SPS - Specialist Pharmacy Service
The first stop for professional medicines advice
About
Log in
Register
NHS
Guidance
Guidance
Guidance index
COVID-19
PGDs
Administering
Cautions and contraindications
Dosing
Switching
Interactions
Medication Safety
Safety in breastfeeding
Safety in pregnancy
Temperature management
Excipients
Swallowing difficulties
Stability of cytotoxics
Aseptic services
Intrathecal administration
Manufacturing and preparation
Unlicensed medicines
Homecare
ATMPs
Clinical Trials
Medical gases
Record keeping
Search Guidance
Guidance by Care Setting
Adults
Care homes
Care of the elderly
Community Health Services
Critical care
Dentistry
Emergency medicine and urgent care
Health and Justice
Neonates
Occupational Health
Paediatrics
Palliative and End of Life Care
Primary Care and PCNs
Transfer of care
Trusts
Guidance by Specialty
Allergy and immunology
Anaesthesia and pain
Cancers
Cardiovascular system disorders
Diabetes
Ear, nose and throat disorders
Endocrine system disorders
Eyes and vision
Gastrointestinal disorders
Haematological disorders
Infection and infectious diseases
Mental health and illness
Musculo-skeletal disorders
Neurological disorders
Nutritional and metabolic disorders
Obstetrics and gynaecology
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Surgery
Vaccinating
Wounds and injuries
Events
Events
Events index
Next events
Past Events
Search Events
Events by Care Setting
Care homes
Care of the elderly
Community Health Services
Health and Justice
Neonates
Paediatrics
Palliative and End of Life Care
Primary Care and PCNs
Transfer of care
Events by Guidance area
Adverse effects
Aseptic services
Medication Safety
Patient Group Directions
Safety in Breastfeeding
Safety in Pregnancy
Supply
Events by Specialty
Cardiovascular system disorders
Diabetes
Endocrine system disorders
Gastrointestinal disorders
Infection and infectious diseases
Learning disabilities
Mental health and illness
Neurological disorders
Respiratory disorders
Podcasts
Podcasts
Podcasts index
Planning
Planning
Planning index
Annual medicines planning
Biosimilars Updates
Search Medicines planning
Planning by Care Setting
Adults
Care homes
Care of the elderly
Community Health Services
Health and Justice
Palliative and End of Life Care
Primary Care and PCNs
Transfer of care
Trusts
Planning by Specialty
Allergy and immunology
Anaesthesia and pain
Cancers
Cardiovascular system disorders
Diabetes
Ear, nose and throat disorders
Endocrine system disorders
Eyes and vision
Gastrointestinal disorders
Haematological disorders
Infection and infectious diseases
Liver disorders
Mental health and illness
Musculo-skeletal disorders
Neurological disorders
Nutritional and metabolic disorders
Obstetrics and gynaecology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Vaccinating
Training
Training
Training index
All Training and Development
Breastfeeding
Cardiovascular disease
Complementary medicines
Kidney disorders
Polypharmacy
Medication safety
Pregnancy
Search Training and Development
Publications
Publications
Publications index
RMOC Recommendations and Resources
Newsletters
Bulletins and summaries
Research and audits
Search Publications
Publications by Care Setting
Care homes
Community Health Services
Emergency medicine and urgent care
Health and Justice
Occupational Health
Primary Care and PCNs
Transfer of care
Trusts
Publications by Specialty
Infection and infectious diseases
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Sexual health
Tools
Medicines Tools
Medicines Tools index
Monitoring
Medicines Supply
MCA Stability
Search
Home
Search
Primary Care and PCNs, Guidance
44 results
Applied filters
Primary Care and PCNs
Guidance
Filter
Care Setting
(44)
Adults
(7)
Care homes
(10)
Care of the elderly
(1)
Community Health Services
(17)
Dentistry
(3)
Health and Justice
(14)
Occupational Health
(3)
Paediatrics
(1)
Palliative and End of Life Care
(2)
Primary Care and PCNs
(44)
Transfer of care
(9)
Trusts
(17)
Events
(1)
Past Events
(1)
Guidance
(44)
Adherence
(1)
Administering
(8)
Adverse effects
(3)
Cautions and contraindications
(1)
Complementary medicines
(3)
Dosing
(1)
Formulation
(1)
Implementation
(2)
Interactions
(3)
Medication Safety
(3)
Patient Group Directions
(13)
Poisoning
(1)
Policy, Commissioning and Managerial
(3)
Prescribing
(2)
Safety in Breastfeeding
(1)
Safety in Pregnancy
(1)
Service advice and planning
(5)
Supply
(7)
Swallowing difficulties
(3)
Switching
(4)
Temperature management
(1)
Cold chain management
(1)
Unlicensed medicines
(1)
Medicine
(14)
Adrenaline
(2)
Agomelatine
(1)
Alendronic acid
(1)
Amantadine
(1)
Amitriptyline
(1)
Amoxicillin
(1)
Articaine + Adrenaline
(1)
Atorvastatin
(1)
Beclometasone
(1)
Beclometasone + Formoterol
(1)
Bromocriptine
(1)
Budesonide
(1)
Budesonide + Formoterol
(1)
Buprenorphine
(1)
COVID-19 vaccine
(1)
Cabergoline
(1)
Carbamazepine
(2)
Carbidopa + Levodopa + Entacapone
(2)
Cholesterol + Simvastatin
(1)
Ciclosporin
(1)
Citalopram
(1)
Clozapine
(1)
Co-beneldopa
(1)
Co-careldopa
(1)
Diltiazem
(1)
Doxazosin
(1)
Doxepin
(1)
Duloxetine
(1)
Entacapone
(1)
Escitalopram
(1)
Fentanyl
(1)
Fluoxetine
(1)
Fluticasone
(1)
Fluticasone + Formoterol
(1)
Fluticasone + Salmeterol
(1)
Fluvastatin
(1)
Fluvoxamine
(1)
Ibandronic acid
(1)
Imipramine
(1)
Influenza vaccine
(1)
Isocarboxazid
(1)
Levodopa
(1)
Levodopa + Carbidopa + Entacapone
(2)
Levothyroxine
(1)
Lidocaine
(1)
Lidocaine + Adrenaline
(1)
Lidocaine + Prilocaine
(1)
Lithium
(1)
Lithium carbonate
(1)
Lofepramine
(1)
Lovastatin
(1)
Mepivacaine
(1)
Mepivacaine + Adrenaline
(1)
Mesalazine
(1)
Methotrexate
(2)
Methylphenidate
(1)
Mianserin
(1)
Mirtazapine
(1)
Moclobemide
(1)
Morphine
(1)
Mycophenolate mofetil
(1)
Nifedipine
(1)
Nortriptyline
(1)
Oseltamivir
(1)
Oxycodone
(1)
Paroxetine
(1)
Pergolide
(1)
Phenelzine
(1)
Phenobarbital
(1)
Phenoxymethylpenicillin
(1)
Phenytoin
(2)
Pramipexole
(1)
Pravastatin
(1)
Prilocaine
(1)
Prilocaine + Felypressin
(1)
Primidone
(1)
Rasagiline
(1)
Reboxetine
(1)
Risedronate sodium
(1)
Ropinirole
(1)
Rosuvastatin
(1)
Rotigotine
(1)
Selegiline
(2)
Sertraline
(1)
Simvastatin
(1)
Sodium valproate
(1)
Tacrolimus
(1)
Tiotropium
(1)
Tolcapone
(1)
Tramadol
(1)
Tranylcypromine
(1)
Trimipramine
(1)
Venlafaxine
(1)
Vortioxetine
(1)
Warfarin
(1)
Medicines planning
(4)
Patient Group Direction Planning
(4)
Publications
(3)
Research and audits
(1)
Summary advice
(1)
Templates
(1)
Specialty
(8)
Cardiovascular system disorders
(2)
Diabetes
(1)
Endocrine system disorders
(1)
Mental health and illness
(2)
Neurological disorders
(3)
Reproductive health
(1)
Vaccinating
(1)
Training and Development
(6)
Adverse drug reactions: resources to support answering questions
30 November 2022
·
Suggested resources to help primary care healthcare professionals find information to answer questions about side-effects of medicines
Advising on missed or delayed doses of medicines
15 October 2021
·
Guidance to advise people who occasionally forget or are late in taking a dose of their medicine(s).
Alternatives to transcribing for medicines administration
22 February 2022
·
Transcribing is not the preferred option for medicines administration and the alternatives should be considered before committing to transcribing.
Avoid prescribing desiccated (natural) thyroid extract
20 January 2022
·
Levothyroxine is the standard of care for treating hypothyroidism. Desiccated or natural thyroid extracts (DTE) are not routinely recommended.
Bank and agency staff and Patient Group Directions
25 February 2020
·
The below summarises the advice on the use of PGDs by bank and agency staff working within organisations.
Choosing an antidepressant for people with coronary heart disease
2 July 2021
·
Making a suitable choice of antidepressant in CHD needs to include considerations of both the patient and the characteristics of the medicines.
Choosing formulations of medicines for adults with swallowing difficulties
25 June 2021
·
Some adults cannot safely swallow tablets or capsules. A stepwise process for choosing suitable formulations, including crushing tablets, is described.
Clozapine use in adults with swallowing difficulties
31 May 2023
·
Guidance on clozapine administration including crushing tablets, importance of not missing doses and practical considerations regarding switching formulations
Complementary medicines: resources to support answering questions
30 November 2022
·
Suggested resources to help primary care healthcare professionals find information on herbal medicines or dietary supplements
Doctors, dentists, and use of PGDs
15 December 2020
·
Doctors and dentists cannot supply or administer medications under a PGD or Written Instruction. This page gives further detail on why this is the case.
1
2
3
…
5
Next