Formulary)

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Dental Formulary By Approved Healthcare Professionals 
Diphtheria, Tetanus, Pertussis And Poliomyelitis Vaccine (dTaP/IPV) 
DTaP/IPV/Hib/HepB Vaccine (Hexavalent) 
Low Dose Diphtheria, Tetanus And Inactivated Poliomyelitis Vaccine (Td/IPV) (REVAXIS^®)  

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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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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 

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• 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
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Shingles (Herpes Zoster) Vaccine Shingrix

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