Who can supply or administer Controlled Drugs under the terms of a Patient Group Direction and under what circumstances?

· NHS PGD Website

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

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. Note the reclassification of gabapentin and pregabalin comes into law on the 1st April 2019. 

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


DiamorphineKetamineMedicines SafetyMidazolamMorphinePatient Group DirectionsQ&ARegulatory AdviceSystem SafetyTramadol