Provenance
Written by SPS and the College of Sexual and Reproductive Health (CoSRH), with the support of specialist stakeholders working within clinical practice, for use within reproductive services.
August 2025 – note the Faculty of Sexual and Reproductive Healthcare (FSRH) has now changed its name to the College of Sexual and Reproductive Healthcare (CoSRH). Some web pages and CoSRH documents will continue to display the FSRH name; where you see FSRH, this refers to CoSRH. All weblinks are still active. The wording in the PGD/protocol templates will be updated at their next review.
PGD template attachment
The template PGD is attached below to download and use in conjunction with our implementation advice.
Patient Group Directions, Templates, Reproductive health
- Copper Intrauterine Device (Cu-IUD)
- Lidocaine 10mg/ml spray for IUC insertion or removal
- Lidocaine plus prilocaine cream for IUC insertion or removal
- Medroxyprogesterone acetate (SC-DMPA) injection for contraception
- Medroxyprogesterone acetate (DMPA) IM injection for contraception
- Progestogen only pill (POP) for contraception
- Combined hormonal contraceptive transdermal patch
- Combined oral hormonal contraceptive (COC) in reproductive health
- Combined hormonal contraceptive vaginal ring
- Ulipristal acetate 30mg tablets for emergency contraception
- Levonorgestrel 1500 microgram tablets for emergency contraception
- Etonogestrel (e.g. Nexplanon®) implant for contraception
- Lidocaine injection for subdermal etonogestrel in contraception
All PGD templates
National PGD templates
National PGD templates are developed with experts for clinical specialties. They reduce duplication and variation, and improve consistency of care.
Update history
- Information added regarding name change of FSRH to CoSRH
- Updated PGD template published. Statement added to off-label use section regarding extended use of 8 years for all 52mg products in line with FSRH statement. Uterine perforation added as exclusion.
- Updated added regarding FSRH 9th May published recommendation update
- Updated template published
- Detail regarding pending update added.
- Version 2.1 published - minor amendment
- V1 removed from website as expiring 31/7/23
- Title, URL and summary amended.
- New V2.0 template added
- Updated template attached - new product added
- Template republished with minor rewording
- Published