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Auditing of PGDs

Practitioners must be able to access records of patients who have received medication under a PGD for audit purposes so that the appropriateness of the supply or administration (or of not supplying or administering a medicine) can be reviewed.

PGD legislation states that a PGD must contain a statement of the records that are to be kept for audit purposes. It has also been suggested that generally, a direction should be reviewed every two years. That review should include clinical governance arrangements and as assessment of whether the PGD remains to most effective way of providing the relevant services.

Clinical governance and audit surrounding PGD use are local responsibilities. There are no standard national arrangements. Local organisations should undertake regular audit of PGD use; for example, prior to reauthorising a PGD.

Note here the process of auditing PGDs within your local Health Board