All pharmacists and locums working in Ayrshire & Arran are encouraged to download and use the PGD Checklist to complete all relevant individual authorisations.
Contractors should ensure that all pharmacists and locums they employ are aware of the services you are contractually obliged to provide. Contracted services must be provided during all opening hours. Pharmacists and locums must be legally covered to provide services by completing the mandatory training required as indicated in the PGD and signing the individual authorisation.
A copy of each individual authorisation should be e-mailed to aa.cpteam@aapct.scot.nhs.uk or posted to: Pharmacy & Prescribing Team, Eglinton House, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6AB.
Please ensure that you have completed the correct version and that you have signed and dated it.
PGDs and Practitioner (Pharmacist) Agreement Forms
Aciclovir 800mg PGD 24 100 Assessment + GP Notification form
Aciclovir 800mg PGD 24 100 MS form
AUCS/Hospital Discharge Service PGD 24 066
AUCS/Hospital Discharge Service PGD 24 066 MS form
AUCS/Hospital Discharge Service CP Data Collection/Feedback MS form
Azithromycin 250mg PGD CP 23 011
Azithromycin 250mg PGD 23 011 Agreement by Practitioner
Desogestrel POP Bridging Contraception NPGD 24 120
Desogestrel POP Bridging Contraception NPGD 24 120 Agreement by Practitioner MS form
EHC/Desogestrel POP Bridging Contraception Patient Assessment Form
Desogestrel POP Bridging Contraception GP Notification Form
Doxycycline 100mg PGD CP 23 300 (Chlamydia)
Doxycycline 100mg PGD CP 23 300 (Chlamydia) Agreement by Practitioner
Flucloxacillin 500mg PGD 24 101
Flucloxacillin 500mg PGD 24 101 Assessment + GP Notification form
Flucloxacillin 500mg PGD 24 101 MS form
Fusidic Acid Cream 2% NPGD 22 224
Fusidic Acid Cream 2% NPGD 22 224 Agreement by Practitioner
Fusidic Acid Cream 2% NPGD 22 224 Assessment Form & GP Notification
Hay Fever Patient Assessment Form
- Beclometasone 50mcg Nasal Spray NPGD 23 306
- Fexofenadine 120mg Tablets NPGD 23 305
- Mometasone Furoate 50mcg Nasal Spray NPGD 23 304
- Olopatadine 1mg/ml Eye Drops NPGD 23 303
Inactivated influenza administration vaccine 2024/25 NPGD 24 332
Inactivated influenza administration vaccine 2024/25 NPGD 24 332 agreement MS form
Levonorgestrel 1500 micrograms PGD CP 23 092
Levonorgestrel 1500 micrograms PGD CP 23 092 Agreement by Practitioner
Paracetamol Suspension 120mg/5mls PGD CP 24 277
Paracetamol Suspension 120mg/5mls PGD CP 24 277 MS form
Trimethoprim Tablets NPDG 22 223
Trimethoprim Tablets NPDG 22 223 Agreement by Practitioner
Trimethoprim NPGD Assessment Form & GP Notification
Unscheduled Care Version 31 PGD