Saturday, 30 June 2018

Patient Group Directions for travel vaccines

I for one was very relieved when NHS England started writing templates for PGDs for a selection of the NHS vaccines we use for travel because prior to this locally we had none and were having to use PSDs even to give hepatitis A and typhoid vaccines.  It was quite a nightmare to manage and had been ongoing for some time.

HOWEVER, it is important to note that these template documents require further authorisation, in Section 2 of the PGD document before they can be used. This is a legal requirments and the full details are provided in the second paragraph on the GOV.UK website here but also within the PGDs themselves and the additional signatory boxes are found usually on page 4 of the documents.  Therefore, you cannot download and use the PGDs on the site given above.  Instead you must use the site for your area and sometimes someone within your CCG may send the PGDs to you.  Always check you have the additional authorisation as well, then read the PGD in full before you sign it.  Once done you can administer the vaccines legally after you've done a thorough travel risk assessment.

NHS England have five regional teams as follows


Searching for PGDs on each site above will lead to some - this is what I've found so far!

The London Regional team have a set of the currently available travel vaccines PGDs in one place, as have the South West regional team.




However the other teams seem to have a variety for certain areas only and I've found it confusing.  I need to do some more work on this so keep coming back to review this blog!

If you have been notified of your PGDs by your CCG, just double check that they have the local signature (or signatures) on page 4 as well.  I understand only one signature can be sufficient whereas some areas supply more than one signature.  Some areas also seem to have less travel PGDs available than others but I'll get back with more detail in due course.

I wonder what is happening regarding travel vaccine PGDs in Northern Ireland, Scotland and Wales.  If you can enlighten me, then please make contact and I can add it to the blog.  See here.

26 comments:

  1. I live in United States, help me thank DR. covenant who helped cured me from HERPES SIMPLEX in just one (1) week. I got to know him from a friend who he helped, at first I doubt if his herbal
    product would work until my friend put her car at stake that if it doesn't work she would give me her car. After which I decided to try, to God be the glory am now a living testimony, all thanks to DR. covenant, if not for him I would
    not have been healed so easily.. You can reach him via covenantsolutiontemple@gmail.com or call/whatsapp at +2349057353987, you can also contact him on cure on......
    1. GONORREA
    2. SYPHILIS
    3. ASTHMA
    4. STROKE
    5. DIABETES MELLITUS
    6. SIMPLEX HERPES
    7. RINGING EAR
    8.LOW SPERM COUNT
    9.SICKLE CELL
    10.HIV/AIDS
    11.CANCER

    ReplyDelete
  2. bandar bola terpercaya, togel aman dan terpercaya, judi bola online, judi online terpercaya, casino online indonesia

    Mau mendapatkan pelayanan yang baik dan ramah???

    Modal Kecil bisa mendapatkan hasil yg luar biasa...

    Untuk yang lagi galau, yang lagi bosan tidak tahu mau ngapain, tenang,,sekarang ada 288betting.com yang akan menghibur kalian sekaligus mengisi hari-hari kalian dengan games" online yang pastinya tidak akan mengecewakan kalian deh...dan tentu nya juga masih banyak lagi bonus tiap bulan nya buruannn,,,,yuk ikutan gabung bersama 288betting.com

    Tersedia berbagai game di dalamnya :
    * Sportsbook
    * Kasino
    * Togel
    * Poker
    * Number Games
    * Slots

    Kunjungi Situs Kami !!
    Dapatkan Bonus Rollingan TO Sebesar 0,5% / Hari
    Bonus Referral Sebesar 20% Seumur Hidup
    dengan minimal deposit hanya Rp. 20.000 dan minimal withdraw Rp. 50.000

    Info lebih lanjut silahkan hubungi CS 24/7 melalui :
    * Livechat
    * Whatsapp : +855888278896
    * Facebook : Stefanie Huang

    Salam Sukses 288betting.com

    SITUS JUDI ONLINE TERPERCAYA DAN TERLENGKAP DENGAN PELAYANAN CS YANG RAMAH

    ReplyDelete
  3. good job..!
    Permainan kartu yang sangat menghibur dan tentunya bisa mendapatkan keuntungan. Dapat dimainkan kapan saja dan dimana saja serta banyak Promo bonus yang menanti anda. Segera DAFTAR ID PRO untuk semua jenis permainan dibawah ini :

    Capsa Susun
    BandarQ
    Poker Online
    Domino Online
    AduQ
    Bandar66
    Sakong
    Bandar Poker
    Sabung Ayam
    Roullet online
    Baccarat Online
    Dadu Koplo
    Slot

    ReplyDelete
  4. Menangkan Jutaan Rupiah dan Dapatkan Jackpot Hingga Puluhan Juta Dengan Bermain di www(.)SmsQQ(.)com

    Kelebihan dari Agen Judi Online SmsQQ :
    -Situs Aman dan Terpercaya.
    - Minimal Deposit Hanya Rp.10.000
    - Proses Setor Dana & Tarik Dana Akan Diproses Dengan Cepat (Jika Tidak Ada Gangguan).
    - Bonus Turnover 0.3%-0.5% (Disetiap Harinya)
    - Bonus Refferal 20% (Seumur Hidup)
    -Pelayanan Ramah dan Sopan.Customer Service Online 24 Jam.
    - 4 Bank Lokal Tersedia : BCA-MANDIRI-BNI-BRI

    8 Permainan Dalam 1 ID :
    Poker - BandarQ - DominoQQ - Capsa Susun - AduQ - Sakong - Bandar Poker - Bandar66

    Info Lebih Lanjut Hubungi Kami di :
    BBM: 2AD05265
    WA: +855968010699
    Skype: smsqqcom@gmail.com

    ReplyDelete
  5. My life is beautiful thanks to you, Mein Helfer. Lord Jesus in my life as a candle light in the darkness. You showed me the meaning of faith with your words. I know that even when I cried all day thinking about how to recover, you were not sleeping, you were dear to me. I contacted the herbal center Dr Itua, who lived in West Africa. A friend of mine here in Hamburg is also from Africa. She told me about African herbs but I was nervous. I am very afraid when it comes to Africa because I heard many terrible things about them because of my Christianity. god for direction, take a bold step and get in touch with him in the email and then move to WhatsApp, he asked me if I can come for treatment or I want a delivery, I told him I wanted to know him I buy ticket in 2 ways to Africa To meet Dr. Itua, I went there and I was speechless from the people I saw there. Patent, sick people. Itua is a god sent to the world, I told my pastor about what I am doing, Pastor Bill Scheer. We have a real battle beautifully with Spirit and Flesh. Adoration that same night. He prayed for me and asked me to lead. I spent 2 weeks and 2 days in Africa at Dr Itua Herbal Home. After the treatment, he asked me to meet his nurse for the HIV test when I did it. It was negative, I asked my friend to take me to another nearby hospital when I arrived, it was negative. I was overwhite with the result, but happy inside of me. We went with Dr. Itua, I thank him but I explain that I do not have enough to show him my appreciation, that he understands my situation, but I promise that he will testify about his good work. Thank God for my dear friend, Emma, I know I could be reading this now, I want to thank you. And many thanks to Dr. Itua Herbal Center. He gave me his calendar that I put on my wall in my house. Dr. Itua can also cure the following diseases ... Cancer, HIV, Herpes, Hepatitis B, Inflammatory Liver, Diabetis, Fribroid,Parkinson's disease,Inflammatory bowel disease ,Fibromyalgia, recover your ex. You can contact him by email or whatsapp, @ .. drituaherbalcenter@gmail.com, phone number .. + 2348149277967 .. He is a good doctor, talk to him kindly. I'm sure he will also listen to you.

    ReplyDelete
  6. Numpang Promo ya Bos
    Welcome
    POKERVITA
    Hanya dengan modal 10ribu sudah bisa mendapatkan puluhan juta rupiah...

    DAFTAR POKER
    POKER TERPERCAYA
    POKER TERBAIK
    POKER TERNYAMAN
    POKER TERBAIK
    TRAILER FILM

    Contact Us Person :
    ? LIVECHAT POKERV1TA
    ? WA: 082312256064
    ? BBM : D88B0154
    ? Wechat: pokervitaofficial
    ? Line: PokerVita

    ReplyDelete
  7. PROMO TEMBAK IKAN TERBESAR !!!
    TEMBAK IKAN BONUS 100%???
    hanya di SENTABET yang bisa begini !!
    buruan daftar dan dapatkan bonus 100% untuk anda !!!
    serta bonus next deposit 30% !!
    gabung bersama TEMBAK IKAN SENTABET !!
    LIVE CHAT : SENTABET.ME
    WHATSAPP : +855968446193
    LINE : SENTABET888
    BBM : E306495A
    DAFTAR TEMBAK IKAN ONLINE
    AGEN POKER IDN
    http://sentabet.club
    http://sentabet.net/daftar/
    http://sentabet.club/promo-sentabet-pusat-taruhan-bola-dan-casino-online/
    judi tembak ikan
    sentabet
    sentabet.me
    sentabet.club
    AGEN TOGEL ONLINE
    AGEN BOLA ONLINE
    AGEN TEMBAK IKAN TERPERCAYA
    tips tembak ikan

    ReplyDelete
  8. Menang Di Acerdomino,com sekarang. jangan habiskan uang kamu di tempat lain,
    dapatkan uang terus hanya bermain di acerdomino.com

    - BONUS NEW MEMBER 10.000
    - BONUS ROLINGAN MINGGUAN 0.5%
    - NEXT DEPOSI 10%
    - BONUS REFERRAL SEUMUR HIDUP 15%

    WHATSAPP : +855966139323
    LINE : ACERPOKER
    BBM : D8DVEC7F
    LIVE CHAT : ACERDOMINO.COM
    ALTERNATIVE LINK : ACERDOMINO.ORG

    Agen poker online
    Poker online terbaik 2018
    Poker online terpercaya
    Bandar judi Poker
    DAFTAR poker online
    login poker v
    poker v
    capsa , qq , poker
    BONUS JUDI ONLINE

    DAFTAR TEMBAK IKAN ONLINE

    https://juraganbonus.blogspot.com/2018/11/acerdomino-agen-poker-v-terbaik-2018.html

    ReplyDelete
  9. i want to thank Dr Eboh for the herbal HIV medicine he gave to me and my daughter, i was suffering from HIV when i gave birth to my daughter and that was how my daughter got the sickness indirect from me, but to God be the glory that i am heal with the herbal medicine that Dr Eboh gave to me when i contacted him. i want to use this medium to tell everyone that the solution to our sickness has come, so i will like you to contact this great healer on his web site https://holycurecenter.wordpress.com with him all your pains will be gone, i am really happy today that i and my daughter are cured of HIV, we are now negative after the use of his medicine,my doctor confirm it. once more i say a big thank to you Dr Eboh for healing hands upon my life and my daughter, i say may God continue to bless you abundantly and give you more power to keep helping those that want your help in their lives. email him now he is waiting to receive you. holycurecenter@gmail.com or add him on whatsapp +2348053823815.

    Dr Eboh CAN AS WELL CURE THE FOLLOWING DISEASE:-

    1. HIV/AIDS
    2. HERPES
    3. CANCER
    4. ALS
    5. Love spell
    6. Lotto Spell

    ReplyDelete
  10. VIPjudiQQ selalu memberikan kepuasan buat
    para membernya lohhh.. tidak ketinggalan, bonus TurnOver 0.5%
    dan refferal hingga 20% (dibagikan setiap hari senin setelah jam
    12 siang) untuk para member setia yang bermain di VIPjudiQQ
    tunggu apa lagi ? daftarkan sekarang
    juga dan nikmati promo-promo menarik dan bonus lainnya..

    Nikmati keseruan 8 permainan dalam 1 ID dan dengan minimal deposit/withdraw 15.000 udah bisa merasakan sensasi di 8 permainan bosku^^.

    VIPjudiQQ Menerima semua pendaftaran bank di Indonesia yah bosku

    fairplay 100% player vs player tanpa bot's ! untuk menyenangkan
    bagi para member VIPjudiQQ tidak perlu khawatir dikarenakan tidak
    perlu repot harus bermain pada tempat tertentu, VIPjudiQQ
    bisa bermain melalui gadget/smartphone dimana saja dan kapan saja.
    jika bosku mengalami kendala segera hubungi Custumer Servis (CS)
    kami siap membantu melayani bosku 24 jam :

    Website VIPjudiQQ : https://goo.gl/4qc5Bv
    Whatsapp VIPjudiQQ : +855 964274463
    PIN BBM VIPjudiQQ : E3EE16D8

    ReplyDelete
  11. POKERSAKTI MENYEDIAKAN BONUS-BONUS YANG BEGITU MENARIK !!!

    1 Bonus 5.000 setiap hari
    2 Bonus 10% Untuk New Member
    3 Bonus Cashback 0.3% - 0.5%
    4 Bonus Referral 10% - 15%
    5 Bonus Lucky Spin
    6 Bonus Mystery Box

    Untuk Info Lebih Lanjut
    Silahkan Hubungi Kami Di :
    BBM : saktisby
    Line : pokersakti
    Whatsapp : +85587623268

    ReplyDelete
  12. Daftarkan diri anda dan bergabung bersama kami sekarang juga di VipjudiQQ
    cukup dengan 1 ID bisa merasakan 7 permainan sekaligus lohhhh...
    rasakan sensasi fairplay 100% player vs player no BOT's no ADMIN !

    ReplyDelete
  13. Bingung cari Situs Judi Online Terpercaya?
    ini solusi buat kamu!!

    Dapatkan kesempatan menang dan hadiah sampai puluhan juta rupiah!!
    BERAPAPUN KEMENANGAN ANDA
    AKAN KAMI BAYAR!!
    Segera Daftarkan Diri Anda di 3MPOKER !!!
    http://3mpoker(.)online

    Dengan Minimal Deposit dan Withdraw hanya IDR 15.000 Anda sudah bisa memainkan 7 jenis permainan seperti :
    - Texas Holdem Poker
    - DOMINO
    - CEME
    - CEME KELILING
    - CAPSA
    - SUPER TEN
    - OMAHA

    BONUS 3MPOKER :
    - Bonus New Member 10%
    - Bonus 5.000 setiap hari dengan minimal deposit 50.000 ( seumur hidup )
    - CASHBACK hingga 0,3%-0,5% Di bagikan Setiap Hari Senin
    - Referral 10%-20% Seumur Hidup
    - Lucky Spin/mystery box Setiap Minggunya !!


    JADI TUNGGU APALAGI!!! BERGABUNG SEGERA DI 3MPOKER

    SEMUA BERKESEMPATAN MENDAPATKAN HADIAH !!!


    Link alternatif
    209.97.168.74
    www. 3mpoker .ONLINE
    www. 3MPOKERS .COM


    Info lebih lanjut kunjungi :
    - Live Chat 24 Jam
    - WA : +85592140862
    - BBM : D8A18181
    - Line : cs_3mpoker
    - Facebook : 3MPoker Agen Poker Terpercaya

    Daftarkan Sekarang Juga !!

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    ReplyDelete
  14. Bingung cari Situs Judi Online Terpercaya?
    ini solusi buat kamu!!

    Dapatkan kesempatan menang dan hadiah sampai puluhan juta rupiah!!
    BERAPAPUN KEMENANGAN ANDA
    AKAN KAMI BAYAR!!
    Segera Daftarkan Diri Anda di 3MPOKER !!!
    http://3mpoker(.)online

    Dengan Minimal Deposit dan Withdraw hanya IDR 15.000 Anda sudah bisa memainkan 7 jenis permainan seperti :
    - Texas Holdem Poker
    - DOMINO
    - CEME
    - CEME KELILING
    - CAPSA
    - SUPER TEN
    - OMAHA

    BONUS 3MPOKER :
    - Bonus New Member 10%
    - Bonus 5.000 setiap hari dengan minimal deposit 50.000 ( seumur hidup )
    - CASHBACK hingga 0,3%-0,5% Di bagikan Setiap Hari Senin
    - Referral 10%-20% Seumur Hidup
    - Lucky Spin/mystery box Setiap Minggunya !!


    JADI TUNGGU APALAGI!!! BERGABUNG SEGERA DI 3MPOKER

    SEMUA BERKESEMPATAN MENDAPATKAN HADIAH !!!


    Link alternatif
    209.97.168.74
    www. 3mpoker .ONLINE
    www. 3MPOKERS .COM


    Info lebih lanjut kunjungi :
    - Live Chat 24 Jam
    - WA : +85592140862
    - BBM : D8A18181
    - Line : cs_3mpoker
    - Facebook : 3MPoker Agen Poker Terpercaya

    Daftarkan Sekarang Juga !!

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    Klik Disini

    ReplyDelete
  15. I have been casting spells for many years and I have helped many people, I might be able to help you too. I am honest, and I genuinely care for all the clients who choose me to cast a spell for them.


    If you have any questions about Love, Money, curse, protection, bad luck, divorce, court cases, or about me please call or email me. I really want you to feel comfortable before moving forward with any spells, or other services. I will take the time to explain things to you and provide you with honest advice, to what is best for your situation. I will not pressure you into having a spell cast, I will leave that decision up to you, and when or if you decide to move forward, I might be able to help you.
    I will respect your Privacy. I will not seek to obtain any of your personal information beyond what you might voluntarily offer and all information you might give me including emails, phone numbers and photos will remain private and confidential.
    I perform my Rituals only at night between the hours of 0.00 - 0.59 (South African time) lasting 1 hour but of course, this depends on the nature of the ritual, some rituals might take hours and can also become necessary to be performed at specials places like; flowing streams, cemeteries and other places dictated by the gods.
    I do not want anyone to be under any illusions about my spells and its numerous rituals. Real and effective Voodoo is no child's play, it is expensive because, after the rituals, I will have to destroy all the materials involved by fire and the ashes scattered over a flowing stream or river.
    You will get what you seek.But please understand this might take a lot of time and that individual results may vary. contact +27663492930, greatogudugu@gmail.com

    Herbal cure for Following DISEASES,this is not scam is 100% Real.

    -HPV
    -DIABETES
    -PENIS ENLARGEMENT AND WEAK ERECTION
    -VIRGINA PROBLEM
    -WHOOPING COUGH
    - HEPATITIS B
    -FORDYCE SPOT
    -COLD SORE
    -ALS
    -LOWER RESPIRATORY INFECTION
    -LOW SPERM COUNT
    -MRSA(METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS
    -ZIKA VIRUS
    -HIV
    -STROKE
    -IMPOTENCE
    -PILE
    -HYPERTENSION
    -LOW SPERM COUNT
    -MENOPAUSE DISEASE
    -ASTHMA
    -CANCER
    -BARENESS/INFERTILITY
    -PCOS
    -SHINGLES
    -VIRAL HEPATITIS/HEPATITIS B
    -FIBROID
    -ASTHMA
    -SICKLE CELL
    -TINNITUS
    -BARENESS/INFERTILITY
    -DIARRHEA and so on...

    ReplyDelete
  16. I have been casting spells for many years and I have helped many people, I might be able to help you too. I am honest, and I genuinely care for all the clients who choose me to cast a spell for them.


    If you have any questions about Love, Money, curse, protection, bad luck, divorce, court cases, or about me please call or email me. I really want you to feel comfortable before moving forward with any spells, or other services. I will take the time to explain things to you and provide you with honest advice, to what is best for your situation. I will not pressure you into having a spell cast, I will leave that decision up to you, and when or if you decide to move forward, I might be able to help you.
    I will respect your Privacy. I will not seek to obtain any of your personal information beyond what you might voluntarily offer and all information you might give me including emails, phone numbers and photos will remain private and confidential.
    I perform my Rituals only at night between the hours of 0.00 - 0.59 (South African time) lasting 1 hour but of course, this depends on the nature of the ritual, some rituals might take hours and can also become necessary to be performed at specials places like; flowing streams, cemeteries and other places dictated by the gods.
    I do not want anyone to be under any illusions about my spells and its numerous rituals. Real and effective Voodoo is no child's play, it is expensive because, after the rituals, I will have to destroy all the materials involved by fire and the ashes scattered over a flowing stream or river.
    You will get what you seek.But please understand this might take a lot of time and that individual results may vary. contact +27663492930, greatogudugu@gmail.com

    Herbal cure for Following DISEASES,this is not scam is 100% Real.

    -HPV
    -DIABETES
    -PENIS ENLARGEMENT AND WEAK ERECTION
    -VIRGINA PROBLEM
    -WHOOPING COUGH
    - HEPATITIS B
    -FORDYCE SPOT
    -COLD SORE
    -ALS
    -LOWER RESPIRATORY INFECTION
    -LOW SPERM COUNT
    -MRSA(METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS
    -ZIKA VIRUS
    -HIV
    -STROKE
    -IMPOTENCE
    -PILE
    -HYPERTENSION
    -LOW SPERM COUNT
    -MENOPAUSE DISEASE
    -ASTHMA
    -CANCER
    -BARENESS/INFERTILITY
    -PCOS
    -SHINGLES
    -VIRAL HEPATITIS/HEPATITIS B
    -FIBROID
    -ASTHMA
    -SICKLE CELL
    -TINNITUS
    -BARENESS/INFERTILITY
    -DIARRHEA and so on...

    ReplyDelete
  17. This comment has been removed by the author.

    ReplyDelete
  18. POKERSAKTI MENYEDIAKAN BONUS-BONUS YANG BEGITU MENARIK !!!

    1 Bonus 5.000 setiap hari
    2 Bonus 10% Untuk New Member
    3 Bonus Cashback 0.3% - 0.5%
    4 Bonus Referral 10% - 15%
    5 Bonus Lucky Spin
    6 Bonus Mystery Box

    Untuk Info Lebih Lanjut
    Silahkan Hubungi Kami Di :
    BBM : saktisby
    Line : pokersakti
    Whatsapp : +85587623268

    ReplyDelete
  19. PASARPOKER88 merupakan salah satu situs judi poker online aman dan terpercaya,karena menggunakan server IDNPLAY yang sudah terbukti 100% player vs player,no robot ataupun admin.

    PASARPOKER88 memberikan bonus - bonus menarik diantaranya
    Bonus deposit 10%
    Bonus deposit Harian 5000
    Bonus Turnover 0,3%
    Turn over Tambahan 4jt

    Mari tunjukan kemampuan anda dalam bermain poker dan jadilah DEWA POKER hanya di PASARPOKER88.
    Game terlengkap dalam 1 web,hanya dengan 1 id anda bisa memainkan semua permainan diantaranya : Poker, Bandar Ceme, Capsa Susun, Domino 99, Ceme Keliling, Live Poker

    Bergabung sekarang juga dan dapatkan JACKPOT puluhan juta setiap hari.
    Langsung saja kunjungi Situsnya dan Daftar Segera di WWW.PASARPOKER88.BIZ

    ReplyDelete
  20. mejaqq agen judi poker dominoqq bandarq online terbesar di asia
    Yuk Mainkan Permainanya kemenangan di website MejaQQ
    Bonus yang Kami Berikan di MEJAQQ :
    * Bonus Rollingan 0.5% Setiap Senin
    * Bonus Referral 10% + 10% Seumur Hidup (X-tra Untuk Para Pencari Bonus Referral di Indonesia)
    * Dan Masih Banyak Bonus Menarik Lainnya yang Bisa Anda Dapatkan di MEJAQQ!

    Buruan Kunjungi Sekarang Juga ^^
    Info Lebih lanjut Kunjungi :
    BBM : DE0DFAC0
    WA : +85515769885
    Kunjungi Juga situs kami di :

    agen BandarQ Online
    BandarQ Online

    ReplyDelete