Using PGDs to manage long term conditions

Source NHS PGD WebsitePublished Last updated See all updates

It is not recommended that Patient Group Directions (PGDs) are used to initiate or continue treatment for long term conditions.

Managing long term conditions

Long term conditions should be managed by healthcare professionals prescribing for individual patients on a one-to-one basis.


NICE PGD guidance states: Do not use PGDs for managing long-term conditions, such as hypertension or diabetes, or when uncertainty remains about the differential diagnosis. 

There may be occasions, however, when a healthcare professional treats someone under a PGD for symptoms arising from a long term condition e.g. administration of salbutamol in acute asthma in an Urgent Care Centre. This highlights the importance of including clear instructions within PGDs on referral of individuals to an appropriate practitioner/prescriber responsible for their long term care and any other follow-up action required.


Update history

  1. Page reviewed. Initiate or continuation of treatment reinforced. Links embedded in text. Content otherwise accurate.
  1. Published