SPS and the British Association of Sexual Health and HIV (BASHH)/British Association of HIV (BHIVA), with the support of specialist stakeholders working within clinical practice, have produced PGD templates for medicines commonly used within sexual health services.

The aim of these templates is to produce a consistent presentation which has been reviewed by specialists within sexual health. They have ensured that the legislative and clinical parameters have been fully considered.

The PGD templates may require local adaptation to reflect local policies, commissioning arrangements etc – the areas of each PGD template requiring local adaptation are highlighted in blue throughout each PGD template.

The PGD templates contain advisory text (highlighted in yellow) intended to support the adoption of the PGD – all text in yellow highlight should be removed from final versions of the PGDs.

Each organisation using these PGD templates must ensure that it is clinically signed by a senior pharmacist, a senior doctor and any other professional group representatives involved in its use and that it is reviewed in line with the organisation’s PGD governance system. The organisation’s governance lead (or nominated deputy) must sign to authorise the PGD on behalf of the authorising organisation to ensure that this document meets legal requirements for a PGD. See SPS website or NICE guidance for further guidance on signatories.

It is intended that these templates will be reviewed and re-released prior to reaching their expiry date. If any relevant changes occur to the product SPC or other guidance then an earlier review will be undertaken. Any decision to locally extend a stated expiry date needs to be locally assessed and agreed as per the organisation’s local policy

The following PGD templates are available:

• Supply of doxycycline for the treatment of uncomplicated Chlamydia trachomatis, epididymo-orchitis uncomplicated Mycoplasma genitalium and non-gonococcal/non-specific urethritis
• Supply of azithromycin for the treatment of uncomplicated Chlamydia trachomatis, uncomplicated Mycoplasma genitalium and non-gonococcal/non-specific urethritis
• Supply of emtricitabine 200mg/tenofovir disoproxil 245mg as Pre-Exposure Prophylaxis (PrEP) for the prevention of HIV infection
• Administration of ceftriaxone injection (reconstituted with lidocaine 1% w/v injection) by intramuscular (IM) injection for the treatment of uncomplicated Neisseria gonorrhoeae infection
• Supply of oral metronidazole for the treatment of Bacterial Vaginosis (BV) or Trichomonas vaginalis (TV)

Further template PGDs are in development and will be released on this page when available.  The work plan can be found on the Medicines Do Once Programme page which can be found here.

SPS have also developed PGD templates for use in reproductive health services which can be found at the link below.