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Patient Group Directions
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Benzylpenicillin injection for suspected meningitis
11 June 2026
·
SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.
Legal provision of GSL and P medicines by registered midwives
5 May 2026
·
Advice to support registered midwives in the legal administration and/or supply of P and GSL medicine, using omeprazole tablets as an example.
Patient Group Direction use in remote consultations
5 May 2026
·
Patient Group Directions (PGDs) may be used to supply medicines via remote consultations. Advice on clinical assessment and supply is provided.
Unlicensed medicines and use of PGDs
5 May 2026
·
This page explains why PGDs are not a legal mechanism for the administration or supply of unlicensed medicines.
Medroxyprogesterone acetate (SC-DMPA) injection for contraception
16 June 2026
·
SPS PGD template for the supply and/or administration of subcutaneous medroxyprogesterone acetate (SC-DMPA) injection for contraception.
Extension of expiry date of a Patient Group Direction
1 June 2026
·
This article advises on the extension to the expiry date of a PGD where a full review and re-authorisation has not taken place.
Etonogestrel (e.g. Nexplanon®) implant for contraception
16 June 2026
·
SPS PGD template for the insertion of etonogestrel (e.g. Nexplanon®) 68mg subdermal implant for contraception.
PGDs in practice explainer videos
3 June 2026
·
Short videos explaining Patient Group Directions (PGDs) and legal mechanisms, and their use in practice.
PGD planning explainer videos
3 June 2026
·
Short videos explaining how to plan for the development of new, or review of existing Patient Group Directions (PGDs).
PGD supply and administration explainer videos
3 June 2026
·
Short explanatory videos about the supply and administration of medicines under Patient Group Directions (PGDs).
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