Developing A Patient Group Direction

Information that needs to be specified within the development of a PGD is clearly defined within HSC 2000/026 (see Table 18), and it is imperative that this information is integrated into existing PGDs and complied with in order for the PGD to be lawful.

In order to help the reader gain a clearer perception and understanding in writing and devising a PGD, the legislative framework encompassed within the Crown Report (DH, 1998) and HSC 2000/026 (NHS Executive, 2000) will

Table 18 Legislative requirements for the date that must be contained within each PGD (NHS Executive 2000)

  • The name of the business to which the direction applies
  • The date the direction comes into force and the date it expires
  • A description of the medicine(s) to which the direction applies
  • The class of health professional who may supply or administer the medicine
  • Signature of a doctor or dentist, as appropriate, and pharmacist
  • Signature by the appropriate health organisation
  • The clinical condition or situation to which the direction applies
  • A description of those patients excluded from treatment under the direction
  • A description of the circumstances in which further advice should be sought from a doctor (or dentist as appropriate) and arrangements for referral
  • Details of appropriate dosage and maximum total dosage, quantity, pharmaceutical form and strength, route and frequency of administration, and minimum or maximum period over which the medicine should be administered
  • Relevant warnings, including potential adverse reactions
  • Details of any necessary follow-up action and circumstances
  • A statement of the records to be kept for audit purposes be discussed in more depth. Some areas will be illustrated in tables (Tables 19, 20 and 21) with reference to a current PGD used by the authors for the administration and supply of medication for the treatment of genital candidiasis (Gilmour et al., 2005).

The comprehensive criteria contained within the 1998 Crown Report that underpin the formulation of a PGD are divided into 3 sections:

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