Development and Ratification of Patient Group Directions Policy 2025

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Patient group directions (PGDs) provide a legal framework that allows the supply and/or administration of a specified medicine(s), by named, authorised, registered health professionals, to a pre-defined group of patients needing prophylaxis or treatment for a condition described in the PGD, without the need for a
The expiry date should not be more than 3 years from the date the PGD was authorised.
A PGD cannot be used in any of the following situations: Abortifacients. Training. Care homes and independent schools. Delegation. Dose adjustments. Dressings or medical devices. Health professionals not authorised to use PGDs. Mixing of medicines.
The same rules apply to PGD records as to all other patient records: For adults all PGD documentation in a patients clinical record must be kept for eight years. For children all PGD documentation in a patients clinical record must be kept until the child is 25 years old or for eight years after a childs death.
Validity of a PSD There is no legally valid period for a PSD for administration of a medicine. The prescriber should include a start and finish date as appropriate within the direction to ensure it is acted on within a time frame following the assessment which is appropriate to the needs of the individual.
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As they are the legal authorisation for a non-prescriber to administer (or, occasionally, supply) a prescription only medicine, PGDs should be kept as per other clinical records, i.e. for adults, all PGD documentation must be kept for eight years, and for children until the child is 25 years old, or for eight years
PGDs should be put together by a multi-disciplinary group including a doctor, a pharmacist and a representative of any professional group expected to supply the medicines under the PGD . Its good practice to involve local drug and therapeutics committees, area prescribing committees and similar advisory bodies.
Patient Group Directions (PGDs) provide a legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber).

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