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Important Information Regarding Patient Group Directions

21 September 2017

Medicines ManagementThe Trust recently removed the use of Medicines Administration Protocols (MAP) for all grades of staff. We informed colleagues across the Trust that the medicines previously available to be given under a MAP would remain available, but only under a Patient Group Direction (PGD) by paramedics. There have been some enquiries from staff regarding this, and there appears to be some confusion regarding PGDs which need to be clarified.

PGDs can only be used by the healthcare professions named in the Human Medicines Regulations 2012 (Schedule 16, part 4), which includes paramedics. PGDs are not a direct replacement or alternative to MAPs, and cannot be used by colleagues in ECSW, Associate Practitioner, Technician/Advanced Technician, or CFR roles.

Medicines in JRCALC, which are also stated in Appendix M of the Scope of Practice & Clinical Standards Policy may still be given accordingly, as this is done under Trust authority based on nationally accepted best practice. Please note that a revision of this Scope of Practice & Clinical Standards Policy is underway and an updated version which will include an updated Appendix M will be published over the coming weeks.

The Medicines and Healthcare products Regulatory Agency (MHRA) has a useful web page which provides information about PGDs; the legal mechanism that they are based on, and the staff eligible to use them.

The Human Medicines Regulation’s 2012 can also be accessed via this link -

If you have any questions of concerns relating to medicines use, please contact the PP/Clinical Desk, or email


Andy Collen, Consultant Paramedic (on behalf of the Medicines Task & Finish Group)

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