POLICY FOR PATIENT GROUP DIRECTIONS (PGD) - NHS

PATIENTGROUPDIRECTION(PGD)(PGD)[NAME OF DRUG] FOR [CLINICAL CONDITION BEING MANAGED]POM/P/GSLFOR USE BY [BODY OF HEALTHCARE PROFESSIONALS] EMPLOYED BY/WORKING ONBEHALF OF [NAME OF SERVICE]This patient group direction must be agreed to and signed by all health care professionals involved inits use. The NHS Trust should hold the original signed copy. The PGD must be easily accessible inthe clinical setting1.1.1.2 Name ofAuthor1.1.1.3 Directorateresponsible forreviewing1.1.1.4 Organisation NHS Leicester CityAuthorisationLEAD DOCTORNAME: AZHAR FAROOQIPosition: Professional Executive Committee ChairSignature:Date:LEAD NURSE/ALLIEDHEALTH PROFESSIONALNAME: MANDY ASHTONPosition: Director of Quality /Deputy Chief ExecutiveSignature:Date:LEAD PHARMACISTNAME: SUSANNA TAYLORPosition: Assistant Director Medicines ManagementPGD reviewed bySignature:Date:Patient Group Direction Peer Reviewed by1.1.1.51.1.1.6 Name1.1.1.71.1.1.81.1.1.91.1.1.101.1.1.11POSITIONDATEDate approved:Review date:Ref : Page 6 of 23