Medication via Specialist Routes policy
For CQC-registered domiciliary care services · version 1.0 · last reviewed 1 June 2026
Medicines are not always given by mouth. This module deals with specialist routes of administration, explaining what they are, how the activity is delegated and authorised, and the competency a worker must hold. It distinguishes permitted from prohibited actions and describes the individual plan behind each person's medicines support.
What this policy covers
- Module control
- Definitions and key terms
- Understanding specialist routes of administration
- Delegated healthcare activities — authorisation and competency
- What authorised care workers may do
- What care workers must never do
- Legal, professional and clinical framework
- The individual plan
- General principles for all specialist routes
- Rectal and vaginal routes — dignity and consent
- Medication via a feeding tube (peg / rig)
- Intramuscular (im) injections
Regulations and guidance it supports
Supports the fundamental standards at Regulations 9, 11, 12, 13, 17 and 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
- Care Act 2014
- Mental Capacity Act 2005
- Equality Act 2010
Common questions
- Is the medication via specialist routes policy CQC-aligned?
- Yes. It is written and reviewed by practising UK compliance consultants against current CQC expectations, and supports the fundamental standards at Regulations 9, 11, 12, 13, 17 and 20. It is a controlled starting-point document that you adapt to your own service — you remain the accountable provider.
- Can I download and edit this policy?
- Yes. It downloads as Word (.docx) or PDF with your company name, registered manager, CQC ID and address already filled in on the cover page and throughout the document. The Word version is fully editable.
- Can I buy this policy on its own?
- Policies are sold as a complete library rather than individually, because CQC expects a coherent set that cross-references properly — a single policy in isolation creates gaps. The domiciliary care library contains 141 policies and can be bought outright as a one-off purchase and kept permanently.
- How often is it reviewed?
- The library is re-reviewed every six months and after any material regulatory change. This policy was last reviewed 1 June 2026, and is at version 1.0. Updates reach you automatically, so downloads always reflect the current version.