Patient Group Directions

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Patient Group Directions

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Repeat supply or administration of medicines under PGD

8 April 2026Patient Group Directions are not an appropriate mechanism for regular repeated supplies or administration of a medicine; repeat medicines should be prescribed.

PGD use in Hospital at Home services, including Virtual Wards

8 April 2026Considerations required before implementing Patient Group Direction (PGDs) in Hospital at Home, including virtual ward, services

Delegating PGD authorisation by a Local Authority

8 April 2026It is not permitted for a Local Authority to delegate the authorisation of Patient Group Directions using a Section 75 partnership agreement.

Off label medicine use under a Patient Group Direction

8 April 2026This article explains the legislation and guidance on the use of PGDs when a licensed medicine is to be used outside its licence ('off-label').

Seasonal influenza vaccination and occupational health services

1 April 2026Advice on medicines mechanisms for the administration of influenza vaccinations to healthcare staff.

Influenza vaccine written instruction template for adoption

14 April 2026An influenza written instruction template is published annually for adoption by organisations providing flu vaccination to employees

Retaining legal mechanism documentation

1 April 2026Advice on the retention of all records relating to legal mechanisms, such as PSDs, PGDs, VGDs and Written Instructions

Using written instructions in occupational health services

1 April 2026Written instructions can be used as part of an occupational health service to supply/administer medicines to staff within the organisation.

Pharmacy technicians working under Patient Group Directions

1 April 2026Useful resources and further information for pharmacy technicians working under PGDs

When not to use a PGD

1 April 2026Understanding when PGDs are an unsuitable mechanism for the supply and/or administration of medicines ensures an alternative legal framework is used.