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From the Trainer
Assistant Director (GP), South East Scotland, UK
E-mail: judith.richardson@nes.scot.nhs.uk
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At our fortnightly clinical meeting between the GPs and practice nurses, we were discussing the recent crop of interesting patients and difficult management problems when the lead asthma practice nurse raised a significant event about acute asthma care in the practice. The practice nurse raised the issue of having been faced with a patient having an acute asthma attack, the duty doctor not being able to attend immediately and the lack of a Patient Group Direction (PGD) to allow the practice nurses to administer