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Aspx), and detailed advice on what should be contained within a PGD should be sought and must be complied with. A person from a professional group should be named and designated as responsible for PGD management because failure to comply with the PGD could result in criminal prosecution under the medicines legislation. It should be noted that restrictions apply to the applications of PGDs one will be highlighted later in this text. This is a mechanism by which an independent prescriber indicates that a patient should be given a particular medicine. It can be achieved by writing an instruction within the patient case notes or, for example by a doctor indicating on an X-ray request form that particular medication should be given as part of the examination. This is traditionally undertaken by doctors and dentists.

An informal discussion with the Department of Health confirmed that Trusts retain the right to approve or veto the adoption of legislation into working practice, amplifying the requirement to seek formal Trust approval prior to implementation. It also adds weight to the need for radiographers to continue using PGDs as these are firmly embedded within Trust medicines management procedures and indemnity arrangements. The administration of radiopharmaceuticals remains the same as that outlined earlier and as illustrated in the It is anticipated that technicians will soon become HPC registered and shortly after that they are likely to lobby for a range of professional responsibilities, including the use of PGDs. When that time arrives, it would be advisable for technicians to come in line with all other non-medical Trust supply and administration arrangements and switch from the newly-approved protocol system to the more widely recognized PGD arrangements. Supplementary prescribing is unlikely to have any value in nuclear medicine because of the arguments outlined earlier.

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