Can a PGD be used for the administration of all travel vaccines to patients attending a private travel clinic, operating within a GP practice?
No. The legal position relating to vaccines for travel that are administered as a private service in an NHS setting, has been reviewed by the MHRA [5]. • A PGD cannot be used for certain travel related vaccines (e.g. yellow fever, tick-borne encephalitis, meningococcal meningitis ACWY, and rabies pre-exposure (for travel)) [5]. • For those working in a NHS setting, a Patient Specific Direction (PSD) should be written for any vaccines provided for travel that are not available on the NHS (see below). • A PGD can be used to administer vaccines given according to the General Medical Services Contract e.g. hepatitis A, typhoid and polio [6].