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Home » Health Professionals » Prescribing Information » Patient Group Directions/housekeeping

Patient Group Directions (PGDs) and housekeeping protocols

Patient Group Directions allow healthcare professionals to supply and administer specified medicines to pre-defined groups of patients, without a prescription.


Cambridgeshire and Peterborough CCG have reviewed all of their PGDs, and those which support the administration of the NHS vaccination programme have now been agreed for use by all practices within the Cambridgeshire and Peterborough Clinical Commissioning Group.

PGD Guidance

PGD template.doc
PGD policy.pdf

PGDs from NHS England

We will try to keep this site updated with PGDs from NHS England. If you have any queries about PGDs from NHS England please contact england.ea-phsi@nhs.net

Housekeeping protocols

Attached to the right are a series of Housekeeping Protocols that have been developed for use by appropriately qualified members of GP practice teams.

Good housekeeping of repeat prescription screens can prevent prescriptions being issued and dispensed when the medication is no longer clinically appropriate or at an unnecessary frequency; eg good practice information published by NICE Clinical Knowledge Summaries (CKS) recommends that compression hosiery only needs to be replaced three to six monthly unless damaged.

Large volumes of unused medicines in a patient's home could create confusion for a patient about their medication regime, or could put a child at risk if the extra medication is not stored safety.  Unused medicines once dispensed can not be reused and are a waste of valuable NHS resource which could be used to fund essential treatments or services.