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Immunisation patient group direction (PGD) templates

PGD templates to support national immunisation programmes provided on the NHS.

UK Health Security Agency (UKHSA) immunisation patient group direction (PGD) templates have been developed and ratified in accordance with UKHSA PGD policy. They have been signed by a doctor, nurse and pharmacist, from UKHSA’s national immunisation team, who have been involved in the PGDs development.

UKHSA immunisation PGD templates require further authorisation, in Section 2 of the PGD document before they can be used. This should be by an appropriate authorising person, relating to the class of person by whom product is to be supplied, in accordance with the Human Medicines Regulations 2012 (HMR). This may be a clinical governance or patient safety lead, who has designated responsibility for signing PGDs on behalf of the authorising body. The PGD is not legal or valid without signed authorisation in accordance with HMR 2012 schedule 16 part 2.

Adoption and governance of the use of UKHSA PGDs is the responsibility of the authorising organisation and provider.

Provider organisations, health professionals and immunisation practitioners should check they are working to the current PGD versions and only work to documents authorised in accordance with HMR 2012 schedule 16 part 2.

These PGDs should be used with reference to the Green Book, and summary of product characteristics for the vaccine.

COVID-19 vaccine patient group directions (PGDs)

The PGDs to support the Spring 2024 vaccination campaign will be available from NHS England.

National protocols for the COVID-19 vaccines are available to download.

Primary to pre-school immunisations

School age immunisations

Adult immunisations

Individuals at increased risk

Seasonal influenza

In addition to the PGD templates for the seasonal influenza programme which are provided below, a PGD template for Pharmacy Influenza Vaccination Programme is published by NHS England and NHS Improvement and a National protocol for inactivated influenza vaccine is also available for the 2022 to 2023 season.

Published 30 June 2015
Last updated 2 April 2024 + show all updates
  1. Added link to latest COVID-19 national protocols and PGDs.

  2. Removed links to PGDs and protocols.

  3. Added 'National protocol for COVID-19 mRNA vaccine (5 to 17 years of age)' and link to the PGD.

  4. Added link to the PGD for COVID-19 vaccine (adults).

  5. Updated COVID-19 section.

  6. Added link to the COVID-19 vaccine (5 to 17 years of age) PGD.

  7. Added link to the COVID-19 vaccine (adults) PGD.

  8. Added 'Varicella vaccine (live): patient group direction (PGD)'.

  9. Added 'Diphtheria disease and azithromycin: PGD template'.

  10. Added link to the PGD for the Comirnaty® Original/Omicron BA.1 (15/15 micrograms)/dose COVID-19 mRNA vaccine.

  11. Added link to the PGD for Spikevax® Original/Omicron COVID-19 vaccine.

  12. Added Smallpox vaccine PGD template.

  13. Added link to the Vaxzevria COVID-19 Vaccine (ChAdOx1-S [recombinant]) PGD.

  14. Added link to the PGD for COVID-19 Comirnaty® 10micrograms/dose mRNA vaccine.

  15. Added links to Comirnaty® PGD, National protocol for inactivated influenza vaccine and Pharmacy Influenza Vaccination Programme PGD.

  16. Added shingles vaccine (Shingrix®) PGD template.

  17. Added link to the COVID-19 Vaccine Moderna PGD.

  18. Added link to COVID-19 vaccine AstraZeneca (ChAdOx1-S [recombinant]) PGD.

  19. Added link to COVID-19 mRNA vaccine BNT162b2 (Pfizer/BioNTech) PGD.

  20. Added the Flublok Quadrivalent vaccine: patient group direction template.

  21. Added new HPV PGD which includes boys as well as girls from September 2019.

  22. Added BCG Vaccine AJV PGD template.

  23. Added the 'Human papillomavirus (HPV) vaccine for MSM: PGD template' template.

  24. Added Hepatitis A/Typhoid vaccine and Typhoid Vi vaccine PGDs.

  25. Added 'Hepatitis A vaccine' and 'Hepatitis A/B vaccine' patient group direction (PGD) templates to 'Individuals at increased risk' group.

  26. Added new PGD templates for the introduction of hexavalent vaccine into the national immunisation programme and the administration of DTaP/IPV/Hib as a pre-school booster.

  27. Added hepatitis B PGD and hepatitis B for renal patients PGD.

  28. Addition of MenB risk groups, MenACWY risk groups, PCV risk groups patient group directions.

  29. New PGD template for Hib/MenC risk groups.

  30. Added Pneumococcal polysaccharide vaccine (PPV): patient group direction (PGD) template

  31. Added Human papillomavirus vaccine (HPV), adolescent females: PGD template.

  32. New PGD template to support the national MMR vaccination programme.

  33. Addition of 'PCV (13-valent, adsorbed) PGD template' and 'Hib/MenC PGD template'.

  34. Added 3 PGD templates: DTaP/IPV; DTaP/IPV/Hib; and dTaP/IPV for pregnant women.

  35. Addition of Diphtheria, tetanus and inactivated poliomyelitis vaccine (Td/IPV - Revaxis®): patient group direction (PGD) template

  36. Addition of Inactivated influenza vaccine (Intanza®): patient group direction (PGD) template.

  37. PGDs for Fluenz Tetra® and for the administration of intramuscular inactivated influenza vaccine.

  38. Added MenB patient group direction template

  39. New Patient group direction (PGD) templates to support the national vaccination programmes for Meningococcal A,C,W and Y.

  40. First published.