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Patient Group Directions (PGDs)

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). Supplying and/or administering medicines under PGDs should be reserved for situations in which this offers […]

PGD resources

NICE guidelines on PGDs The Medicines and Prescribing Centre (MPC) at NICE have published a practical guide and framework of competencies for organisations and professionals developing and using PGDs. MHRA guidance on PGDs The MHRA has also published guidance on PGDs outlining: Legal requirements Who can supply or administer a PGD Medicines you can supply […]

Useful PGD links

Adverse reactions The Yellow Card Scheme is vital in helping the MHRA monitor the safety of all healthcare products in the UK to ensure they are acceptably safe for patients and those that use them. Reports can be made for all medicines including vaccines. British National Formulary (BNF) & British National Formulary for Children (BNFC) […]

Immunisation Clinical Advice & Response Service (ICARS)

The aim of the South West Immunisation Clinical Advice Response Service (ICARS) is to provide public health guidance to clinicians administering all vaccines commissioned under Section 7a or Covid-19 programmes, and to respond to clinical incidents as they arise in these programmes. ICARS operates Monday-Friday, 9am-5pm (excepting bank holidays) and endeavour to respond to your […]

South West public health section 7a screening and immunisations bulletin

On Friday 11 September 2020, the Integrated Public Health Team takes over responsibility from the Primary Care Team for collating and issuing a rebranded, weekly Public Health GP Bulletin. The new bulletin will have an extended distribution covering the whole of the South West, bringing all public health communications in to one place. Previous editions […]

NHS South West begins Covid-19 Booster Vaccination Campaign

The NHS has started delivering Covid booster jabs to people in eligible groups in the South West, as the biggest and most successful vaccination programme in health service history moves to the next stage. In line with new guidance set out by the JCVI, the NHS vaccination programme will now invite eligible people, who had […]


The South West Vaccination and Screening Team (VaST) are responsible for commissioning the national vaccination and immunisation services to achieve the standards set out under the section 7A agreement. Following the recent Secretary of State reform announcement on ambitions for a new approach to vaccination, NHS England are developing an integrated vaccination and immunisation strategy that […]

Information for professionals

These pages contain information and forms for professionals from whom NHS England – South West commissions services (such as pharmacists; GPs), or colleagues from different parts of our region who are part of a network. We have information on: Assurance & Delivery Biomedical Science Learning Disabilities Medical Nursing, Midwifery & Care Staff Patient Group Directions (PGDs) […]