THE community pharmacy unscheduled care patient group direction (PGD) for urgent provision of repeat medication has been updated, and for the first time, changes have been made to the inclusion and exclusion criteria.
Changes are as follows:
1. Requirement for the medication to be on repeat prescription has been removed.
This allows supplies to be made in additional situations where people have run out of their medication.
Examples of where this may be useful include*:
- Recently discharged from hospital with new medication and a further supply of medication has not been organised and prescriber is unavailable.
- Acute prescribed medication lost, stored incorrectly, or smashed bottle.
- Medication is prescribed regularly, but may not be on a repeat prescription (for example antidepressants).
- An acute medication has been prescribed, but prescription not yet received by pharmacy and prescriber unavailable — information held on Emergency Care Summary (ECS) obtained through NHS 24 would enable supply (tel: 0845 7000 666) .
- Prescribed medication which person cannot swallow, and they require a liquid preparation.
- Alternative flavour of same antibiotic if child unable to tolerate dispensed medication (or change to capsule or tablet formulation if required).
- Supply alternative formulation if dispensed medication is not suitable for other reasons.
- Acute supplies of rescue antibiotic for COPD patients — many patients keep rescue antibiotic prescription but may have used the last one without renewing it.
- Dispense remaining balance of antibiotic when original dispensing pharmacy is closed.
2. Exclusion criteria which prevented successive supplies has been removed.
Examples of where this may be used include*:
- Patient supplied with medication using the PGD until prescriber is available, however surgery unable to provide a prescription for another 48 hrs.
- Patient unable to make an appointment to see own prescriber before medication provided on PGD runs out.
3. The example of what “prescriber unavailable” means has been removed.
This has been removed to clarify that the PGD can be used at any time where the prescriber is unavailable, even if not in the OOH period.
* Note: not exhaustive or prescriptive lists
For more information, see the changes here.