Patient Group Directions (PGD)

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Patient Group Directions (PGD) for the supply and administration of vaccinations as part of the national immunisation schedule.

The legal definition of a PGD is “a written instruction for the supply and/or administration of a licensed medicine (or medicines) in an identified clinical situation, signed by a doctor or dentist and a pharmacist”. It applies to groups of patients who may not be individually identified before presenting for treatment.

NHS England/UKHSA has produced a suite of PGDs for Practices that have been commissioned by NHS England to deliver immunisations as set out in the Section 7a agreement.

The PGDs cover the authorisation of staff, documentation, audit requirements and general guidance on best practice required to safely administer vaccines.

Please note: It is the clinician’s responsibility to ensure that the PGDs they are using are up to date. If a PGD has expired and it has not been updated, these immunisations should be administered under a Patient Specific Direction (PSD) instead.

The following PGDs are for use by Practice Nurses in the East of England only.

The team provide immunisation support to health professionals. They can be contacted via the following email addresses:

  • For East Anglia: England.eaimms@nhs.net
  • For Essex: England.essexatimms@nhs.net
  • For Herts and BLMK (Bedfordshire, Luton and Milton Keynes): England.immsqa@nhs.net

COVID-19 PGDs are available via UKHSA

PGD List and Expiry Dates January 2024

Be advised there are now three PGD extensions (Zostavax and Hep A/Typhoid and PCV at risk). The information can be found here

******************PLEASE ENSURE GUIDANCE IS ACCESSED THROUGH THE LINKS PROVIDED. ANY ITEMS PRINTED MAY QUICKLY BECOME OUT OF DATE********************

Summary

This PGD is for the administration of diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis vaccine (dTaP/IPV) to individuals from 3 years 4 months to under 10 years of age, in accordance with the national immunisation programme in England, or for the management of cases and contacts of diphtheria, tetanus, pertussis or poliomyelitis from 3 years of age.

Summary

This PGD is for the administration of diphtheria, tetanus, acellular pertussis, inactivated poliomyelitis, Haemophilus influenzae type b and hepatitis B (DTaP/IPV/Hib/HepB) vaccine
to individuals from 6 weeks (routinely 8 weeks) to under 10 years of age in accordance with the national immunisation programme or for the management of cases and contacts
identified in an outbreak of polio in accordance with the National polio guidelines: Local and regional services and recommendations from the local health protection team.

Summary

This PGD is for the administration of Haemophilus influenzae type b and meningococcal C conjugate vaccine (Hib/MenC) to individuals from their first birthday to under 10 years of age in accordance with the national immunisation programme; and to individuals of any age for the prevention of secondary cases of meningococcal group C (MenC) disease.

Summary

This PGD is for the administration of Hepatitis B recombinant DNA (rDNA) vaccine (adsorbed) to individuals considered at increased risk of exposure to hepatitis B virus, at increased risk of complications of hepatitis B disease, or post potential exposure to hepatitis B virus.

Summary

This PGD is for the administration of Hepatitis B recombinant DNA (rDNA) vaccine
(adsorbed) to individuals who are 15 years of age or over and are on haemodialysis, a renal transplantation programme or have chronic renal failure that is likely to require
haemodialysis or transplant.

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Summary

This PGD is for the administration of human papillomavirus (HPV) vaccine to individuals from 12 years of age or from school year 8 and aged less than 25 years in accordance with the national immunisation programme.

Summary

This PGD is for the administration of meningococcal groups A, C, W and Y conjugate vaccine (MenACWY) to individuals eligible for the national routine MenACWY vaccination programme or
identified as a contact of a case of invasive meningococcal disease, in accordance with the Green Book and Guidance for Public Health Management of Meningococcal Disease in the UK.

Summary

This PGD is for the administration of meningococcal group A, C, W, and Y conjugate vaccine
(MenACWY) to individuals with an underlying medical condition which puts them at increased
risk from Neisseria meningitidis.

Summary

This PGD is for the administration of meningococcal group B vaccine (rDNA, component,
adsorbed) (4CMenB) to individuals from 8 weeks of age eligible for the national routine
immunisation programme and to individuals for the prevention of secondary cases of
meningococcal group B disease.

Summary

This PGD is for the administration of meningococcal group B vaccine (rDNA, component,
adsorbed) (4CMenB) to individuals, from 2 years of age, with an underlying medical condition which puts them at increased risk from Neisseria meningitidis group B.

Summary

This PGD is for the administration of measles, mumps and rubella (MMR) vaccine to individuals from one year of age for routine immunisation, or from 6 months of age if early protection is required, in accordance with the national immunisation programme and the National measles guidelines.

Summary

This PGD is for the administration of pneumococcal polysaccharide conjugate vaccine (13-valent or 15-valent, adsorbed) (PCV) to individuals from 12 weeks to under 2 years of age in accordance with the national immunisation programme for active immunisation against pneumococcal disease and to individuals from 6 weeks of age recommended PCV13 or PCV15 in response to an outbreak of pneumococcal disease.

Summary

This PGD is for the administration of pneumococcal polysaccharide conjugate vaccine (13-valent, adsorbed) (PCV13) to individuals from 6 weeks of age with an underlying medical
condition which puts them at increased risk from pneumococcal disease.

Summary

This PGD extension is for the administration of pneumococcal polysaccharide conjugate vaccine (13 -valent, absorbed) (PCV13) to individuals from 6 weeks of age with an underlying medical condition which puts them at increased risk from pneumococcal disease.

Summary

This PGD is for the administration of low dose diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis vaccine (dTaP/IPV) to pregnant women from week 16 of pregnancy, in accordance with the national immunisation programme and to pertussis contacts aged 10 years and over in accordance with Guidelines for the Public Health Management of Pertussis in England and Guidelines for the Public Health Management of Pertussis Incidents in Healthcare Settings.

Summary

This PGD is for the administration of 23-valent pneumococcal polysaccharide vaccine (PPV23) to individuals from 65 years of age and individuals from 2 years of age in a clinical
risk group in accordance with the national immunisation programme for active immunisation against pneumococcal disease and UK guidelines for the public health management of
clusters of severe pneumococcal disease in closed settings.

Summary

This PGD is for the administration of rotavirus vaccine (live) to infants aged 6 weeks to 23 weeks and 6 days for active immunisation against rotavirus.

Summary

This PGD is for the administration of Shingrix® Herpes Zoster Vaccine (recombinant, adjuvanted),
for the prevention of herpes zoster (‘zoster’ or shingles) and herpes zoster-related post-herpetic
neuralgia (PHN), to individuals who are eligible for the national shingles immunisation programme.

Summary

This PGD is for the administration of low-dose diphtheria, tetanus and inactivated poliomyelitis vaccine (Td/IPV) to individuals from 10 years of age, in accordance with the
national immunisation programme in England, for travel, or for the management of cases and contacts of diphtheria, tetanus or poliomyelitis.

Summary

This PGD is for the administration of varicella vaccine (live) to individuals identified for pre exposure prophylaxis, and where chickenpox is co-circulating with Group A Streptococcus (GAS) infections, for post exposure prophylaxis in non immune children, from 9 months of age and adults in accordance with national guidelines.

Summary

This PGD is for the administration of Zostavax®, shingles (herpes zoster, live) vaccine, to
individuals who are eligible for the national shingles immunisation programme for the prevention of
herpes zoster (‘zoster’ or shingles) and herpes zoster-related post-herpetic neuralgia (PHN).

Summary

This PGD is extended and valid until 31 October 2024, reflecting the longest-dated shelf life of centrally supplied stock of Zostavax®, following its phasing out from the shingles vaccination programme.

Summary

This PGD is for the administration of typhoid Vi polysaccharide vaccine to overseas travellers at risk of exposure to Salmonella enterica serovar typhi (S. typhi) in accordance with recommendations from the National Travel Health Network and Centre (NaTHNaC).

Summary

This PGD is for the administration of hepatitis A virus (inactivated) and hepatitis B recombinant DNA (rDNA) (HepA/B) vaccine (adsorbed) to individuals requiring protection against hepatitis A and hepatitis B virus in accordance with national recommendations.

Summary

This PGD is for the administration of combined hepatitis A virus (inactivated) and typhoid polysaccharide vaccine (HepA/Typhoid) to individuals considered at risk of exposure to
Salmonella enterica serovar typhi, (S. typhi) and hepatitis A virus in accordance with recommendations from the National Travel Health Network and Centre (NaTHNaC).

Summary

This PGD is extended and valid until 31 May 2024, reflecting the longest-dated stock of ViATIM®, following its withdrawal from the UK market in Autumn 2022.

Summary

This PGD is for the administration of Hepatitis A virus (inactivated) vaccine (adsorbed), to individuals considered at high risk of exposure to hepatitis A or post exposure to hepatitis A
virus in accordance with national recommendations.