Using a PGD
PGDs must only be used where there is no other suitable mechanism for the administration or supply of the medicine within the legislation. Careful consideration should be given to opportunities within the care pathway to use a prescription or a Patient Specific Direction and also consider the use of exemptions.
Patient Group Directions NICE Guideline MPG2 (2017) states that you should consider investing in the training of additional non-medical prescribers to enable the redesign of services if necessary.
Scenarios when a PGD can be used
Examples include:
- vaccinations
- minor injury units and other, non-prescriber led, first contact services
- services where assessment and treatment follows a clearly predictable pattern (NHS immunisation clinics and contraception and sexual health services, for example)
Special considerations
Follow the links for specific guidance on including the following medicines in a PGD:
- Antibiotics: NICE Guideline MPG2 (2017), recommendation 1.1.10
- Black triangle medicines: NICE Guideline MPG2 (2017), recommendation 1.1.8
- Off label use of licenced medicines: NICE Guideline MPG2 (2017), recommendation 1.1.7
- End of life care – for further information see Patient Group Direction use in End of Life Care
Controlled drugs
Not all controlled drugs can be supplied or administered under a PGD. Further information can be found in Supply and/or administration of Controlled Drugs under a PGD.