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Patient Group Directions

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Mixing of medicines and Patient Group Directions

9 September 2020This article provides advice on the legal considerations required when considering mixing medicines to be supplied or administered under a PGD

Metronidazole (oral) for use within sexual health services

5 October 2021SPS PGD template for supply of metronidazole (oral) for the treatment of bacterial vaginosis and trichomonas vaginalis.

Medroxyprogesterone acetate (SC-DMPA) injection for contraception

5 October 2021SPS PGD template for the supply and/or administration of subcutaneous medroxyprogesterone acetate (SC-DMPA) injection for contraception.

Medroxyprogesterone acetate (DMPA) IM injection for contraception

5 October 2021SPS PGD template for administering intramuscular (IM) medroxyprogesterone acetate (DMPA) injection for contraception.

Medicines Shortages and Patient Group Directions

16 December 2019This article outlines how PGDs can be managed to allow for their continued use in cases of medicines shortages.

Managing Patient Group Directions following amendments or changes

8 September 2020There are requirements for all PGDs to be resigned or reauthorised after any amendment or change made during its valid to/from dates

Managing PGDs following organisational change

30 April 2025Advice on the management of PGDs when organisations merge, cease to exist or services are transferred to a new provider to ensure safe care and good governance

Lidocaine plus prilocaine cream for IUC insertion or removal

19 January 2023SPS protocol template for the administration of lidocaine plus prilocaine cream to facilitate intrauterine contraception (IUC) insertion or removal.

Lidocaine injection for subdermal etonogestrel in contraception

4 October 2021SPS PGD template for administering lidocaine injection to facilitate insertion and/or removal of subdermal etonogestrel (e.g. Nexplanon®) implants.

Lidocaine 10mg/ml spray for IUC insertion or removal

19 January 2023SPS protocol template for administration of lidocaine 10mg/ml spray to facilitate intrauterine contraception (IUC) insertion or removal.