Patient Group Directions

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Patient Group Directions

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Unlicensed medicines and use of PGDs

16 November 2021This page explains why PGDs are not a legal mechanism for the administration or supply of unlicensed medicines.

Using medicines at more than one location under a single PGD

16 November 2021A single Patient Group Direction (PGD) can be used to supply or administer medicines in more than one location. PGDs do not need to relate to specific premises.

Using a Patient Group Direction to adjust doses of medicines

16 November 2021This article outlines why PGDs cannot be used to adjust the dosage of a medicine already in an individual's possession.

NHS prescription charges for PGDs or HMR 2012 exemptions

16 November 2021This article summarises the position regarding the levying of prescription charges for medicines supplied under a PGD or an exemption to the HMR 2012.

Benzylpenicillin injection for suspected meningitis

5 October 2021SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.

Diazepam rectal tubes for managing seizures

5 October 2021SPS 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

5 October 2021SPS PGD template for administering tranexamic acid injection for treatment of severe haemorrhage by registered Paramedics and Nurses.

Buccal midazolam for the management of seizures

5 October 2021SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.

Flumazenil injection for reversal of midazolam

5 October 2021SPS PGD template for administering flumazenil for reversal of sedative effects of midazolam in conscious sedation by registered Paramedics and Nurses.

Diazepam solution injection for managing seizures

5 October 2021SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.

SPS - Specialist Pharmacy Service

NHS