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PExamples of PGDs former to podiatric surgery are allowed in Appendix C. Surgeons are already exempt from symptomatic requirements of the Medicines Act. Ones exemptions allow them to produce or supply medicinal specified medicines listed in Chapter affected by bonds for PGDs. The fall of medicines available to podiatrists was extended in November veterinary dapsone buying and supplementary prescribing are relatively new and because PGD toenail is now integral to practice in many years, confusion has arisen about the usual between them and which is the most severe in which circumstances.

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These exemptions, which continue to apply, relate to midwives, ambulance paramedics, optometrists, and podiatrists and chiropodists. The desire to increase access to pharmacotherapeutic treatment available to podiatrists and podiatric surgeons reflects national and international experience that a wider group of health professionals with direct access to POM results in benefits to individual patients and the community. In fact, podiatry was specifically mentioned in the Crown Report as one of the first groups thought to be suitable for extension of supplementary prescribing. Following a Department of Health report in Medicines under Group Protocols, group protocols became known as PGDs.

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Independent prescribing will only have value if the a competency-based rather than profession-specific ethos. This move is supported by the Society and College of Radiographers. There is no rigorous published information about the clinical use of PGDs or supplementary prescribing by radiographers, so only anecdotal information can be drawn on to inform debate. Based on anecdotal information, the following anomalies have been noted. A small-scale analysis of gastrointestinal practitioners within the northwest of England revealed marked differences between them, the most notable being in the detail included in PGDs and in practitioner understanding about PGDs. Some PGDs were superficial, others were quite in-depth.

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A PGD can include a variable dose range, so the health care professional can decide on a suitable dose for individual patients. PGDs should only be used where there is clear benefit for patients and by health care professionals with the necessary expertise and competence. PGDs are not suitable where patients need a range of different medicines at the same time. The use of PGDs must be authorized by the National Health Service Trust, Health Authority or Primary Care Trust.

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