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Patient Group Directions

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Inclusion of dose ranges in a single Patient Group Direction

9 September 2020The below summarises the considerations required if a single PGD is to include a range of doses.

NHS prescription charges for PGDs or HMR 2012 exemptions

16 November 2021This article summarises the position regarding the levying of prescription charges for medicines supplied under a PGD or an exemption to the HMR 2012.

Medicines Shortages and Patient Group Directions

16 December 2019This article outlines how PGDs can be managed to allow for their continued use in cases of medicines shortages.

Managing PGDs following organisational change

30 April 2025Advice on the management of PGDs when organisations merge, cease to exist or services are transferred to a new provider to ensure safe care and good governance

Delegating PGD authorisation by a Local Authority

7 March 2022It is not permitted for a Local Authority to delegate the authorisation of Patient Group Directions using a Section 75 partnership agreement.

Authorising Independent Healthcare Provider (IHP) PGDs

21 September 2020Considerations are needed when NHS or local authorities commission services using PGDs from independent healthcare providers.

PGD use in services provided by multiple organisations

14 July 2020Principles to be considered are outlined for Patient Group Directions used in the provision of medicines/vaccines in services provided by multiple organisations

Legal provision of GSL and P medicines by registered midwives

20 April 2023Advice to support registered midwives in the legal administration and/or supply of P and GSL medicine, using omeprazole tablets as an example.

Medroxyprogesterone acetate (SC-DMPA) injection for contraception

5 October 2021SPS PGD template for the supply and/or administration of subcutaneous medroxyprogesterone acetate (SC-DMPA) injection for contraception.

How to develop a Patient Group Direction

9 June 2022A guide to help organisations and individuals navigate all stages of the PGD development process.