Patient Group Directions

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Patient Group Directions

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Delegation of roles under a PGD

21 May 2026Delegation of any PGD function is not permitted. However there are specific tasks that individuals other than the professional working under a PGD can fulfil.

Etonogestrel (e.g. Nexplanon®) implant for contraception

18 May 2026SPS PGD template for the insertion of etonogestrel (e.g. Nexplanon®) 68mg subdermal implant for contraception.

Medroxyprogesterone acetate (SC-DMPA) injection for contraception

7 May 2026SPS PGD template for the supply and/or administration of subcutaneous medroxyprogesterone acetate (SC-DMPA) injection for contraception.

Omeprazole for use within antenatal and maternity services

7 May 2026SPS protocol templates for the supply and administration of omeprazole for caesarean section by registered midwives.

UK Health Security Agency (UKHSA) PGD and VGD Templates

5 May 2026PGD and VGD templates by UKHSA are developed for a range of clinical scenarios. A summary of the processes to use and further links are provided.

Doxycycline for use within sexual health services

5 May 2026SPS PGD template for supply of doxycycline for the treatment of uncomplicated genital chlamydia trachomatis, LGV and non-gonococcal/non-specific urethritis.

Legal provision of GSL and P medicines by registered midwives

5 May 2026Advice to support registered midwives in the legal administration and/or supply of P and GSL medicine, using omeprazole tablets as an example.

Patient Group Direction use in remote consultations

5 May 2026Patient Group Directions (PGDs) may be used to supply medicines via remote consultations. Advice on clinical assessment and supply is provided.

Using medicines under PGD as part of a clinical trial or study

5 May 2026Advice on the use of Patient Group Directions (PGDs) to supply or administer a medication which is part of a clinical trial, study or pilot

Patient Group Directions e-learning programme

5 May 2026E-learning developed by SPS in partnership with UKHSA, HEE and eLfH to support professionals who use, develop, authorise, review or update PGDs.