Guidance

Diphtheria, tetanus and inactivated poliomyelitis vaccine: patient group direction template

Patient group direction (PGD) template to support the national diphtheria, tetanus and inactivated poliomyelitis (Td/IPV – Revaxis®) vaccination programme.

• From: UK Health Security Agency
• Published: 6 November 2015
• Last updated: 10 July 2024 — See all updates

Applies to England

Documents

Diphtheria, tetanus and inactivated poliomyelitis vaccine (Td/IPV – Revaxis®): patient group direction (PGD) template

Ref: UKHSA publications gateway number: GOV-16527

MS Word Document, 250 KB

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Details

This PGD template supports the administration of diphtheria, tetanus and inactivated poliomyelitis vaccine (Td/IPV), to individuals from 10 years of age, in accordance with national immunisation programme, for travel or for the management of cases and contacts of diphtheria, tetanus or poliomyelitis.

Td/IPV (Revaxis®) PGD version 6.00 is valid from 4 August 2024 to 4 August 2026.

Practitioners must not use this PGD template until it has been authorised in Section 2. This is a legal requirement (see Human Medicines Regulations 2012). Practitioners should follow local policy and procedures to access authorised PGD documents.

This PGD template should be used with reference to current national guidance, the Green Book, and summary of product characteristics for the vaccine.

Published 6 November 2015
Last updated 10 July 2024 + show all updates

1. 10 July 2024

   Added version 6.00 – see page 3 for change history.

2. 8 August 2022

   Added version 05.00 – see page 2 for change history.

3. 22 October 2021

   Added v04.00 – see page 2 for change history.

4. 30 September 2019

   Added Diphtheria, tetanus and inactivated poliomyelitis vaccine patient group direction (PGD) template.

5. 19 October 2017

   Reviewed and updated to add management of cases and contacts.

6. 6 November 2015

   First published.