Extended Care PGDs Tier 1
Important service update March 2024:
This service is discontinued from 31st March 2024 – please ensure that any claim(s) for the NHS Community Pharmacy Extended Care Service Tier 1, 2 and 3 are submitted via PharmOutcomes by 26 June 2024. Any claims after this date unfortunately will not be reimbursed as the service will be removed from PharmOutcomes after this date.
There’s possibility to reestablish the Acute Bacterial Conjunctivitis and Treatment of Infected Eczema PGDs at a later date. Once a solution has been found, further communication will be shared with pharmacies.
Please find details in the Pharmacy letter below:
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The Community Pharmacy Extended Care Service includes a suite of PGDs which will allow pharmacists to treat patients presenting with certain conditions that otherwise would have to be seen by prescribers in General Practice.
The Tier 1 services include:
Urinary Tract Infections (UTI)
Acute Bacterial Conjunctivitis (ABC)
New PGDs were published in 2023 (version 6). Find details here:
Community Pharmacy Extended Care Suite of Services
In order to provide these services, the signed SLA should be returned to the Pharmacy Team in the West Midlands: england.pharmacy-westmidlands@nhs.net
For the most up-to-date list of pharmacy providers, please visit this page.
Extended Care Actions Poster v2
PGD: Nitrofurantoin 2023
Nitrofurantoin Proforma 2023
UTI Flowchart
Dipstick info July 2021 update
Nitrofurantoin: reminder of the risks of pulmonary and hepatic adverse drug reactions
NHSE – Community Pharmacy Extended Care Services
Pharmacies offering the Service
NHS conditions local service revised October 2021 Tier 1 plus 2a