Patient Group Directions

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Patient Group Directions

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Benzylpenicillin injection for suspected meningitis

5 May 2026SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.

Bank and agency staff and Patient Group Directions

5 May 2026The 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

5 May 2026The SPS National Medicines Governance Do Once programme produce national Patient Group Direction (PGD) exemplar templates for local adaptation

Azithromycin (oral) for use within sexual health services

5 May 2026SPS PGD template for supply of azithromycin for uncomplicated genital Chlamydia trachomatis, non-gonococcal/non-specific urethritis; Mycoplasma genitalium.

Unlicensed medicines and use of PGDs

5 May 2026This page explains why PGDs are not a legal mechanism for the administration or supply of unlicensed medicines.

Diazepam injection for seizures or symptomatic cocaine toxicity management

30 April 2026SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.

Tranexamic acid injection for treatment of severe haemorrhage

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

Rectal diazepam for managing seizures

30 April 2026SPS PGD template for administering diazepam rectal tubes for the management of seizures by registered Paramedics and Nurses.

Buccal midazolam for seizures or symptomatic cocaine toxicity management

30 April 2026SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.

PGD supply and administration explainer videos

30 April 2026Short explanatory videos about the supply and administration of medicines under Patient Group Directions (PGDs).