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Patient group directions and co-management schemes

Optometrists may supply or administer drugs to patients under a Patient Group Direction (PGD). PGDs are written instructions for the supply or administration of medicines to groups of patients who may not be individually identified before presentation for treatment.159  You must ensure you meet the criteria in the PGD. You should work to local protocols. 
You may be involved in community services or be co-managing patients, such as those who have had surgical procedures, and need to supply or administer an ocular medication that is not on the list of drugs you can use or supply under the exemptions in paragraphs A445 and A446. You may do this under the authority of a PGD, see paragraph A454.


159 MHRA (2017) Patient Group Directions [Accessed 19 Nov 2020]