Supply and/or administration of Controlled Drugs under a Patient Group Direction

Jo Jenkins, Specialist Pharmacist (Patient Group Directions) SPS Medicines Use and Safety Division Source NHS PGD WebsitePublished Last updated See all updates

This Q&A summarises the legal position on the supply and/or administration of controlled drugs under PGDs.

The use of controlled drugs is regulated under the Misuse of Drugs Act 1971 and the Misuse of Drugs Regulations 2001.

Not all professions listed in the PGD legislation can administer controlled drugs under a PGD.  The following regulated professions groups cannot administer or supply any controlled drugs in any of the five schedules under a PGD:

  • Dietitians
  • Speech & language therapists
  • Dental therapists
  • Dental hygienists

For the professions listed in the PGD legislation, other than those listed above, the following controlled drugs can be included in a PGD:

  • Schedule 2: Morphine and diamorphine – only by registered nurses and pharmacists for the immediate necessary treatment of a sick or injured person. Not for treating addiction.
  • Schedule 2: Ketamine
  • Schedule 3: Midazolam
  • Schedule 4: All drugs except anabolic steroids and injectable medications used for treating addiction.
  • Schedule 5: All drugs

Specifically note that since their reclassification as Schedule 3 controlled drugs (CD No Register POM) tramadol, gabapentin and pregabalin may not be supplied and administered under a PGD.

See link below to the Care Quality Commission for information on law, guidance and useful links on the safer management of controlled drugs.

Change history

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