POLICY FOR PATIENT GROUP DIRECTIONS (PGD) - NHS

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5.5.10. Registered orthoptists5.5.11. Registered orthoptists and prosthetists5.5.12. State registered chiropodists (podiatrists)5.5.13. State registered physiotherapists5.5.14. State registered radiographers5.5.15. State registered paramedics or qualified ambulance paramedics5.6. Legislation specifies that each PGD must contain the following information:5.6.1. The name of the business to which the PGD applies.5.6.2. The date the direction comes into force and the date it expires.5.6.3. A description of the medicines to which the PGD applies.5.6.4. The class of health professional who may supply or administer the medicine.5.6.5. Signature of a doctor, dentist, nurse where appropriate and a pharmacist.5.6.6. Signature by an appropriate health organisation i.e. PCT, GP practices.5.6.7. The clinical condition or situation to which the PGD applies.5.6.8. A description of those patients excluded from treatment under the PGD.5.6.9. A description of the circumstances in which further advice should be sought from adoctor (or dentist) and arrangement for referral.5.6.10. Details of appropriate dosage and maximum total dosage, quantity,pharmaceutical form and strength, route and frequency of administration and aminimum and maximum period over which the medicine should be administered.5.6.11. Relevant warnings, including potential adverse reactions.5.6.12. Details of any necessary follow-up action and circumstances.5.6.13. A statement of the records to be kept for audit purposes.Policy for the development of Patient Group Directions (PGD)Page 6 of 23
6. Roles and Responsibilities6.1. Development Process Flow diagram for NHSLC and NHSLCCHSNeed for PGD identified within a serviceDiscussion with Medicines ManagementPharmacist (NHSLC or LCCHS)Service writes PGD (with input from doctor(s)and other healthcare professionals)1-2 monthsPGD distributed to Clinicaland Quality AssuranceDirectorate for commentDiscussionFor all LCCHS services, PGD presented toLCCHS Clinical Governance CommitteeLegal and Pharmaceutical check of PGD byMedicines Management Team (NHSLC)PGD signed off by senior professional leads(Doctor, Nurse and Pharmacist, NHSLC)Formal review byservice1-2 months 1-2 monthsPGD presented to Medicines ManagementCommittee for organisation approval.PGD IS LEGAL TO USE FROM THIS POINTChange in practice impacting on PGD or PGDexpires (PGD expires in 2 years from date ofapproval so PGD should be reviewed by theservice at least 3 months prior to expiry)Key:= Responsibility of NHSLC or LCCHS service= Responsibility of Medicines Management Team/Committee= Direction of work flow/discussionPolicy for the development of Patient Group Directions (PGD)Page 7 of 23
Page 1 and 2: POLICY DOCUMENTPOLICY FOR PATIENT G
Page 4 and 5: 2. Background2.1. In 1997, the DH c
Page 8 and 9: 6.2. Development Process steps6.2.1
Page 10 and 11: 6.4.2. Is the most appropriate meth
Page 12 and 13: 8.14 The content of competency asse
Page 14 and 15: Appendix 12.1TEMPLATEPATIENT GROUP
Page 16 and 17: PATIENTGROUPDIRECTION(PGD)(PGD)[NAM
Page 18 and 19: PATIENTGROUPDIRECTION(PGD)(PGD)[NAM
Page 20 and 21: INDIVIDUAL AUTHORISATIONPGDs DO NOT
Page 22 and 23: Knowledge/Competency beingassessedU

POLICY FOR PATIENT GROUP DIRECTIONS (PGD) - NHS

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