Of course this all has to occur before a traveller is given the vaccine or it would otherwise be illegal practice. The practicalities of having the patient with you in a consultation and following the travel risk assessment deciding which vaccines are required, means you then have to get the needed vaccines written on prescription or a PSD which could involve waiting some time for a prescriber to become available, resulting in running 'overtime' adding pressure to the clinic.
Other areas of England have PGDs for the NHS travel vaccines, for example NHS England South have them for cholera, typhoid, hepatitis A and Revaxis. NHS England London have a set of PGDs for travel vaccines which expired earlier this year but have an Authorisation of the continued use of some named NHS England (London Region) Patient Group Directions (PGDs) which include some travel PGDs until the new ones are prepared see here
I see the link to the NHS PGD website has changed and searching on here there is a lot of information about PGDs including an e learning programme which was updated on 26th July 2016 see here The BMA document for PGDs was also updated in January 2016 see here
So more work to do it understand it all! If reading this, please just make sure you know the travel vaccines you administer are actually prescribed or authorised for administration (through a PGD or PSD) BEFORE you give them. See the MHRA website for details as well and the FAQ page on my website for more information.
A GREAT SPELL CASTER (DR. EMU) THAT HELP ME BRING BACK MY EX GIRLFRIEND.
ReplyDeleteAm so happy to testify about a great spell caster that helped me when all hope was lost for me to unite with my ex-girlfriend that I love so much. I had a girlfriend that love me so much but something terrible happen to our relationship one afternoon when her friend that was always trying to get to me was trying to force me to make love to her just because she was been jealous of her friend that i was dating and on the scene my girlfriend just walk in and she thought we had something special doing together, i tried to explain things to her that her friend always do this whenever she is not with me and i always refuse her but i never told her because i did not want the both of them to be enemies to each other but she never believed me. She broke up with me and I tried times without numbers to make her believe me but she never believed me until one day i heard about the DR. EMU and I emailed him and he replied to me so kindly and helped me get back my lovely relationship that was already gone for two months.
Email him at: Emutemple@gmail.com
Call or Whats-app him: +2347012841542