Patient group directions (PGDs)

Supplying Water for Injection Without a Prescription

Water for Injection (WFI) is normally classified as a prescription-only medicine (POM) when intended for parenteral use. However, there is a specific statutory exemption that allows pharmacies to supply WFI without a prescription in defined circumstances.

This exemption is set out in Schedule 17 of the Human Medicines Regulations 2012:

https://www.legislation.gov.uk/uksi/2012/1916/schedule/17/made

Patient group directions (PGDs) Record-keeping requirements

Supplying POMs on Presentation of a Signed Order (Schedule 17 Exemptions)

In limited circumstances, a pharmacy may supply certain prescription-only medicines (POMs) without a prescription, where a signed order is presented by a specified healthcare professional.

This is a specific statutory exemption under Schedule 17 of the Human Medicines Regulations 2012:

https://www.legislation.gov.uk/uksi/2012/1916/schedule/17/made

Controlled drugs Emergency supply of medicines Patient group directions (PGDs) Pharmacist and technician responsibilities Record-keeping requirements

Emergency Supply of Medicines

Emergency supply allows a pharmacist to provide a medicine without a prescription in defined circumstances. It is a statutory exemption under UK medicines law and is commonly used in community pharmacy to ensure continuity of care.

Emergency supply is governed by the Human Medicines Regulations 2012:

https://www.legislation.gov.uk/uksi/2012/1916/contents

Patient group directions (PGDs)

Supplying Salbutamol Inhalers and Adrenaline Auto-Injectors to Schools

Schools may legally obtain certain prescription-only medicines for emergency use without an individual prescription. This is a specific exemption under the Human Medicines Regulations 2012, not a general permission to supply POMs to schools.

The relevant legal provisions are in Schedule 17 of the Human Medicines Regulations 2012:
https://www.legislation.gov.uk/uksi/2012/1916/schedule/17

Schedule 17 allows the sale or supply to a school of prescription-only medicines comprising:

Patient group directions (PGDs) Vaccinations and immunisations

Vaccine Group Directions (VGDs)

A Vaccine Group Direction (VGD) is a new legal mechanism introduced into the Human Medicines Regulations 2012 to support the supply and administration of vaccines as part of approved vaccination programmes.

VGDs were introduced by the Human Medicines (Amendment) Regulations 2026, which came into force on 31 March 2026.

https://www.legislation.gov.uk/ukdsi/2026/9780348278958/contents

Patient group directions (PGDs) Prescription requirements

Patient Specific Directions (PSDs)

Patient Specific Directions (PSDs) are a core legal mechanism used across UK healthcare to authorise the administration or supply of medicines to an individual patient.

Unlike Patient Group Directions (PGDs), PSDs are not explicitly defined in primary medicines legislation, but they are fully recognised in practice as part of the legal framework for administering medicines.

A PSD is: