Patient Group Directions

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Patient Group Directions

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

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

Ulipristal acetate 30mg tablets for emergency contraception

18 December 2025SPS PGD template for the supply and/or administration of ulipristal acetate 30mg tablet for emergency contraception.

Patient Group Direction use in Primary Care Networks

24 July 2024Guidance on the legislation and governance required when considering the use of PGDs across a PCN

Mixing of medicines and Patient Group Directions

10 November 2025This article provides advice on the legal considerations required when considering mixing medicines to be supplied or administered under a PGD.

Repeat supply or administration of medicines under PGD

17 October 2025Patient Group Directions are not an appropriate mechanism for regular repeated supplies or administration of a medicine. Prescribing is preferred.

Labelling medicines supplied without a prescription

18 August 2025Advice on the legal labelling requirements for Prescription Only Medicines and Pharmacy medicines supplied under a patient group direction or legal exemption.

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

8 April 2024Advice 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 December 2023E-learning developed by SPS in partnership with UKHSA, HEE and eLfH to support professionals who use, develop, authorise, review or update PGDs.

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.

Gadoteric acid contrast agent

4 September 2025SPS PGD template for administering gadoteric acid intravenously for imaging investigations and procedures by registered Radiographers.