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Greater Nottingham Clinical Commissioning Partnership approve changes to gluten free and over the counter medicines prescribing

The Greater Nottingham Clinical Commissioning Partnership (GNCCP), which is responsible for the funding of local health services, has made the decision to stop routinely funding the prescribing of gluten free food for people living with coeliac disease and dermatitis herpetiformis. It has also made the decision to limit the prescribing of over the counter medicines for minor illnesses in Nottingham City (this policy is already active in Nottingham North and East, Nottingham West and Rushcliffe CCG areas).

These changes will affect patients across Greater Nottingham – Nottingham City, Rushcliffe, Gedling, Broxtowe and Hucknall.

As is the case in many other areas of the country, the local NHS is under increasing financial pressure. To ensure best use of NHS resources, the CCGs regularly review the services they commission based on clinical effectiveness, if they provide sufficient benefits and if they offer value for money. It is in this context that, in 2018, GNCCP reviewed local policies on the prescribing of gluten free products and over the counter medicines for minor ailments.

As part of this review, GNCCP sought the views of Greater Nottingham residents and health and social care professionals, and a six-week public consultation for gluten free food prescribing was launched in June 2018. That was followed by a four-week engagement exercise for prescribing medicines and products to treat short term, self-limiting conditions in Nottingham City in July 2018.

Following the conclusion of the consultation and engagement, recommendations were submitted to the Clinical Commissioning Executive Group and the Joint Commissioning Committee for their decision. Both committees concluded that:

  • Gluten free prescribing should be stopped due to the accessibility and availability of gluten free foods, the vast array of naturally gluten free foods and the current pressures on the local NHS budget.
  • In line with recent national recommendations, and the policies in the other Mid-Nottinghamshire and Greater Nottingham areas,  prescriptions for over the counter medicines for minor illnesses should also be restricted in Nottingham City.

 Dr Hugh Porter, Chair, Nottingham City CCG says: “The NHS is facing severe financial pressures and we have to make some very challenging decisions. We didn’t arrive at this decision on gluten free prescribing lightly.

“Gluten free products are now much more readily available and at a more accessible price. The cost to the NHS on a loaf of gluten free bread is much higher than those bought in a supermarket. In addition, many foods are naturally gluten free and there is a lot of information available to support patients to manage their diet. 

“All patients who currently receive gluten free products on prescription will receive a letter explaining the changes and advising them of information, help and support they might find useful to help them manage a gluten-free diet.

“We are also putting in place a detailed evaluation to assess the effects of these changes over the coming year.

“The changes to over the counter medicine prescribing bring Nottingham City in line with National NHS guidelines. We will be supporting these changes with a campaign to raise awareness of the importance of self care. We will support patients to improve their understanding about how to look after themselves better and work with other healthcare staff to raise the importance of self care.”

Gluten free changes – what does this mean?

From Wednesday 7 November 2018, people who are newly diagnosed with coeliac disease or dermatitis herpetiformis will no longer be able to receive food on prescription.

Patients with coeliac disease or dermatitis herpetiformis, who currently receive gluten free foods on prescription, will receive a letter to inform them of the prescribing changes.

We expect that from Monday 3 December, gluten free food will no longer be routinely available on prescription from GP Practices in Greater Nottingham for patients with coeliac disease or dermatitis herpetiformis.

People who this might affect can access resources and a Q&A here.

Over the counter medicines for short term conditions

From November 2018, across Greater Nottingham, over the counter medicines will no longer be available on prescription for minor illnesses.

Please be assured that these restrictions do not affect prescribing of over the counter medicines for longer-term or more complex conditions, or where minor illnesses are symptomatic or a side effect of something more serious.

Patients will be encouraged to self care and speak to the local pharmacist for advice. A local campaign will be launched to support local people to self care. Find out more about over the counter medicines  and self care here.

If patients have any comments or issues around these changes, they can contact the patient experience team on: 0115 883 9570 or email [email protected]



provides background information.