Menu Home Search

Patient Specific Directions (PSDs) and Patient Group Directions (PGDs)

Updated on Friday, 22 January 2016, 7023 views

The advice on the use of Patient Group Directions (PGDs) and Patient Specific Directions (PSDs) in general practice has been updated, January 2016. This guidance is for England only. Download the full guidance here

Overview

The Human Medicines Regulations 2012 do not permit non-qualified prescribers to administer or supply prescription only medicines (POMs) unless one of three types of instruction is in place:

  1. a signed prescription
  2. a Patient Specific Direction (PSD)
  3. a Patient Group Direction (PGD)

There are some specific exemptions from medicines legislation which may apply in limited circumstances e.g. administration of certain parenteral medicines such as adrenaline that can be administered in an emergency without the directions of a prescriber.

If non-prescribing health care professionals administer a medicine on the instruction of a GP, the GP must be able to show that the health care professional has authority for that administration via one of the above methods.

Use this quick checklist

Make sure you also review these helpful resources:

NICE Medicines Practice Guideline 2 (MPG2)
Exemption from restrictions on sale and supply of prescription only medicines - The Human Medicines Regulations 2012
To PGD or not to PGD - A guide to choosing the best option for individual situations
List of certain registered health professionals authorised in legislation to use PGDs

The full guidance from GPC contains helpful resources for your reference, including:

Download the full guidance here

Related guidance...

NHS England South - PGD Page

Patient Group Directions (PGDs) are written instructions for the supply or administration of medicines to groups of patients who may not...

Somerset LMC Weekly Update Friday 5th August 2016

All Somerset GPs and Practice Managers This and previous updates are available here "Strops...

PGDs for national immunisation schedule: Update

Inactivated influenza vaccine Patient Group Direction (PGD) - Updated 15 October 2021 Update - 25 November 2020 - Flublok Quadrivalent...

Travel Vaccine PGDs

All Somerset Practice Managers and Nurses email sent on behalf of Sue Mulvenna Dear Colleagues The new local SW Hep A PGDs are now...

Depo Provera PGD

Depo Provera Patient Group Direction (PGD) Somerset ICB has produced a new PGD for Depo Provera which is now available on the Somerset...

Somerset LMC Weekly update Friday 12th February 2016

Sent to all Somerset GPs and Practice...

Somerset LMC Weekly Update Friday 10th September 2021

Sent to all Somerset GPs and Practice Managers This and previous updates are available here Letter to Secretary of State...

Vaccine update: issue 311, August 2020

Vaccine update: issue 311, August 2020 This month's edition features: JCVI interim report on priority groups for immunisation during...

Disclosing patient information without consent

Disclosing patient information without consent- A precis of GMC advice You must disclose information if it is required by statute or if...

Online Patient Services for Children

Practices may get requests from patients for online access to their records from children below the age of 16 who are classed as Fraser...