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Patient Group Directions (PGDs)

A Patient Group Direction (PGD) is defined as 'Written instructions for the sale, supply and/or administration of specified medicines by named, authorised, registered health professionals to a pre‑defined group of patients needing prophylaxis or treatment for a condition described in the PGD, without the need for a prescription or an instruction from a prescriber'. his definition should not be interpreted as indicating that the patient should not be identified. Patients may or may not be known to the service.

PGDs provide a legal framework that allows the supply and/or administration of a specified medicine(s) without a prescription. The supply and administration of medicines under PGDs should be reserved for those limited situations where this offers an advantage for patient care (without compromising patient safety), and where it is consistent with appropriate professional relationships and accountability. Using a PGD is not a form of prescribing. The supply and/or administration of medicines under a PGD cannot be delegated.

In general, a PGD is not meant to be a long-term means of managing a patient's clinical condition. This is best achieved by a health care professional prescribing for an individual patient on a one-to-one basis. Organisations should have policies and processes in place to consider all aspects of medicines management for patients within the service or pathway. Before a service is designed or commissioned using PGDs and before a PGD is developed, you must ensure that PGDs are appropriate, legal and that relevant governance arrangements are in place.

Please click on the applicable section to the left to find the relevant PGD. 

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