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Home > Pharmacy Law and Ethics > Supplementary Prescribing, Independent Prescribing and PGDs

Supplementary Prescribing, Independent Prescribing and PGDs

Supplementary Prescribing by Nurses, Pharmacists, Chiropodists/Podiatrists, Physiotherapists and Radiographers within the NHS in England

This guide for implementation was first produced in 2003 to assist implementation of supplementary prescribing for nurses and pharmacists. Changes to NHS regulations in April 2005 have enabled three other professions, namely chiropodists/podiatrists, physiotherapists and radiographers to be able to train as supplementary prescribers. The Department of Health has therefore taken this opportunity to update the Guide.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 28/10/13 Link Error: Report It

 

Improving patients' access to medicines: A guide to implementing nurse and pharmacist independent prescribing within the NHS in England

This guide has been produced to help promote safe and effective prescribing by Nurse and Pharmacist Independent Prescribers and to assist implementation in the NHS. It is applicable to both the NHS and the independent sector. It provides information and advice on good practice for Nurse and Pharmacist Independent Prescribers.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 28/10/13 Link Error: Report It

 

Medicines Matters: a guide to mechanisms for the prescribing, supply and administration of medicines

This publication is a brief guide for staff working in NHS trusts, NHS foundation trusts, primary care trusts (PCTs) and other health and social care organisations, describing the mechanisms available for the prescribing, supply and administration of medicines which help to support the development of new/enhanced roles or service redesign. It also outlines the aims of the continuing work of the Department of Health’s (DH) non-medical prescribing programme.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Publication
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Last Checked: 28/10/13 Link Error: Report It

 

Legal mechanisms for getting patients the medicines they need – how non-medical professionals can help

Patient Specific Direction
Patient Group Directions
Supplementary Prescribing
Independent Prescribing

Source: webarchive.org.uk
Pharmacy Resource: Table
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Last Checked: 23/04/15 Link Error: Report It

 

Part XVIIB(i) - Nurse Prescribers' Formulary for Community Practitioners
The August 2017 Electronic Drug Tariff

Part XVIIB(i) List of preparations as determined by the Secretary of State for Health as respects England and the Welsh Ministers as respects Wales which may be prescribed by Community Practitioner Nurse Prescribers on Form FP(10)P (Forms WP10 (CN) and WP10 (PN) in Wales) for NHS patients under Section 41(1)(d) of the National Health Service Act 1977 as respects England and under Section 80(3)(d) of the National Health Service (Wales) Act 2006 as respects Wales.

Source: nhsbsa.nhs.uk
Pharmacy Resource: Electronic Drug Tariff
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Last Checked: 31/07/17 Link Error: Report It

 

Part XVIIB(ii) - Non-Medical Independent Prescribing (Nurses, Pharmacists, Optometrists, Physiotherapists and Chiropodists/Podiatrists)
The August 2017 Electronic Drug Tariff

Nurse and Pharmacist Independent Prescribers are able to prescribe any medicine for any medical condition within their competence. This includes any controlled drug listed in Schedules 2-5, except diamorphine, cocaine and dipipanone for the treatment of addiction (Nurse and Pharmacist Independent Prescribers are able to prescribe other controlled drugs for the treatment of addiction).

Source: nhsbsa.nhs.uk
Pharmacy Resource: Electronic Drug Tariff
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Last Checked: 31/07/17 Link Error: Report It

 

Part XVIIB(i) - Nurse Prescribers' Formulary for Community Practitioners
The July 2017 Electronic Drug Tariff

Part XVIIB(i) List of preparations as determined by the Secretary of State for Health as respects England and the Welsh Ministers as respects Wales which may be prescribed by Community Practitioner Nurse Prescribers on Form FP(10)P (Forms WP10 (CN) and WP10 (PN) in Wales) for NHS patients under Section 41(1)(d) of the National Health Service Act 1977 as respects England and under Section 80(3)(d) of the National Health Service (Wales) Act 2006 as respects Wales.

Source: nhsbsa.nhs.uk
Pharmacy Resource: Electronic Drug Tariff
Register to Access Content: No

Last Checked: 10/07/17 Link Error: Report It

 

Part XVIIB(ii) - Non-Medical Independent Prescribing (Nurses, Pharmacists, Optometrists, Physiotherapists and Chiropodists/Podiatrists)
The July 2017 Electronic Drug Tariff

Nurse and Pharmacist Independent Prescribers are able to prescribe any medicine for any medical condition within their competence. This includes any controlled drug listed in Schedules 2-5, except diamorphine, cocaine and dipipanone for the treatment of addiction (Nurse and Pharmacist Independent Prescribers are able to prescribe other controlled drugs for the treatment of addiction).

Source: nhsbsa.nhs.uk
Pharmacy Resource: Electronic Drug Tariff
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Last Checked: 10/07/17 Link Error: Report It

 

Non-medical prescribing by nurses, optometrists, pharmacists, physiotherapists, podiatrists and radiographers
A quick guide for commissioners

Non-medical prescribing by nurses, optometrists, pharmacists, physiotherapists, podiatrists, and radiographers: A quick guide for commissioners 2010 has been developed by the National Prescribing Centre (NPC) to support organisations in effectively implementing NMP

This guide will:

  • help commissioners understand the nature, role and benefits of prescribing by nurses, optometrists, pharmacists, physiotherapists, podiatrists and radiographers
  • provide practical and relevant information supported by case examples. These assist in the wider utilisation of non-medical prescribing in the provision of high quality, cost-effective, safe and accessible patient focused services

Audience for the document

  • Senior NHS healthcare managers
  • Commissioners of healthcare services including primary care trust commissioners and practice based commissioners

It may also be of interest to healthcare providers, managers, clinical leads, clinicians, professional bodies and higher education institutes

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

NHS East Lancashire
Guide to Non-Medical Prescribing

comprehensive guide to all aspects of non-medical prescribing including V100, V150, V300, numeracy, being a designated medical practitioner etc

Source: elmmb.nhs.uk
Pharmacy Resource: Guidance
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Last Checked: 28/10/13 Link Error: Report It

 

NPC frequently asked questions | non medical prescribing

The following frequently asked questions have been developed as a result of queries received by the NPC non-medical prescribing programme team.The answers have been reviewed by the NPC and the Department of Health.

Source: webarchive.org.uk
Pharmacy Resource: Frequently Asked Questions
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Last Checked: 23/04/15 Link Error: Report It

 

A single competency framework for all prescribers

The NPC has published a single competency framework for all prescribers.

Having previously published prescribing competency frameworks for each of the non-medical prescribing professions, it is now clear that a common set of competencies underpin good prescribing regardless of professional background.

This framework consolidates the existing profession specific prescribing frameworks and updates the competencies in order to provide a single common framework that is relevant to doctors, dentists and non-medical prescribers.

The framework can be used to help healthcare professionals prepare to prescribe and help prescribers to identify strengths and areas for development through self-assessment. It is a generic framework which may be contextualised for application to specific clinical and professional settings

Source: webarchive.org.uk
Pharmacy Resource: Competency Framework
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Last Checked: 23/04/15 Link Error: Report It

 

Pharmacist Independent Prescriber | General Pharmaceutical Council

Regulations to allow pharmacists to prescribe independently came into effect in 2006. A pharmacist independent prescriber may prescribe autonomously for any conditions within their clinical competence.

Source: pharmacyregulation.org
Pharmacy Resource: Various
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Last Checked: 28/10/13 Link Error: Report It

 

Standards of proficiency for nurse and midwife prescribers
Nursing and Midwifery Council

This booklet provides the standards and proficiencies for the programmes of preparation for nurses, midwives and specialist community public health nurses to prescribe as either a community practitioner nurse prescriber or a nurse independent/supplementary prescriber.

Source: nmc.org.uk
Pharmacy Resource: Standards
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Last Checked: 18/08/15 Link Error: Report It

 

Nurse and midwife independent prescribing of unlicensed medicines
Nursing and Midwifery Council Circular

On 21 December 2009 legislation was amended to allow nurse and midwife independent prescribers to prescribe unlicensed medicines for those in their care on the same basis as doctors, dentists and supplementary prescribers.

Source: nmc.org.uk
Pharmacy Resource: Prescribing Circular
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Last Checked: 18/08/15 Link Error: Report It

 

Nurse and pharmacist independent prescribing, 'mixing of medicines', possession authorities under patient group directions and personal exemption provisions for Schedule 4 Part II drugs

This circular draws attention to the contents of Misuse of Drugs (Amendment No 2) (England, Wales and Scotland) Regulations 2012 (SI 2012/973), which comes into force on 23 April 2012.

Source: gov.uk
Pharmacy Resource: Circular
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Last Checked: 28/10/13 Link Error: Report It

 

Nurse and pharmacist independent prescribing changes announced

The agreed changes to the Misuse of Drugs Regulations 2001 relating to nurse and pharmacist independent prescribing of controlled drugs (Misuse of Drugs (Amendment No.2) (England, Wales and Scotland) Regulations 2012 (Statutory Instrument 2012/973)) came into force on 23 April 2012 and are summarised below.

Source: gov.uk
Pharmacy Resource: News
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Last Checked: 28/10/13 Link Error: Report It

 

Changes to controlled drugs legislation for nurse and pharmacist independent prescribers - came into force on 23rd April 2012

Amendments to the Misuse of Drugs Regulations were laid before Parliament on 30th March 2012 and come into force on 23rd April 2012. The amendments relate to nurse and pharmacistindependent prescribing, and mixing of controlled drugs.

Source: neneccg.nhs.uk
Pharmacy Resource: Newsletter
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Last Checked: 23/10/13 Link Error: Report It

 

Royal Pharmaceutical Society Guide: Independent Prescribing of Controlled Drugs

Sections on this page

  • What changed?
  • What should I consider before prescribing controlled drugs?
  • Where can I check if an independent prescriber is not known to me?
  • Miscellaneous FAQs
  • Where to go for more information
Source: rpharms.com
Pharmacy Resource: Guide
Register to Access Content: Yes - content available to members of the RPS

Last Checked: 03/04/17 Link Error: Report It

 

Good Practice in Prescribing and Medicines Management for Podiatrists

This consultation document on Medicines Practice Guidance has been prepared by the College of Podiatry (CoP) along with input from colleagues from the Institute of Chiropodists and Podiatrists (IoCP). The advice herein is for all those with annotation on the Health and Care Professions Council (HCPC) Register as Supplementary or Independent prescribers, whether a member of the CoP or the IoCP, on the conduct that is expected of all podiatrist prescribers. There is a clear expectation that podiatrist prescribers from both professional bodies will adhere to this guidance, and ensure that they are accountable for their actions.

Source: scpod.org
Pharmacy Resource: Guidance
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Last Checked: 28/10/13 Link Error: Report It

 

Guidance for optometrist prescribers

This booklet provides advice on the conduct that is expected of optometrist prescribers who are on one of the GOC specialist registers.

Source: college-optometrists.org
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Good Practice in Supplementary Prescribing and Medicines Management by Radiographers
Society and College of Radiographers

This medicines practice guidance provides good practice information. This should underpin the decision-making and actions of radiographers who are annotated with the Health Professions Council (HPC) as supplementary prescribers.

Source: sor.org
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Search the register | Nursing & Midwifery Council

Look up the registration status of any nurse or midwife in the UK

We provide details of nurses and midwives who:

  • have effective registration with no restrictions and cautions, with registration fees having been paid and registration is up to date.
  • are on our register but have restrictions on their practice or a caution order.
  • have been suspended or removed from our register since 1 January 2008 and are not currently allowed to practise.
Source: nmc.org.uk
Pharmacy Resource: Online Register
Register to Access Content: No

Last Checked: 02/09/15 Link Error: Report It

 

General Pharmaceutical Council
Independent Prescriber and Supplementary Prescriber

We maintain a comprehensive, fully up-to-date, pharmacy register. As part of this, all pharmacists who are currently licensed to practise in Britain must renew their registration with us annually and you can check their details and registration status here. You can also see details of any Fitness to Practise decisions relating to a registrant.

Source: pharmacyregulation.org
Pharmacy Resource: Online Register
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Pharmaceutical Society of Northern Ireland
Independent Prescriber and Supplementary Prescriber

To confirm whether a Pharmacist is currently registered with us and therefore able to practise in Northern Ireland, you can search the Register. This is updated daily and is the most up to date reference for the public and employers on the status of Pharmacists registered within Northern Ireland. Displayed is the Pharmacist’s name, the date they were registered, registration number and any relevant additional information, including if a Pharmacist is registered as a prescriber.

Source: psni.org.uk
Pharmacy Resource: Online Register
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Last Checked: 22/09/17 Link Error: Report It

 

Health and Care Professions Council
Independent Prescriber and Supplementary Prescriber

We currently regulate the following professions: arts therapists, biomedical scientists, chiropodists / podiatrists, clinical scientists, dietitians, hearing aid dispensers, occupational therapists, operating department practitioners, orthoptists, paramedics, physiotherapists, practitioner psychologists, prosthetists / orthotists, radiographers, social workers in England and speech and language therapists.

To check the Register you will need to know the profession of the person whose registration you wish to check.

Source: hcpc-uk.org
Pharmacy Resource: Online Register
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

General Optical Council
Supplementary Prescribing and Independent Prescribing

The GOC register is the statutory list of the individual practitioners who are qualified and fit to practise optometry or dispensing optics in the UK. Optometrists and dispensing opticians must, by law, be registered with us to practise.

Source: optical.org
Pharmacy Resource: Online Register
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Patient Group Directions
National Institute for Health and Care Excellence (NICE) Medicines Practice Guidance

This guideline provides good practice recommendations for individual people and organisations involved with PGDs, with the aim of ensuring patients receive safe and appropriate care and timely access to medicines, in line with legislation.

Source: nice.org.uk
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 20/05/15 Link Error: Report It

 

Patient Group Directions
A practical guide and framework of competencies for all professionals using patient group directions

The purpose of this document is to:

  • Put PGDs into context so individuals and organisations can consider the most appropriate way for patients to receive their medicines
  • Be a reference source for registered healthcare professionals and organisations that are using or, thinking about using PGDs, to help ensure that a PGD is the most appropriate mechanism in the particular circumstances
  • Provide information and guidance to organisations developing, authorising and using PGDs
  • Act as a signpost to other key reference sources and other relevant information
  • Present a competency framework for all healthcare professionals entitled to work with PGDs
  • Illustrate briefly how the competency framework can be used in practice, for example, to help structure training and development
Source: webarchive.org.uk
Pharmacy Resource: Publication
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Last Checked: 23/04/15 Link Error: Report It

 

Patient Group Directions and Patient Specific Directions in General Practice July 2015

The advice on the use of Patient Group Directions (PGDs) and Patient Specific Directions (PSDs) in general practice has been updated to take into account new guidance published by NICE.

Source: bma.org.uk
Pharmacy Resource: Advice
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Last Checked: 18/08/15 Link Error: Report It

 

Patient Group Directions in the private, prison and police sectors: Medicines and Healthcare Products Regulatory Agency (MHRA)

Guidance on the development, implementation and review of patient group directions in:

  • independent hospitals, agencies and clinics
  • dental clinics and practices
  • the prison healthcare services
  • the police services
  • the defence medical services.
Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 23/04/15 Link Error: Report It

 

Patient group directions: who can use them
Medicines and Healthcare Products Regulatory Agency (MHRA)

Contents

  • Who can supply or administer a PGD
  • Legal requirements
  • Medicines you can supply under a PGD
  • Arrangements for independent healthcare providers in Scotland
  • More information
Source: gov.uk/mhra
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 23/02/15 Link Error: Report It

 

NHS Patient Group Directions (PGDs)

We feature Frequently Asked Questions (FAQs) in this section which have been developed in response to common issues and questions arising about PGDs. All FAQs are developed in consultation with the PGD Website Board members and other experts where relevant.

Source: medicinesresources.nhs.uk/en/Communities/NHS/PGDs
Pharmacy Resource: Frequently Asked Questions
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Last Checked: 28/10/13 Link Error: Report It

 

National Travel Health Network and Centre - Frequently asked questions on Patient Group Directions (PGDs) and Patient Specific Directions (PSDs)

  • What is a Patient Group Direction (PGD)?
  • Who can write and sign off a PGD?
  • Can Primary Care Organisations withdraw PGDs for certain medicines?
  • Can a PGD be used for the administration of all travel vaccines by those working in a private travel clinic, operating within a GP practice?
  • Can a PGD be used for the administration of all travel vaccines by those working in a travel clinic, operating within the private sector?
  • What is a Patient Specific Direction (PSD)?
Source: nathnac.org
Pharmacy Resource: Frequently Asked Question
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Frequently asked questions: Patient Specific Directions

The following Q&As are intended to be read as a complete document to help provide the full context in practice.

  1. What is a Patient Specific Direction (PSD)?
  2. Does a PSD need to be written?
  3. If a prescriber writes a PSD, are they prescribing?
  4. What should the PSD include?
  5. Can the prescriber write a PSD remotely without a face-to-face consultation with the patient?
  6. How long is a PSD valid for?
  7. Can a prescriber write a PSD and then supply and/or administer the medicine?
  8. What are the responsibilities and accountabilities of the prescriber who writes the PSD?
  9. What clinical governance arrangements should be in place?
  10. What are the accountabilities and responsibilities of the delegated staff?
  11. Examples of PSDs
Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Frequently Asked Questions
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Last Checked: 23/04/15 Link Error: Report It

 

PSNC Briefing 004/13: Patient Group Directions (January 2013, updated August 2013)

Previously PGDs were mainly authorised by PCTs but this needed to change when the new NHS organisational structures were implemented in April 2013.

Source: psnc.org.uk
Pharmacy Resource: Briefing
Register to Access Content: No

Last Checked: 30/10/13 Link Error: Report It

 

Supply and/or administration of medicine by student nurses and student midwives in relation to Patient Group Directions (PGDs)
Nursing and Midwifery Council Circular

This circular takes place with immediate effect. It sets out the Nursing and Midwifery Council’s (NMC) position on the supply and/or administration of medicines by students in relation to PGDs.

Source: nmc.org.uk
Pharmacy Resource: Prescribing Circular
Register to Access Content: No

Last Checked: 18/08/15 Link Error: Report It

 

Patient Group Directions in dental practice
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

Patient Group Directions (PGDs) are written instructions allowing the sale, supply or administration of specified medicines by named, authorised, registered health professionals, to a pre-defined group of patients needing treatment in an identified clinical situation. Using a PGD is not a form of prescribing.

Dental therapists and dental hygienists (not dental nurses) have been recognised ‘registered healthcare professionals’ able to work under a PGD since 2010].

Source: sps.nhs.uk
Pharmacy Resource: Medicines Question and Answer
Register to Access Content: No

Last Checked: 22/09/16 Link Error: Report It

 

Patient Group Direction for the Administration of Azithromycin for Chlamydia Trachomatis

Below is a template that can be used to produce a local patient group direction (PGD) for the administration of Azithromycin in cases of uncomplicated Chlamydia trachomatis infection.

Source: chlamydiascreening.nhs.uk
Pharmacy Resource: Template
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Levonelle ® 1500 - Emergency Contraception Template Patient Group Direction

This PGD has been produced by the Faculty of Sexual & Reproductive Healthcare and the Royal College of Nursing to support NHS Trusts and other organisations to provide emergency contraception

Source: fsrh.org
Pharmacy Resource: Template
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Patient Group Directon for the Administration of subdermal contraceptive implants (Implanon®) by registered Nurses/midwives

Faculty of Sexual & Reproductive Healthcare and the Royal College of Nursing

Source: fsrh.org
Pharmacy Resource: Template
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

Non-medical prescribing, patient group directions and minor ailment schemes in the treatment of drug misusers
National Treatment Agency for Substance Misuse

Detailed guidance on application and implementation of nurse and pharmacist prescribing, patient group directions and minor ailment schemes in the treatment of drug misusers. Includes explanation of the various terms and details the clinical governance aspects of using these mechanisms to improve access to treatment for drug users.

Source: nta.nhs.uk
Pharmacy Resource: Guidance
Register to Access Content: No

Last Checked: 28/10/13 Link Error: Report It

 

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