This template supports accurate documentation and coding for a wide range of injections.
The template captures structured information needed for:
Consent and suitability
Route and type of injection
Whether treatment is under PGD (Patient Group Direction) or PSD (Patient-Specific Direction)
Local Enhanced Service compliance (where applicable)
It also helps practices identify where ongoing care is shared (e.g. with CMHTs for depot injections).
The form includes several structured sections:
Confirm patient consent
Tick if PGD or PSD is in place
Declaration confirming patient fit for procedure and side effects explained
Record:
Subcutaneous or intramuscular hormone antagonists
Gonadorelin analogue implant insertion
Linked guidance: LES billing codes and PCIT support articles
Record:
Who manages care (GP or CMHT)
Whether itβs a home visit
If the depot is for a patient from another practice
Tick to confirm if a neuroleptic depot injection was given today
LES guidance and recall advice included
Tick to document:
Injection of medroxyprogesterone, methotrexate, or denosumab
Generic intramuscular or subcutaneous injections
Any additional medications where applicable
Options to record if:
B12 started
B12 stopped
Patient received B12 injection today
Check FP34D eligibility for personally administered drugs β this can trigger payment
For shared care drugs, always record whoβs responsible for prescribing and review
If the injection is declined or postponed, document separately using the relevant template or SNOMED code
Use this with HCA/clinician task lists to improve workflow safety