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Bureaucracy gone mad

In the last issue (Practice Nursing 13(11): 515) we reported on the controversy over patient group directions (PGDs) generated by the legal opinion obtained by General Practitioners Committee of the British Medical Association (BMA). This legal opinion clearly advised that it was unnecessary for GPs to sign PGDs issued by primary care organizations based on the principle that nurses would be not be administering drugs to a previously unidentified group; the patients would have been previously identified because they were registered at the practice.