https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2665831
In general practice, efficiency and safety often go hand in hand — and nowhere is this clearer than in the use of Patient Group Directions (PGDs) and clinical protocols. These frameworks allow certain medicines and treatments to be supplied or administered by qualified healthcare professionals without a prescription, streamlining care while maintaining legal and clinical safeguards.
But PGDs come with responsibilities. The CQC expects practices not only to have them in place but also to ensure they are current, authorised, and used correctly by trained staff. Out-of-date or poorly managed PGDs create risks — not just for patient safety, but also for governance and inspection outcomes.
Why It’s Important
- Patient Safety – PGDs specify clear inclusion and exclusion criteria, ensuring medicines are used appropriately and consistently. Without up-to-date PGDs, patients could receive care outside safe parameters.
- Staff Confidence – Clinicians and nurses need to know they are acting within the law and within their competence. Proper training and oversight mean staff can act decisively and safely.
- Governance and Assurance – Inspectors will not just ask “Do you have PGDs?” — they’ll want to see evidence of version control, review processes, and clear lines of accountability.
- Efficiency and Access – By enabling safe supply of medicines without needing a prescription from a GP, PGDs improve access and free up GP time, provided they are implemented correctly.
✅ The Role of the Audit
The Patient Group Directions and Protocol-Driven Care Audit helps practices:
- Confirm that all PGDs are current, signed, and accessible.
- Ensure only trained, competent staff are working under PGDs.
- Check that protocols are being followed consistently and incidents are reviewed.
- Strengthen governance arrangements, so leaders know exactly who is accountable for PGD oversight.
This is about moving from assuming your PGDs are fine to knowing that your practice is safe, compliant, and inspection-ready.
Final Thoughts
PGDs and protocols are vital tools in modern primary care, but they must be living documents — kept up to date, embedded in daily practice, and supported by staff training and governance. This audit gives practices a structured way to test their systems, build confidence, and demonstrate to inspectors that patient safety and compliance are always front of mind.
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