The BMA/GPC advice has changed in August 2010.

 

Patient Group Direction (PGD)

A Patient Group Direction is a written instruction for the supply and/or administration of a named licensed medicine for a defined clinical condition.PGDs allow a range of specified registered health care professionals to supply and/or administer a medicine directly to a patient with an identified clinical condition without them necessarily seeing a prescriber. The health care professional working within the PGD is responsible for assessing that the patient fits the criteria set out in the PGD.
PGDs are intended to improve patient care by enabling registered health professionals other than doctors to supply and/or administer medicines to patients.Examples of where PGDs may be appropriate are services where assessment and treatment follows a clearly predictable pattern (eg immunisation, family planning).

In general practice they can be used to enable registered nurses to administer a prescription only medicine to a group of patients who fit the criteria specified in the PGD, for example, to administer vaccinations.


The following may supply or administer medicines under a patient group direction

  • registered nurses
  • midwives
  • health visitors
  • optometrists
  • pharmacists
  • chiropodists
  • radiographers
  • orthoptists
  • physiotherapists
  • ambulance paramedics
  • dieticians
  • occupational therapists
  • speech and language therapists
  • prosthetists and orthotists

Note that they can only do so as named individuals.

Particulars to be included in a patient group direction
  1. The period the Direction shall have effect
  2. The description or class of POM (Prescription Only Medicine) to which the direction applies
  3. Whether there are any restrictions on the quantity of medicine which may be supplied on any one occasion, and if so, what restrictions
  4. the clinical situations which POMs of that description or class may be used to treat
  5. the clinical criteris under which a person shall be eligible for treatment
  6. whether any class of person is excluded from treatment under the Direction and, if so,what class of person
  7. whether there are circumstance in whigh further advice whould be sought from a doctor or dentis and,if so, what circumstances
  8. the pharmaceutical form or forms in which POMs of that description or class are to be administered
  9. the strength or maximum strength at which POMs of that description or class are to be administered
  10. the applicable dosage or maximum dosage
  11. the route of administration
  12. the frequency of administration
  13. any minimum or maximum period of administration applicable to prescription only medicines of that description or class
  14. whather there are any relevant warnigns to note and, if so, what warnings
  15. whether there is any follow up action to be taken in any circumstances and, if so what action and in what circumstances
  16. Arrangements for referral for medical advice
  17. Details of the records to be kept of the supply, or the administration , of medicines under the Direction

Template PGDs are avaialble (DOH) http://www.dh.gov.uk/en/Managingyourorganisation/Emergencyplanning/DH_4069610

or NELM http://www.portal.nelm.nhs.uk/PGD/NatPGD.aspx

 

 

 

 
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