If a patient falls slightly outside the criteria for inclusion in the PGD, can professional judgment be used to supply and/or administer a medicine?

· NHS PGD Website


When supplying and/or administering a medicine under a PGD, the patient must exactly meet the inclusion criteria and none of the exclusion criteria stated in the PGD.  This is in line with NICE MPG2 (2017) recommendation 1.5.3.

If not, the patient must be referred, in line with the instructions in the PGD to an appropriate prescriber or service.

Medicines SafetyPatient Group Directions