NHS Scotland have a variety of national pharmacy first PGDs, public health PGDs, sexual health PGDs & optometry links for community pharmacists to provide pharmaceutical care.
These are listed below. Please carefully read each PGD & ensure you have undertaken any required TURAS learning (detailed within each PGD itself). Once competent ensure you sign each PGD you intend to practice with in Lanarkshire and send to pharmacy.adminteam@lanarkshire.scot.nhs.uk.
The 4 new PGDs are:
Nitrofurantoin PGD for UTI treatment in Community Pharmacy has been adopted for second line use within NHS Lanarkshire.
Trimethoprim will remain the antibiotic of choice for treatment of acute uncomplicated urinary tract infection (UTI) in non-pregnant female patients over 16 years of age via community pharmacies, but nitrofurantoin will be available for consideration in patients who have significant drug interaction with trimethoprim or have a history of allergy or adverse effects to trimethoprim.
Nitrofurantoin can only be used if a renal function assessment is undertaken and Appendix 1 of the assessment form shows how this should be done.
At this stage we do not yet have clinical portal access for community pharmacists so nitrofurantoin can only be provided after contact with the GP surgery or OOH.