London Sexual Health Pgd Working Group Membership

LONDON SEXUAL HEALTH PGD GROUP PGD LIST MARCH 2017 – PGDS UPDATED SINCE APRIL 2016 IN BLUE

PGD VERSION EXPIRY REVIEW DATE SERVICE Aciclovir for treatment of genital herpes simplex infection 1.2 28/02/2018 31/08/2017 Nurse in SH&RHS Azithromycin for treatment of uncomplicated genital 2 04/12/2018 04/06/2018 Nurse in SH&RHS Chlamydia Trachomatis Azithromycin for treatment of uncomplicated genital 2 26/11/2018 31/05/2018 Community Chlamydia Trachomatis Pharmacist Ceftriaxone with Lidocaine 1.4 28/02/2018 31/08/2017 Nurse in SH&RHS Clotrimazole cream for symptomatic treatment of vulvo- 2 11/03/2019 11/09/2018 Nurse in SH&RHS vaginal candidiasis in women Clotrimazole pessaries for treatment of vulvo-vaginal 2 11/03/2019 11/09/2018 Nurse in SH&RHS candidiasis in women Combined Oral Contraceptives (COC) 2 15/07/2019 15/01/2019 Nurse in SH&RHS Combined Oral Contraceptives (COC) by authorised 2 15/07/2019 15/01/2019 Community Community Pharmacists Pharmacist Combined Transdermal Contraceptive Patch (CTP) (Evra ®) 2 13/10/2019 13/04/2019 Nurse in SH&RHS

Combined Vaginal Ring (Nuvaring® ) 2 13/10/2019 13/04/2019 Nurse in SH&RHS Doxycycline for treatment of uncomplicated genital 2.1 04/12/2018 04/06/2018 Nurse in SH&RHS Chlamydia Trachomatis Doxycycline for treatment of uncomplicated genital 2 26/11/2018 31/05/2018 Community Chlamydia Trachomatis Pharmacist Erythromycin for treatment of uncomplicated genital 2 04/12/2018 04/06/2018 Nurse in SH&RHS Chlamydia Trachomatis (pregnant women only) Etonorgestrel (Nexplanon®) Subdermal Implant 1.3 03/02/2020 03/08/2019 Nurse in SH&RHS Fluconazole for treatment of vulvo-vaginal candidiasis in 2 11/03/2019 11/09/2018 Nurse in SH&RHS women Imiquimod for treatment of ano-genital warts 2 11/3/2019 11/09/2018 Nurse in SH&RHS

IMPORTANT NOTE: Organisations may need to review PGD templates earlier than dates given where there are changes or updates to national guidelines. Users who download any PGD examples or templates from the SPS website are responsible for ensuring that the clinical and legal content of a PGD is correct and appropriately authorised for use at local level. LONDON SEXUAL HEALTH PGD GROUP PGD LIST MARCH 2017 – PGDS UPDATED SINCE APRIL 2016 IN BLUE

PGD VERSION EXPIRY REVIEW DATE SERVICE

Intra-Uterine System (IUS) Progestogen-Only (Jaydess) 1.1 15/11/2019 30/04/2019 Nurse in SH&RHS Intra-Uterine System (IUS) Progestogen-Only (Levosert) 1.1 15/11/2019 30/04/2019 Nurse in SH&RHS Intra-Uterine System (IUS) Progestogen-Only (Mirena) 1.1 15/11/2019 30/04/2019 Nurse in SH&RHS Lidocaine Hydrochloride Injection BP 1% w/v Injection To 1.3 03/02/2020 03/08/2019 Nurse in SH&RHS Facilitate Subdermal Implant Insertion and/or Removal Medroxyprogesterone acetate (MPA)_104mg in 0.65mL 1.3 10/01/2020 31/07/2019 Nurse in SH&RHS subcutaneous injection (SayanaPress) SUPPLY AND ADMINISTRATION Medroxyprogesterone acetate (MPA)_104mg in 0.65mL 1.3 10/01/2020 31/07/2019 Nurse in SH&RHS subcutaneous injection (SayanaPress) SUPPLY FOR SELF ADMINISTRATION Medroxyprogesterone Acetate Injection 150mg/mL (DPMA) 1.3 10/01/2020 31/07/2019 Nurse in SH&RHS Intramuscular injection Metronidazole for treatment of Bacterial vaginosis and 1.2.1 27/05/2018 30/11/2017 Nurse in SH&RHS trichomonas vaginalis Podophyllotoxin for treatment of ano-genital warts 2 11/3/2019 11/09/2018 Nurse in SH&RHS Progestogen Only Contraceptive Pills (POP) 2 15/07/2019 15/01/2019 Nurse in SH&RHS

Progestogen Only Contraceptive Pills (POP) by authorised 2 15/07/2019 15/01/2019 Community Community Pharmacists Pharmacist **Progestogen Only Emergency Contraception (POEC) 1.2 31/03/2018 30/09/2017 Nurse in SH&RHS **Progestogen Only Emergency Contraception (POEC) 1.2 31/1/2018 30/6/2017 Community Pharmacist **Ulipristal 1.2 31/10/2018 30/4/2018 Nurse in SH&RHS **Ulipristal by authorised Community Pharmacists 1.2 31/1/2018 30/6/2017 Community Pharmacist

** Updated FSRH Emergency Contraception Guidelines published March 2017. 4 (POEC and Ulipristal) templates for nurses and community pharmacists will be reviewed and updated for publication by end May 2017

IMPORTANT NOTE: Organisations may need to review PGD templates earlier than dates given where there are changes or updates to national guidelines. Users who download any PGD examples or templates from the SPS website are responsible for ensuring that the clinical and legal content of a PGD is correct and appropriately authorised for use at local level. LONDON SEXUAL HEALTH PGD GROUP PGD LIST MARCH 2017 – PGDS UPDATED SINCE APRIL 2016 IN BLUE

LONDON SEXUAL HEALTH PGD WORKING GROUP – MEMBERSHIP

NAME JOB TITLE ORGANISATION LONDON SH PGD ROLE Independent Nurse Kathy French Consultant N/A Chair LSH PGD WG Principal Pharmacist Medicines Information Angela Bussey Projects Guy's and St Thomas NHS Foundation Trust Advisor LSH PGD WG Senior Nurse Integrated Contraception/Sexual Health Sandra Bennett Barts Health NHS Trust Nurse specialist (contraception) Community Services Josie Mansell Pharmacist Guy's and St Thomas’ NHS Foundation Trust Clinical pharmacist specialist (STIs) Lead Nurse: Sexual and Nurse specialist (STI/Contraception Rosie Jackson Reproductive Health Lewisham Healthcare NHS Trust PGDs) Chelsea & Westminster Hospital NHS Foundation Nneka Nkwolo GUM Consultant Trust Medical specialist (STIs) Independent Community Community pharmacist specialist Shabbir Panju Pharmacy Contractor Dubison Pharmacy. Chair Brent and Harrow LPC (STI/Contraception PGDs) Lead Associate Specialist, Contraceptive and Reproductive Health Barnet, Central London Community Health NHS Sarah Pillai Service Trust Medical specialist (contraception) Head of Pharmacy and Hounslow and Richmond Community Healthcare Clinical pharmacist specialist Sandra Wolper Prescribing NHS Trust (contraception)

IMPORTANT NOTE: Organisations may need to review PGD templates earlier than dates given where there are changes or updates to national guidelines. Users who download any PGD examples or templates from the SPS website are responsible for ensuring that the clinical and legal content of a PGD is correct and appropriately authorised for use at local level.