Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help tackle regional inequalities in access to gluten free prescriptions for patients with coeliac disease.

Decisions about the commissioning and funding of local health services are the responsibility of local integrated care boards (ICBs). It is the responsibility of ICBs, working with clinicians, service users, and patient groups, to develop local services and care pathways that meet patients’ needs.

NHS England guidance on Prescribing Gluten-Free foods in Primary Care states that commissioners should restrict the prescribing of gluten-free (GF) foods to bread and mixes only. Under the current legislation, ICBs may choose to further restrict product choice, or end prescribing of GF foods altogether, if they feel that this is appropriate for their population, whilst taking account of their legal duties to advance equality and having regard to reducing health inequalities.

The national prescribing position in England remains that GF bread and mixes can be provided to coeliac patients on an NHS 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.

Health is largely a devolved matter and local health arrangements for GF prescribing in Scotland and Wales are a matter for the devolved administrations.