What is a PGD?
Is a legal framework which allows certain healthcare professionals to supply and/or administer medication to a well defined group of patients without the need of a prescriber.
What situations should a PGD be reserved for?
- situations where the PGD offers an advantage to a patient without compromising safety.
- convient
- not individualised
- pattern to the treatment (give same treatment)
- e.g. EHC, common ailments
Is a PGD a form of prescribing
no
Can you give a PGD if a patient doesn’t fit the whole criteria
no
Can another HCP supply the PGD on your behalf
no
Can a competent prescriber use a PGD
no- no need
What does the medicines act 1968 cover?
the authorisation of medicines for human use
What does the medicines act 1968 oversee?
- Manufacture
- Import
- Distribution
- Sale, supply and administration
- Labelling and advertising
- Pharmacovigilance
What does the humans medicines regulation 2012 cover?
it regulates the use of medicine
What does the humans medicines regulation 2012 cover?
- Supply and administration
- prescriptions
- patient specific direction
- PGD
When should a PGD be used?
When a medicine follows predictable patterns, is less individualised and for minor or acute ailments
How is a PGD produced?
- Identify the need for PGD
- Prepare a template
- Provide training and competency assessments
- Review after 2 years
who produces a PGD?
- A multidisciplinary team
consists of a senior doctor/pharmacist and a representative of any professional to operate under the PGD
Who authorises a PGD
a specific organisation
What should be included in a PGD template
- Specific organisation
- Relevant clinical information (Inclusion and exclusion criteria)
- Medicines specific
- Named healthcare professional who are going to use it
- Referral information
Which healthcare profesionals can use a PGD
only named HCP
How long are patients records kept for?
8 years
child- until 25
Which medicines are included in a PGD
medicine that have been authorised by the UK marketing authority
What does a doctor need to consider before authorising a PGD?
- what they’re signing for
- What their responsibilities are
- Is there a PGD policy
- competent for the role
- are robust protocols in place
- appropriate experience
- clear knowledge of legislations covering the PGD
