A Patient Group Direction (PGD) is a written direction, signed by a doctor or dentist, and by a pharmacist, relating to supply and administration only, of a prescription-only medicine (PoM) or pharmacy medicine (P) to persons generally (subject to specific exclusions set out in the legislation). PGDs can be authorised by Health Boards in Scotland and other NHS bodies.

A PGD must not be confused with a Written Direction which must be patient specific.

In most cases, the most appropriate clinical care will be provided on an individual basis by a specific prescriber to a specific individual patient. PGDs for the supply and/or administation of medicines should only be considered where it would offer a benefit to patient care without compromising safety in any way. This is best achieved by engaging representatives of all the health care professionals involved, including a representative from the professional group expected to supply or administer medicines under the direction. A senior representative of each profession should be reponsible for ensuring the suitability and competence of the professionals operating within the scheme.

Patient Group Direction Policy
GPs who do not wish to develop their own PGDs can authorise nurses and appropriate healthcare professionals to administer/supply medicines under an approved NHS Grampian PGD by "adopting" the PGD using the appropriate documentation. Development of any new PGD should be in accordance with the NHS QIS Best Practice Statement ~ March 2006 - Patient Group Directions.

[0751] Link opens in new windowGuidance For The Development And Implementation Of Patient Group Directions (PGDs) For Staff Working Within NHS Grampian, (Amended March 2016) Review Date: July 2018 - PDF 203KB 

Blank Link opens in new window PGD template [intranet only] - please use when developing/updating a PGD.

[0727] Link opens in new windowGuidance for the use of Patient Group Directions (PGD's), Review Date: March 2017 - PDF 199KB

A


new1-blue-25[1].gif[0827] Link opens in new windowAdrenaline (Epinephrine) in cases of suspected Anaphylactic reactions by Qualified Health Professionals Working Within NHS Grampian, Review Date: September 2018 - PDF 189KB
[0671] Link opens in new windowAdrenaline (Epinephrine) By Trained Nurses In The Management Of Cardiac Arrest In The Medical High Dependency Unit/Coronary Care Unit (MHDU/CCU) Working Within NHS Grampian, Review Date: October 2016 - PDF 326KB
new1-blue-25[1].gif[0806] Link opens in new windowAtovaquone/Proguanil For The Prophylaxis Of Malaria By Nurses Working In Occupational Health And Pharmacists Working Within NHS Grampian, Review Date: July 2018 - PDF 110KB
[0672] Link opens in new windowAtropine In The Event Of Life Threatening Bradycardias By Trained Nurses In The Medical High Dependency Unit/Coronary Care Unit (MHDU/CCU) Working Within NHS Grampian, Review Date: October 2016 - PDF 322KB
 
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B


[0736] Patient Group Direction For The Administration Of Statens Serum Institut (SSI) Bacillus Calmette-Guerin (BCG) Vaccine By Nurses And Midwives Working Within NHS Grampian, (Amended May 2016) - Review Date: October 2017 - 254KB (This PGD contains information that is specific to Danish Statens Serum Institute (SSI) BCG Vaccine  and should be used only when using SSI vaccine).  See Policies section for protocol for administration of SSI Tuberculin PPD for Mantoux testing.
Benoxinate eye drops for ocular anaesthesia - see 'O'
Buscopan in GI endoscopy and barium enema  - see 'E' - Endoscopy PGDs above
Buccastem by nurses in day surgery and short stay units  - 'P
 
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C


Combined Oral Contraceptives and Cerazette (desogestrel pill) - See Sexual Health PGDs  
[0773]  Link opens in new windowCarbomer 0.2% Eye Drops By Registered Nurses Working Within Eye Out Patient Clinics and Ophthalmology Wards in ARI and Dr Grays, Review Date: November 2017 - PDF 147KB
[0774] Link opens in new window Chloramphenicol 1% Eye Ointment Following Cyst Excision By Registered Nurses Working Within NHS Grampian, Review Date: November 2017 - PDF 146KB
[0768] Link opens in new windowChloramphenicol eye drops 0.5% under the Minor Ailment Service by Community Pharmacists Working Within NHS Grampian , Review Date: November 2017 - PDF 144KB
[0670]  Link opens in new windowCholera Vaccine By Nurses And Pharmacists Working Within NHS Grampian, Review Date: September 2016 - PDF 135KB
new1-blue-25[1].gif[0785] Link opens in new windowLocal Corticosteroid Injections And/Or Lidocaine By Physiotherapists and Radiographers, Review Date: March 2018 - PDF 166KB
[0676] Link opens in new windowCyclopentolate by Orthoptists working within the Children's Eye Clinic, RACH, Review Date: September 2016 - PDF 121KB
 
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D


[0674] Link opens in new windowAdministration/Supply Of Medicines As Included In The Dental Therapists And Dental Hygienists Formulary, Review Date: September 2016 - PDF 367KB 
Depo-Provera contraceptive injection and Desogestrel Pill (Cerazette®) - see Sexual Health PGDs
new1-blue-25[1].gif[0822]  Link opens in new windowBooster Dose Of DTaP/IPV (Infanrix-IPV®) By Nurses Working Within NHS Grampian, Review Date: September 2018 - PDF 111KB
[0680] Link opens in new window DTaP/IPV/Hib by Nurses, midwives and health visitors working within NHS Grampian (Amended January 2016) - Review Date: August 2016 - PDF 217KB
[0739] Link opens in new windowAdministration of Diphtheria, Tetanus, Pertussis And Poliomyelitis Vaccine dTaP/IPV (Boostrix IPV) In Pregnant And Newly Delivered Women By Nurses and Midwives Working Within NHS Grampian  (Amended April 2016) - Review Date: June 2017 - PDF 275KB
[0693] Link opens in new window Low dose diphtheria, tetanus and inactivated poliomyelitis vaccine dT/IPV (Revaxis®) by nurses, midwives, health visitors and pharmacists working within NHS Grampian (Amended January 2016) - Review Date: November 2016 - PDF 215KB
new1-blue-25[1].gif[0808] Link opens in new windowAdministration Of Domperidone To Prevent Vomiting Following Emergency Hormonal Contraception By Nurses And Midwives Working Within NHS Grampian, Review Date: July 2018 - PDF 98KB
new1-blue-25[1].gif[0798] Link opens in new windowDoxycycline by nurses working in Occupational Health and pharmacists working within NHS Grampian for the prophylaxis of malaria, Review Date: June 2018 - PDF 95KB
 
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E


ellaOne® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this product see - see Sexual Health PGDs
new1-blue-25[1].gif[0795] Link opens in new windowEmla® Cream prior to IV cannulation or venepuncture, Review Date; June 2018 - PDF 98KB
Etonorgestrel Contraceptive Implant (Nexplanon/Implanon®) and Evra® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this productcombined contraceptive transdermal patch - see Sexual Health PGDs
[0610] Link opens in new windowENT Nurse Practitioner Formulary By ENT Nurse Practitioners Working Within NHS Grampian, (Updated May 2014), Review Date: November 2015 - PDF 149KB

Endoscopy PGDs - These PGDs must not be used by staff unless specific training has been undertaken
[0758] Link opens in new windowPatient Group Direction For The Administration Of Hyoscine Butylbromide Injection (Buscopan®) 20mg/mL For The Treatment Of Acute Spasm During Upper/Lower GI Endoscopy And As A Prophylactic Anti-Peristaltic Agent In Radiological Procedures By Endoscopy Nurse Practitioners/GI and MR Radiographers Working Within NHS Grampian, Review Date: September  2017 - PDF 156KB
[0743] Link opens in new window ED-PGD ~ Midazolam And Flumazenil Injection By Nurse Practitioners Working Within NHS Grampian To Patients Undergoing Upper/Lower GI Endoscopy And Insertion Of Central Venous Catheters, Review Date: July 2017 - PDF 173KB

 
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F


[0769] Link opens in new windowPGD For The Supply Of PoM Fluconazole 150mg Capsules Under The Minor Ailment Service By Community Pharmacists Working Within NHS Grampian, Review Date: November 2017 - PDF 144KB
Flumazenil injection used prior to upper/lower GI endoscopy - see 'E' - Endoscopy PGDs above
new1-blue-25[1].gif[0800] Link opens in new windowFluorescein Sodium 2% Single Dose Eye Drops And Fluorets® Paper Strips For Corneal Staining By Nurses Working Within NHS Grampian, Review Date: June 2018 - PDF 106KB
 
 
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G


new1-blue-25[1].gif[0801] Link opens in new windowGMED Supply/Administration Of Emergency Medicines By Nurse and Paramedic Practitioners Working Within Grampian Medical Emergency Department (GMED), Review Date: June 2018 - PDF 300KB
[687] Link opens in new windowGMED - Administration and Supply of Medicines for Minor Illness By Nurse Practitioners Working Within Grampian Medical Emergency Department (GMED), Review Date: September 2016 - PDF 341KB

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H


[0782] Link opens in new windowHealthy Hoose Patient Group Direction for the supply of medicines for minor illness by nurse practitioners or pharmacists, Reveiw Date: January 2018 - PDF 272KB
[0694] Link opens in new windowHepatitis A Vaccine By Nurses and Pharmacists Working Within NHS Grampian, Review Date: November 2016 - PDF 304KB
new1-blue-25[1].gif[0796] Link opens in new windowCombined Inactivated Hepatitis A and Hepatitis B Vaccine, Review Date: June 2018 - PDF 163KB
new1-blue-25[1].gif[0797] Link opens in new windowCombined Hepatitis A and Typhoid Vaccine by nurses and pharmacists working within NHS Grampian , Review Date: June 2018 - PDF 106KB
[0708] Link opens in new windowHepatitis B Vaccine By Registered Nurses And Pharmacists Working Within NHS Grampian, Review Date: March 2017 - PDF 340KB
[0657] Link opens in new windowHaemophilus Influenzae Type B and Meningococcal C Conjugate vaccine (Hib/MenC) by nurses working within NHS Grampian, (Amended November 2015) Review Date: July 2016 - PDF 182KB
Hyoscine Butylbromide Injection (Buscopan®) for acute spasm during upper/lower GI Endoscopy and Radiological Procedures - see 'E' - Endoscopy PGDs above
[0669] Link opens in new windowHuman Papillomavirus Vaccine (Gardasil® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this product) By Nurses, Midwives and Health Visitors Working Within NHS Grampian, (Amended January 2016) - Review Date: July 2016 - PDF 189KB
 
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I

 
Ibuprofen to children in hospitals for minor injury or pyrexia - see 'P' - 'Paracetamol or Ibuprofen'
Implanon® - see Sexual Health PGDs
new1-blue-25[1].gif[0831] Influenza Vaccine (Inactivated)  Link opens in new windowNurse and Midwives administration, (Version 3.2 amended September 2016) Review Date: September 2017 - PDF 244KB
new1-blue-25[1].gif[0825] Influenza vaccine Link opens in new windowNurses And Pharmacists Working In Community Pharmacies, Or By Nurses Working In Occupational Health Services(Version 4.1 amended September 2016) Review Date: September 2017 - PDF 195KB
new1-blue-25[1].gif[0832] Influenza Vaccine - Link opens in new windowLive Attenuated Intranasal Influenza Vaccine (LAIV) By Nurses, Midwives and Health Visitors, (Version 3.1 amended September 2016) Review Date: September 2017 - PDF 2332KB
Infanrix-IPV for booster dose see Link opens in new windowDTaP/IPV
 
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J

 
[0745] Link opens in new windowPatient Group Direction For The Administration Of Japanese Encephalitis Vaccine (Ixiaro®) By Nurses And Pharmacists Working Within NHS Grampian (Amended August 2016) Review Date: July 2017 - PDF 200KB
 
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L

 
[0572] Link opens in new windowLevonorgestrel (Levonelle® 1500) as emergency hormonal contraception by nurses and midwives, Review Date: August 2015 - PDF 211KB
(a PGD for single dose domperidone anti-emetic is also available see D above)
Lidocaine spray for upper GI endoscopy - see 'E' - Endoscopy PGDs above
[0729] Lidocaine HCl 1%, for insertion/removal of central venous catheters by nurses/radiographers working within the radiology department, Review Date: April 2017 - PDF 133KB
[0734] Link opens in new windowLidocaine/Cetrimide (Xylonor®) Spray For Oropharyngeal And Nasopharyngeal Surface Anaesthesia To Patients Undergoing Upper GI Investigations/Bronchoscopy By Registered Nurses Working Within NHS Grampian, Review Date: July 2017 - PDF 165KB
 
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M

 
[0728] Measles, Mumps and Rubella (MMR) Vaccine By Midwives, Nurses And Pharmacists Working Within NHS Grampian, (Amended May 2016) - Review Date: July 2017 - PDF 160KB
new1-blue-25[1].gif[0810] Link opens in new windowMefloquine By Nurses Working in Occupational Health And Pharmacists Working Within NHS Grampian For The Prophylaxis Of Malaria, Review Date: July 2018 - PDF 114KB
new1-blue-25[1].gif[0799] Link opens in new windowMeningococcal Group B Conjugate Vaccine (Bexsero) By Nurses, Midwives and Health Visitors Working Within NHS Grampian(Amended August 2016) - Review Date: July 2018 - PDF 183KB
[0724] Meningococcal C Conjugate Vaccine By Nurses And Midwives Working Within NHS Grampian,  (Amended September 2016) Review Date: March 2017 - PDF 153KB
[0750] Link opens in new window Meningococcal ACWY Conjugate Vaccine (Childhood Programme) By Nurses, Midwives and Health Visitors Working Within NHS Grampian, (Version 1.3 amended September 2016) - Review Date: July 2017 - PDF 248KB
[0678] Link opens in new windowMeningococcal ACW135Y Vaccine By Nurses And Pharmacists Working Within NHS Grampian, Review Date: October 2016 - PDF 413KB
for Men C with Hib see 'H' above
for Midazolam prior to and during upper/lower GI endoscopy - see 'E' - Endoscopy PGDs above
[0779] Link opens in new window PGD for the administration or supply of medicines for the treatment of minor injuries in NHS Grampian - Review Date: January 2018 - PDF 269KB
[0438]  Link opens in new windowPGD For The Administration Of Medicines By Midwives Working Within NHS Grampian As Included In The Midwives PGD Formulary, Review Date: November 2013 (Extended until July 2016) - PDF 378KB
[0521] Link opens in new windowPGD For The Administration And Supply Of Medicines By Midwives Working Within NHS Grampian As Included In The National Midwives PGD Formulary, Review Date: August 2014 (Extended until July 2016) - PDF 686KB
 
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N

 
[0656] Link opens in new windowNaloxone injection in opioid overdose for patients aged 12 years and over by nurses and midwives working within NHS Grampian, Review Date: July 2016 - PDF 148KB
[0763]  Link opens in new windowPatient Group Direction For The Supply Of Naloxone By Registered Nurses And Pharmacists In NHS Grampian To Individuals At Risk Of Opioid Overdose And Services In Contact With Those At Risk, Review Date: October  2017 - PDF 154KB
Nexplanon® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this product (etonorgestrel contraceptive implant) - see Sexual Health PGDs
NuvaRing® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this product - see Sexual Health PGDs
 
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O

 
[0681] Link opens in new windowOxybuprocaine 0.4% w/v single use eye drops (Benoxinate®) by nurses working within NHS Grampian for ocular anaesthesia prior to removal of foreign bodies from the eye, Review Date: September 2016 - PDF 246KB
 
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P


For Pediacel® see 'D' above DTaP/IPV/Hib
 
For the temporary programme of pertussis (whooping cough) vaccination of pregnant women see 'D' above dTaP/IPV
 
new1-blue-25[1].gif[0811] Link opens in new windowOral Paracetamol For Analgesia In Patients Over 16 Years By Nurses In Day Surgery And Short Stay Units Working Within NHS Grampian, Review Date: July 2018 - PDF 125KB
[0784] Link opens in new windowParacetamol or Ibuprofen to children in hospitals for minor injury or pyrexia, Review Date: March 2018 - PDF 246KB
[0677] Link opens in new windowPhosphate Enema adminstration by nurses working within NHS Grampian to patients prior to undergoing bowel investigations, Review Date: October 2016 - PDF 125KB
[0659]  Link opens in new windowPneumococcal Conjugate Vaccine (PCV) (Prevenar 13®) by Nurses, Midwives and Health Visitors, (Amended January 2016) - Review Date: July 2016 - PDF 215KB.
new1-blue-25[1].gif[0823] Link opens in new windowPneumococcal Polysaccharide Vaccine (PPV) by nurses and pharmacists working within NHS Grampian, Review Date:September 2018 - PDF 116KB
new1-blue-25[1].gif[0807] Link opens in new windowBuccal prochlorperazine tablets in patients over 16 years by nurses in day surgery and short stay units working within NHS Grampian, Review Date: July 2018 - PDF 100KB
[0753] Link opens in new windowParacetamol 120mg/5mL Oral Suspension, At The Time Of The appointment For Administration Of Meningococcal Group B Conjugate (Bexsero) Vaccine, By Nurses, (Amended November 2015) Review Date: August 2017 - PDF 203KB 
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[0761] Link opens in new windowParacetamol Oral Suspension 120mg/5mL For Prevention Of Post Immunisation Fever Following Administration Of Meningococcal Group B Vaccine (Bexsero®▼) By Community Pharmacists, Review Date: October 2017 - PDF 263KB
 

R

 
[0668] Link opens in new window Rabies vaccine pre-exposure prophylactic administration by nurses and pharmacists working within NHS Grampian, Review Date: September 2016 - PDF 418KB
[0611] Link opens in new windowRadiotherapy - Supply of supportive drugs to Radiotherapy Patients by Radiographers, Review Date: July 2016 - PDF 315KB
For Repevax (including temporary programme of pertussis (whooping cough) vaccination of pregnant women) see 'D' above dTaP/IPV
For Revaxis see 'D' above dT/IPV
[0740] Link opens in new windowRotavirus Vaccine Rotarix By Nurses Working Within NHS Grampian, (Amended August 2016) - Review Date: June 2017 - PDF 212KB
 
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S



Sexual Health - These PGDs must not be used by staff unless specific training in contraception has been undertaken.
 
new1-blue-25[1].gif[0787] Azithromycin for the treatment of chlamydia by nurse specialists, midwives or registered nurses working within NHS Grampian, Review Date: April 2018 - PDF 93KB
new1-blue-25[1].gif[0788]  Ceftriaxone 500mg Injection (Reconstituted With Lidocaine 1%) By Nurses Working Within NHS Grampian, Review Date: April 2018 - PDF 97KB
[0462] Link opens in new window FP-PGD ~ Combined Hormonal Contraception - Pill or Transdermal Patch, Review Date: January 2015 (extended until January 2017) - PDF 117KB
[0612]  Link opens in new windowFP-PGD ~ Depo-Provera® contraceptive injection, Review Date: October 2015 (extended until January 2017) - PDF 182KB
[0555] Link opens in new window Insertion of Etonorgestrel Contraceptive Implant (Nexplanon® ), Review Date: January 2015 (extended until January 2017) - PDF 352KB
(also see PGD below for s/c lidocaine for insertion/removal of implant)
[0554] Link opens in new windowFP-PGD ~ Supply of NuvaRing® Black Triangle symbol indicating that the CHM and MHRA are intensively monitoring this product, Review Date: January 2015 (extended until January 2017) - PDF 349KB
new1-blue-25[1].gif[0789] Link opens in new windowFP-PGD ~ Lidocaine 1% For Insertion/Removal Of The 68mg Etonogestrel Contraceptive Implant By Nurses And Midwives Working Within NHS Grampian, Review Date: April 2018 - PDF 102KB
[725] FP-PGD ~ Link opens in new windowSupply Of Levonorgestrel For Emergency Hormonal Contraception By Pharmacists, Review Date: September 2017 - PDF 174KB
[0604] Link opens in new windowFP-PGD ~ Ulipristal (ellaOne®) Review Date: August 2015 (extended until January 2017)  - PDF 215 KB
(a PGD for single dose domperidone anti-emetic is also available see D above)
[0613] Link opens in new windowFP-PGD ~ Progestogen Only Pill ,  Review Date: October 2015 (extended until January 2017) - PDF 176KB
new1-blue-25[1].gif[0706] Link opens in new windowPodophyllotoxin by nurses working within the NHS Grampian sexual health service, Review Date: March 2018 - PDF 101KB

[0759] Link opens in new windowSalbutamol Unit Dose Vials Via Nebuliser By Nurses, Review Date: September 2017 - PDF 202 KB
[0685] Link opens in new windowSalbutamol via a large volume spacer by nurses and midwives working within NHS Grampian, Review Date: November 2016 - PDF 392KB
[0696] Link opens in new windowSalbutamol Via A Spacer By Nurses or Pharmacists Working Within NHS Grampian For Post Bronchodilator Lung Function Assessment Or Reversibility Testing, Review Date: November 2016 - PDF 345KB
new1-blue-25[1].gif[0748]  Shingles (Herpes Zoster) Vaccine (Live) Zostavax By Nurses Working Within NHS Grampian, (Version 3.4 amended September 2016) - Review Date: July 2017 - PDF 242KB
new1-blue-25[1].gif[0744] Link opens in new windowSodium Chloride (0.9%) Via Nebulisation By Physiotherapists, Review date: July 2017 - PDF 149 KB
[0698] Link opens in new window Sodium Chloride 0.9% w/v Solution For Injection For Flushing Intravenous Catheters/Cannulae By Certified Healthcare Professionals Working Within NHS Grampian, Review Date: July 2017 - PDF 168KB
new1-blue-25[1].gif[0790] Link opens in new windowSodium Chloride 0.9% Intravenous Infusion during haemodialysis treatment, Review Date: March 2018 - PDF 136KB
new1-blue-25[1].gif[0792] PGD for the administration of medicines included in the  Link opens in new windowSymptomatic Relief Formulary, Review Date: April 2018 - PDF 186KB
 
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T

 
new1-blue-25[1].gif[0791] Link opens in new window Human Tetanus Immunoglobulin, Review Date: April 2018 - PDF 105KB
[0707] Link opens in new windowTick-Borne Encephalitis vaccine, Review Date: March 2017 - PDF 310KB
 for Japenese Encephalitis Vaccine (Ixiaro®) see 'J'
new1-blue-25[1].gif[0783] Link opens in new windowTyphoid vaccine for administration by nurses and pharmacists working within NHS Grampian, Review Date: January 2018 - PDF 97KB
For combined Hepatitis A and Typhoid vaccine see H above
[0760] Link opens in new windowTrimethoprim For The Treatment Of Women With Uncomplicated Urinary Tract Infections By Nurses And Pharmacists, (Updated November 2015) Review Date: October 2017 - PDF 188KB
[0679] Link opens in new window 1% Tropicamide Eye Drops And 2.5% Phenylephrine Eye Drops For Dilatation In Preparation For Eye Examination And Cycloplegia Pre-Operatively By Nurses back to top symbol Back to top
 

U

 
Ulipristal - see Sexual Health PGDs
 
 

V

 
[0762] Link opens in new windowPGD For The Administration Of Varicella Vaccine To Non-Immune Adult Healthcare Workers By Nurses Working Within NHS Grampian Occupational Health, Review Date: October  2017 - PDF 145KB
[0655] Link opens in new windowNHS Scotland Patient Group Direction for the Supply of Varenicline (Champix) by Authorised Community Pharmacists Working in Scotland, Review Date: June 2016 - PDF 424KB
 

Z


Zostavax® see 'S' shingles (Herpes Zoster) vaccine</div>
 

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