Patient Group Directions

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Patient Group Directions

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Including more than one medicine in a Patient Group Direction

18 June 2024This article summarises the considerations required if more than one medicine is included within a single PGD.

Supply and/or administration of Controlled Drugs under a PGD

2 June 2025The legal position on the supply and/or administration of controlled drugs under Patient Group Directions is summarised

Unlicensed medicines and use of PGDs

2 June 2025This page explains why PGDs are not a legal mechanism for the administration or supply of unlicensed medicines.

NHS prescription charges for PGDs or HMR 2012 exemptions

16 September 2024This article summarises the position regarding the levying of prescription charges for medicines supplied under a PGD or an exemption to the HMR 2012.

Benzylpenicillin injection for suspected meningitis

25 April 2024SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.

Rectal diazepam for managing seizures

23 October 2025SPS 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

22 January 2026SPS PGD template for administering tranexamic acid injection for treatment of severe haemorrhage by registered Paramedics and Nurses.

Buccal midazolam for seizures or symptomatic cocaine toxicity management

23 October 2025SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.

Flumazenil injection for reversal of midazolam

9 September 2025SPS PGD template for administering flumazenil for reversal of sedative effects of midazolam in conscious sedation by registered Paramedics and Nurses.

Diazepam injection for seizures or symptomatic cocaine toxicity management

23 October 2025SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.