Publications

Folic acid 5mg tablets for use during pregnancy

11 November 2025SPS PGD template for the supply of folic acid 5mg tablets to reduce risk of neural tube defect or compensate for increased folate demand during pregnancy.

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.

Northern Pharmacy Technical Services Workforce Project Report

7 January 2026A report on the state of the pharmacy technical services workforce in the North of England

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.

Ioversol contrast agent

11 February 2026SPS PGD template for administering ioversol intravenously for imaging investigations and procedures by registered Radiographers.