Patient Group Directions

Applied filters

Patient Group Directions

Care Setting (14)
- Emergency medicine and urgent care (5)
- Occupational Health (6)
- Palliative and End of Life Care (1)
- Primary Care (2)
Events (1)
- Past Events (1)
Guidance (150)
- Administering (10)
- Dosing (2)
- Medication Safety (1)
- Patient Group Directions (150)
- Policy, Commissioning and Managerial (8)
- Safety in Pregnancy (5)
- Service advice and planning (3)
- Supply (11)
- Unlicensed medicines (2)
Medicine (87)
- Aciclovir (2)
- Amoxicillin (1)
- Aspirin (1)
- Azithromycin (1)
- Benzylpenicillin (2)
- Ceftriaxone (1)
- Clarithromycin (5)
- Clotrimazole (2)
- Co-amoxiclav (1)
- Copper (1)
- Cytisinicline (1)
- Diamorphine (1)
- Diazepam (2)
- Doxycycline (4)
- Emtricitabine + Tenofovir alafenamide (1)
- Emtricitabine + Tenofovir disoproxil (1)
- Erythromycin (5)
- Estradiol + Dienogest (1)
- Estradiol + Nomegestrol (1)
- Ethinylestradiol + Desogestrel (1)
- Ethinylestradiol + Drospirenone (1)
- Ethinylestradiol + Etonogestrel (1)
- Ethinylestradiol + Gestodene (1)
- Ethinylestradiol + Levonorgestrel (1)
- Ethinylestradiol + Norelgestromin (1)
- Ethinylestradiol + Norethisterone (1)
- Ethinylestradiol + Norgestimate (1)
- Etonogestrel (2)
- Flucloxacillin (2)
- Fluconazole (1)
- Flumazenil (1)
- Fluticasone (1)
- Folic acid (1)
- Fusidic acid (1)
- Gadobutrol (1)
- Gadopiclenol (1)
- Gadoteric acid (1)
- Gadoteridol (1)
- Gadoxetic acid (1)
- Hydrogen peroxide (1)
- Hyoscine butylbromide (1)
- Imiquimod (1)
- Influenza vaccine (3)
- Iodixanol (1)
- Iohexol (1)
- Iomeprol (1)
- Iopamidol (1)
- Ioversol (1)
- Ketamine (1)
- Levonorgestrel (2)
- Lidocaine (5)
- Lidocaine + Prilocaine (1)
- Malathion (1)
- Medroxyprogesterone (2)
- Meglumine gadobenate (1)
- Metronidazole (2)
- Midazolam (2)
- Mifepristone (1)
- Misoprostol (1)
- Mometasone (1)
- Morphine (1)
- Nitrofurantoin (1)
- Permethrin (1)
- Phenoxymethylpenicillin (2)
- Podophyllotoxin (1)
- Prilocaine (1)
- Progesterone (1)
- Raltegravir (1)
- Sodium chloride (1)
- Tenofovir disoproxil + Emtricitabine (1)
- Terbutaline (1)
- Tramadol (1)
- Tranexamic acid (1)
- Trimethoprim (1)
- Ulipristal (1)
- Valaciclovir (1)
- Varenicline (1)
Publications (93)
- Explainer videos (4)
- Research and audits (3)
- Templates (86)
Specialty (78)
- Infection and infectious diseases (30)
- Neurological disorders (1)
- Obstetrics and gynaecology (1)
- Public Health (1)
- Radiology (13)
- Renal and urologic disorders (2)
- Reproductive health (14)
- Respiratory disorders (13)
- Sexual health (14)
- Skin disorders (14)
- Smoking cessation (2)
- Vaccinating (3)
Training and Development (6)

Understanding why PGDs cannot be used for dose adjustments

5 January 2026This article outlines why PGDs cannot be used to adjust the dosage of a medicine already in an individual's possession.

Bank and agency staff and Patient Group Directions

23 April 2024The below summarises the advice on the use of PGDs by bank and agency staff working within organisations.

SPS National Patient Group Direction (PGD) exemplar templates

8 April 2024The SPS National Medicines Governance Do Once programme produce national Patient Group Direction (PGD) exemplar templates for local adaptation

Emtricitabine and tenofovir disoproxil (TD) tablets as PrEP

26 November 2025SPS PGD template for the supply of emtricitabine and tenofovir disoproxil (TD) tablets as Pre-Exposure Prophylaxis (PrEP) for the prevention of HIV infection.

Azithromycin (oral) for use within sexual health services

31 October 2025SPS PGD template for supply of azithromycin for uncomplicated genital Chlamydia trachomatis, non-gonococcal/non-specific urethritis; Mycoplasma genitalium.

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.

Aciclovir (oral) for genital HSV infection

23 September 2025SPS PGD template for the supply of aciclovir (oral) to treat genital herpes simplex virus (HSV) infections.

Penicillin V (phenoxymethylpenicillin) for sore throat

27 January 2025SPS PGD template for the supply of penicillin V (phenoxymethylpenicillin) for sore throat.

Seasonal influenza vaccination and occupational health services

7 July 2025Advice on medicines mechanisms for the administration of influenza vaccinations to healthcare staff.

Clarithromycin for sinusitis

27 January 2025SPS PGD template for the supply of clarithromycin for sinusitis in penicillin allergy and where an intranasal steroid is unsuitable or ineffective.