Must reads

Key advice for those getting to grips with PGDs, or who have questions that need answering

When to use a PGD

15 December 2020This page provides a clear process to help colleagues consider when a PGD is required using the 'To PGD or not to PGD' decision support tool.

An introduction to PGDs: definitions and examples of use

13 December 2020This page explains what a Patient Group Direction (PGD) is and describes how they are used in clinical practice.

MHRA advice on Patient Group Directions

9 September 2020Link to MHRA information about PGDs including which registered healthcare professionals can operate under PGDs.
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Advice by profession and level of competency

Using PGDs legally depends upon the profession and the level of competency. We guide on appropriate application.

Doctors, dentists, and use of PGDs

15 December 2020Doctors and dentists cannot supply or administer medications under a PGD or Written Instruction.  This page gives further detail on why this is the case.

Nursing Associates, Physician Associates and the use of Patient Group Directions

8 September 2020The below summaries the legal position on the use of PGDs by Nursing Associates and Physician Associates

Use of Patient Group Directions by registered healthcare professionals undertaking training or competency assessment

8 September 2020This Q&A outlines the advice on the use of PGDs by registered healthcare professionals who are undertaking training and/or competency assessment.
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Supplying and administering

Certain medicines can be legally administered or supplied using a PGD; whilst other cannot. Our advice guides on legal PGD use from a medicines perspective.

Off-label medicine use under a Patient Group Direction

10 June 2021The below summary explains the legislation and guidance on the use of PGDs when a medicine is to be used outside its licence ('off-label')

Inclusion of medicines with Risk Minimisation Measures (RMM) in Patient Group Directions

16 March 2021This Q&A has been developed with the MHRA and it reflects MHRA guidance on the use of PGDs for medications which have risk minimisation measures (RMM).

Unlicensed medicines and use of PGDs

15 December 2020This page clarifies why a PGD is illegal for unlicensed medicines - note exceptions under Regulation 174 below
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Planning

Legal and governance requirements exist when developing new or reviewing existing PGDs. Our resources will help you plan appropriately.

Patient Group Directions for repeat supply/administration of medicines

26 April 2021The below article details the position regarding use of a PGD to make repeat supplies/repeated administrations of a medicine.

Delegation of supply or administration of medicines using a Patient Group Direction

15 December 2020This page details the why delegation of supply or administration under a PGD is not possible.

Using a single PGD to supply or administer medicines at more than one location

15 December 2020Summary A single PGD can be used to supply or administer medicines to patients in their own homes or in more than one location. PGDs…
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Implementing

Support and advice to navigate the requirements for implementing, maintaining, and reviewing PGDs. Includes advice for working across an organisation or with multiple organisations.

Retaining PGD documentation

10 June 2021PGD records need to be retained in line with other health records - the advice below details the specific requirements.

Patient Group Directions in Complex Commissioning Scenarios

10 June 2021This guide supports planning, decision making and advises on governance processes when PGDs are used within commissioned services .

Extension of expiry date of a Patient Group Direction (PGD)

26 April 2021This Q&A advises on the extension to the expiry date of a PGD where a full review and re-authorisation has not taken place.
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Occupational Health Services

We guide through the specific legal mechanism applicable to medicines and vaccines PGDs for Occupational Health Services (OHS).

Written Instruction for the administration of seasonal ‘flu vaccination (2021/22 version)

24 November 2020It is anticipated that written instruction templates for Occupational Health vaccination of health and social care staff (2021/22 season) will be available in due course…

PGDs and Occupational Health Services

22 October 2020The attached Q&A has been written in response to enquiries we have received concerning the use of Patient Group Directions (PGDs) and written instructions in Occupational Health…
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Templates

National PGD templates are available for several clinical specialties. These are produced through the SPS Medicines Governance Do-Once Programme.

Antimicrobial Patient Group Direction (PGD) Templates

20 January 2021Antimicrobial PGD templates support the use of medicines in line with national guidance, reducing variation and duplication to improve consistency of care.

Public Health England (PHE) Patient Group Directions

14 September 2020Patient Group Directions (PGD) have been developed by Public Health England for a variety of clinical scenarios.   These can be found at the links below. 

Sexual Health Patient Group Direction (PGD) Templates

9 April 2020SPS and the British Association of Sexual Health and HIV (BASHH)/British Association of HIV (BHIVA), with the support of specialist stakeholders working within clinical practice,…
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Training and audit

Training resources we recommend include the CPPE PGD e-learning module. We also have a PGD audit tool for those undertaking audits.

Patient Group Direction SPS Template Audit Tool

14 September 2020SPS have developed a template audit tool to support organisations in auditing aspects of PGD development and use.

Patient Group Direction e-learning package

8 September 2020E-learning from the Centre for Pharmacy Postgraduate Education (CPPE) to support healthcare professionals who develop, authorise, review, update or use PGDs.
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