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Patient Group Directions
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Buccal midazolam for seizures or symptomatic cocaine toxicity management
30 April 2026
·
SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.
Diazepam injection for seizures or symptomatic cocaine toxicity management
30 April 2026
·
SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.
Rectal diazepam for managing seizures
30 April 2026
·
SPS PGD template for administering diazepam rectal tubes for the management of seizures by registered Paramedics and Nurses.
Tranexamic acid injection for treatment of severe haemorrhage
30 April 2026
·
SPS PGD template for administering tranexamic acid injection for treatment of severe haemorrhage by registered Paramedics and Nurses.
PGDs, legal mechanisms and governance: what's new
9 June 2026
·
An update session for those involved in medicines governance including managing PGDs and other legal mechanisms in practice.
Authorising Independent Healthcare Provider (IHP) PGDs
8 April 2026
·
Considerations are needed when NHS or local authorities commission services using PGDs from independent healthcare providers.
Patient Group Directions in Complex Commissioning Scenarios
8 April 2026
·
This guide supports planning and decision making and advises on governance processes when PGDs are used within commissioned services.
Patient Group Direction use in services provided by multiple organisations
8 April 2026
·
Principles to be considered are outlined for Patient Group Directions used in the provision of medicines/vaccines in services provided by multiple organisations
Off-label or unlicensed product use under HMR 2012 exemptions
8 April 2026
·
A legal position summary regarding the sale, supply or administration of off-label/unlicensed products under Schedule 17 of the Human Medicines Regulations 2012
Managing Patient Group Directions following amendments or changes
8 April 2026
·
There are requirements for all Patient Group Directions (PGDs) to be resigned or reauthorised after any amendment or change made during its valid to/from dates
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