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The SPS Website for Patient Group Directions (PGDs) is a nationally recognized resource that offers guidance, resources, and answers to queries for healthcare professionals in England. Supported by SPS Specialist Pharmacists, it helps interpret legislation, offers Q&A resources, and supports national agendas.
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SPS Website Patient Group Directions Jo JenkinsFebruary 2019
Background Previously NHS PGD Website - part of NHS England Specialist Pharmacy Service (SPS) website since August 2016 Nationally recognised resource (England) Content continually reviewed and updated Managed by SPS Specialist Pharmacist for PGDs Supported by SPS PGD Board members represent strategic, regulatory and cross sector organisations
What does the PGD Service do? • Answers queries from healthcare professionals across England – 250 enquiries received in 2017 and 290 in 2018. • Produces Q&A resources and updates these as part of a rolling programme/when required by changes. • Supports national agenda including supporting NHSE in working towards new professional groups being included in PGD legislation and NHSI with Carter 2 ‘Do Once’ programme development looking towards national PGDs. • Supports professional bodies with queries and resources relating to PGDs.
Who is it for? Anyone in England looking for information or a solution to a problem about PGDs Commissioners NHS England CCGs Local authorities Providers NHS organisations Non-NHS organisations providing public health or NHS-commissioned services Individual Practitioners
Why do we need it? Interpretation of legislation and most recent guidance NICE does not and cannot cover interpretation of legislation and/or issues arising e.g. labelling of medicines issued under PGD who is responsible for authorising a PGD For guidance about the “how to” as well as the “should do”
PGD Service - more than just development of website resources Significant pharmacy and professional/ agency networking Analysis of enquiry answering service demonstrates on that enquirers changed governance, practice or service delivery. Other outputs/contributions NICE PGD Guidance, learning events and implementation tools. Contribution to inform other national guidance and policy PGD e-learning programme
Resources Authored information e.g. Q&As responding to frequently received queries and decision making tools National resources (e.g. NICE) Training resources Hosted information Local PGD examples Local PGD policies and guidelines Audit tools Signposting to national templates Enquiry answering via “Didn’t find what you were looking for?”
Decision making tools To PGD or not to PGD? https://www.sps.nhs.uk/articles/to-pgd-or-not-to-pgd-that-is-the-question/ Quality PGDs – 7 steps to success https://www.sps.nhs.uk/articles/quality-pgds-7-steps-to-success/
Examples of Q&As Questions about electronic systems and PGDs Questions about signatories of PGDs Can registered health professionals who are trainee injectors, administer injections under PGD whilst being supervised? Can supply or administration be delegated to another practitioner under a PGD? Is extension of an expiry date of a PGD allowed without review and re-authorisation of the PGD?
Training Resources • CPPE e-learning package • Available via https://www.cppe.ac.uk/programmes/l/ptgpdir-e-01/ • Aimed at all healthcare staff groups involved in PGDs (use and development) – not just for pharmacists • NICE MPG2 competencies and case studies • Competencies for users, developers and authorisers of PGDs • Case studies may help develop your thinking or solve potential problems • Available via https://www.nice.org.uk/guidance/mpg2/resources
Finding a solution Discuss locally Use website tools and resources Share website tools and resources with colleagues Utilise NICE PGD guidance and tools such as ‘To PGD or not to PGD’ and 7 steps guidance Contact us via “Didn’t find what you were looking for?” (but please use wisely!)