Patient Group Directions (PGDs)

Patient Group Directions (PGDs) provide a legal framework that allows some registered healthcare professionals to supply and/or administer a specified medicine (or medicines) to a pre-defined group of patients without them having to see a prescriber.  PGDs are reserved for situations in which this offers an advantage for patient care, without compromising patient safety.

Within NHS Orkney, a Memorandum of Understanding has been signed to support a regional approach to the management of PGDs. 

Plese click here for the link to: Policy for North of Scotland Patient Group Direction (PGD) Working for Healthcare Professionals in NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles.

All healthcare professionals who use PGDs to deliver care to patients are expected to complete the NoS Patient Group Direction eLearning module available on TURAS Learn.

A

• Supply of Aciclovir for Herpes Zoster (Shingles) in Over 18s by Community Pharmacists (Pharmacy First Service) (Version 1.1, May 2021)
  • Aciclovir Patient Assessment Form
• Administration of COVID-19 AstraZeneca Vaccine ChAdOx1-s [Recombinant] by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.8, March 2022)

B       

• Administration of Bacillus Calmette-Guerin (BCG) Vaccine AJV (AJ Vaccines) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.2.1, amended April 2022)

C

• Administration of Cholera Vaccine by nurses and pharmacists working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (version 2.1, amended March 2022)
• Administration of Oral Cholera Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, June 2022)
• Administration of COVID-19 Comirnaty® 30micrograms/dose (COVID-19 mRNA Vaccine, Pfizer/BioNTech) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.4, August 2022)
• Administration of COVID-19 Comirnaty® 10micrograms/dose (COVID-19 mRNA Vaccine, Pfizer/BioNTech) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.3, August 2022)
• Administration of Comirnaty® Bivalent Original/Omicron BA.1 (15/15 micrograms)/(Pfizer COVID-19) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, September 2022)

D

• Supply of Desogestrel Progestogen-Only Contraceptive Pill (POP) by community pharmacists working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.1, November 2021)
• Administration of Diptheria, Tetanus, Pertussis and Poliomyelitis Vaccine (dTaP/IPV) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.3, July 2022)
• Administration of DTaP/IPV/Hib/HepB (Hexavalent) Vaccine by approved healthcare professionals within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2, August 2022)
• Administration of Low Dose Diphtheria, Tetanus and Inactivated Poliomyelitis Vaccine (Td/IPV) (REVAXIS®) by approved healthcare professionals within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.2, July 2022)
• Administration of Low Dose Diphtheria, Tetanus and Inactivated Poliomyelitis Vaccine (Td/IPV) (REVAXIS®) for Travel by approved healthcare professionals within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, June 2022)
•  

E

F

• Supply of Fusidic Acid Cream by Community Pharmacists under the ‘Pharmacy First’ Service working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, August 2022)
• Supply of Flucloxacillin for Skin Infection in Over 18s by Community Pharmacists (Pharmacy First Service) (Version 1.1, May 2021)
• • Flucloxacillin Patient Assessment Form

G

H

• Administration of Hepatitis A Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.1, March 2021 [extended to 31/10/22])
• Administration of Hepatitis A Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)
• Administration of Combined Inactivated Hepatitis A and Hepatitis B Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2, August 2021)
• Administration of Combined Inactivated Hepatitis A and Hepatitis B Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)
• Administration of Combined Hepatitis A and Typhoid Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2, November 2021)
• Administration of Combined Hepatitis A and Typhoid Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, June 2022)
• Administration of Hepatitis B Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.2, May 2021 [extended to 31/10/22])
• Administration of Hepatitis B Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)
• Administration of Haemophilus Influenzae Type b and Meningococcal C Conjugate (Hib/MenC) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.1.1, April 2022)
• Administration of Human Papillomavirus (HPV) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 3, August 2022)

I

• Supply for Immediate Administration or Administration of Live Attenuated Intranasal Influenza Vaccine (LAIV) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.1, September 2022)
• Administration of Inactivated Influenza Vaccine 2022/23 Season by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.2, September 2022)

J

• Administration of Japanese Encephalitis Vaccine (IXIARO) for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)

K

L

• Supply of Levonorgestrel Emergency Contraception (LNG-EC) approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.3, March 2022)

M

• Supply of Medicines Included in the Malaria Prophylaxis PGD Formulary by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, June 2022)
• Administration of Measles, Mumps and Rubella (MMR) Live Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.2, September 2022)
• Administration of Meningococcal Group B Conjugate Vaccine (Bexsero®) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.2, July 2022)
• Administration of Meningococcal ACWY Conjugate Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.2, September 2022)
• Administration of Meningococcal ACWY Conjugate Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)

N

• Supply of Nitrofurantoin MR Capsules 100mg / Tablets 50mg by Community Pharmacists working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, August 2022)
• Administration of Nuvaxovid (Novavax COVID-19 Vaccine (recombinant, adjuvanted)) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.1, September 2022)

O

P

• Administration of Paracetamol 120mg/5mL oral suspension at the time of administration of Meningococcal Group B Conjugate (Bexsero®) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2.1, August 2022)
• Administration of Pneumococcal Conjugate (Prevenar 13®) Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 3, April 2022)
• Administration of Pneumococcal Polysaccharide Vaccine (PPV) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 3, September 2022)

R

• Administration of Rotavirus Live Vaccine (Rotarix®) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version, 2.1.1, April 2022)
• Administration of Rabies Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)

S

• Administration of Shingles (Herpes Zoster) Vaccine (Live) (Zostavax®) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 4, August 2022)
• Administration of Shingles (Herpes Zoster) Vaccine (Shingrix®q) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 2, August 2022)
• Administration of Sodium Chloride 0.9% w/v solution for injection for flushing intravenous catheters/cannulae by approved healthcare professionals working NHS Grampian, Orkney, Shetland, Tayside and Western Isles (Version 1, October 2020)
• Administration of Spikevax® Bivalent Original/Omicron (Moderna COVID-19) Vaccine approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, August 2022)

T

• Administration of Tick-Borne Encephalitis Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, July 2022)
• Supply of Trimethoprim Tablets by Community Pharmacists under the ‘Pharmacy First’ Service working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, August 2022)
• Administration of Typhoid Vaccine by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 8, November 2021)
• Administration of Typhoid Vaccine for Travel by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, June 2022)

U

• Supply of Ulipristal Acetate Emergency Contraception (UPA-EC) approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.3, March 2022)

• Urgent Provision of Medicines, Appliances and ACBS Products [National PGD] (Version 29, July 2022)

V

• Administration of Varicella Vaccine (Live, Attenuated) by nurses working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, May 2020)
• Supply of Varenicline by authorised community pharmacists working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1, November 2019)
• Administration of Vaxzevria® (AstraZeneca COVID-19 Vaccine ChAdOx1-S [Recombinant]) by approved healthcare professionals working within NHS Grampian, Highland, Orkney, Shetland, Tayside and Western Isles (Version 1.1, May 2022)

W

X

Y

Z