Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the adequacy of gluten free prescribing provision for people with coeliac disease.

No recent assessment has been made by the Department. However, a review was undertaken in 2019, which confirmed that the position in England remains that gluten free (GF) bread and mixes can be provided to all eligible coeliac patients on a National Health Service prescription. A wide range of these items continues to be listed in Part XV of the Drug Tariff.

NHS England developed guidance on Prescribing Gluten Free Foods in Primary Care in 2018 which states that NHS commissioners can restrict the prescribing of GF foods to bread and mixes only. Under the current legislation, integrated care boards may choose to further restrict product choice, or end prescribing of GF foods altogether, if they feel this is appropriate for their population, whilst taking account of their legal duties to advance equality and having regard to reducing health inequalities. NHS England currently has no plans to update the guidance.