Transcript What is a PGD

What is a PGD ?
Produced by : Genine Riley
Senior Locality Pharmaceutical Adviser
South Staffordshire PCT
Patient Group Direction
• Definition
… a written instruction for the supply or
administration of medicines to groups of
patients who may not be individually
identified before presentation for treatment.
Patient Group Directions
• The majority of clinical care should be on a patient
specific basis
• The use of PGD’s should be reserved for those
limited situations where this offers an advantage for
patient care, without compromising patient safety,
and where it is consistent with appropriate
professional relationships and accountability
(HSC 2000/026 Patient Group Directions)
Patient Group Directions
• The legislation enables PGDs to be used for
the supply or administration of medicines by:
Nurses, Midwives, dieticians, HV’s,
optomotrists, pharmacists, chiropodists,
radiographers, orthopists, physiotherapists, &
paramedics
Patient group directions
• PGD’s should be drawn up by a
multidisciplinary group, and must be signed by
a senior doctor and pharmacist, both of whom
should have been involved in the group. In
addition the PGD must be authorised by StHA,
NHS Trust or PCT
Patient Group DirectionsSuitability of application ??
• Situations where practitioner is qualified &
able to prescribe e.g Extended nurse
prescribers & EHC
• Licensed medicines only- i.e can’t be used for
unlicensed products, dressings etc
• Midwives, podiatrists, optometrists etc
exemptions from POM regulations.( see
Medicines, ethics & Practice)
PGD’s - Summary
• Written legal document of instructionvariation is not permitted !!
• Service can only be provided by individuals
named on the PGD
• PGD’s should only be used when it is most
appropriate means of providing service
• Has to be signed off by each PCT