BNSSG PGDs


Update August 2021

  • Bristol, North Somerset and South Gloucestershire (BNSSG) CCG have commissioned community pharmacy to deliver the following Patient Group Directions (PGDs)
    • UTIs – Females aged 16-64
    • Impetigo – Adults and children aged 2 and over
    • Hydrocortisone – Children aged 1 to 10 and use on the face in patients over 1 year
    • Chloramphenicol ointment from 31 days to under 2 years old
    • Sore Throats – Adults and children aged 5 and over
  • The PGD allows a pharmacist to issue a prescription only medicine (POM) in certain clinical situations without the need for a prescription
  • Patients can access the service via the following routes
    • Can self-present by walking into the pharmacy
    • Referred from the GP
      • Either using the GP Community Pharmacist Consultation Service (CPCS) pilot
      • Informal referral
    • NHS111 CPCS referral

Finding a Pharmacy

The pharmacy’s highlighted in Green on this map are accredited to provide the PGD’s.  Please contact the pharmacy to confirm availability of this service.

https://www.google.com/maps/d/u/0/viewer?mid=1xygRa_hl8XlPotSZEM1CGOt2TEwHBTkj&ll=51.46369232187513%2C-2.6868789999999976&z=10

Information for the pharmacy to go live

For a pharmacy to go live on the service they must have attended the face to face training session.  From there, the lead pharmacist will be expected to cascade the information to the rest of the pharmacy team and other pharmacists working in the pharmacy.

If you were unable to attend the face to face training it has been recorded and by watching the video you will still meet the criteria for attending face to face training.

Face to face training video 

The training evening slides can be found here

PGD’s

Print off and have the PGDs available in the pharmacy – available on BNSSG CCG portal.

Sign each PGD in the pharmacy you are working in

Impetigo

Please note that hydrogen peroxide 1% cream does not require a PGD

Sore Throats – August 2021 updated guidance

BNSSG CCG would like to reinstate the Sore Throat PGD Service that was paused at the start of the Covid pandemic.
Pharmacists are advised to take a cautious approach as COVID-19 will be with us for a long time and the community incidence is still high. 

Use of clinical scoring such as FeverPAIN assessment as far as possible is preferable to examination. Where examination is necessary the following IPC measures must be implemented:

COVID-19 RISK TRIAGE

If a known recent contact or positive themselves or a family member – do not examine & refer for testing. 

Treat all patients as ‘status unknown’ and use PPE for examination.

Ensure examining pharmacists are not in a clinical risk group and are doubly vaccinated. If a pharmacist is not vaccinated or is in a risk group an individual risk assessment will be required.

PPE: Fluid Resistant Surgical Mask,eye protection, gloves and apron (risk of gagging –aerosol generating) should be used
Hand Hygiene: before and after procedure
Equipment: Single use or decontaminated after every use

Pharmacists must follow the latest government infection prevention and control guidance issued to community pharmacies.

Prerequisite training for the pharmacist to complete prior to delivering the service – all online

Complete the following online training
CPPE Level 2 Safeguarding CPPE Consultation Skills CPPE Sepsis Training eLFH Antimicrobial Resistance Training
Read the following CCG guidelines
Antimicrobial Stewardship UTI Guidelines Chloramphenicol guidelines

Support Materials to be printed off for team members and Locums

5 minute team briefing sheet

Aid memoire sheet

Locum notification sheet