Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of clinical commissioning groups that have implemented more restrictive policies on the prescription of gluten-free products for people with coeliac disease; and whether his Department is monitoring the potential impact of those policy changes on affected groups.

The Department and NHS England do not hold this information and are not monitoring the potential impact of those policy changes on the affected groups.

Decisions about the commissioning and funding of local health services, including the prescription of gluten-free products for people with coeliac disease, are the responsibility of local integrated care boards (ICBs). NHS England’s guidance should be taken into account when ICBs formulate local policies, and prescribers are expected to reflect local policies in their prescribing practices. The guidance does not remove the clinical discretion of prescribers in accordance with their professional duties.

The national prescribing position in England remains that gluten free bread and mixes can be provided to coeliac patients on a National Health Service prescription, and a wide range of these items continue to be listed in part XV of the Drug Tariff. This means that prescribers can issue NHS prescriptions, based on a shared decision between prescriber and patient, while also being mindful of local and national guidance.