NHS England Primary Care Prescribing Guidance Update

NHS England Primary Care Prescribing Guidance Update

June 28, 2019

Following a public consultation held between 28th November 2018 and 28th February 2019, the NHS England and NHS Improvement Boards have agreed that previous guidance issued for CCGs on items that should not be routinely prescribed in primary care (first published in November 2017), should be updated to include guidance on the following treatments:

  • Aliskiren – used to treat blood pressure
  • Amiodarone – used to treat abnormal heart rhythms
  • Dronedarone – used to treat atrial fibrillation
  • Minocycline – used to treat acne
  • Needles for pre-filled and reusable insulin pens for diabetes which cost more than £5 per 100 needles
  • Bath and shower emollient preparations
  • Silk garments

The recommendation on rubefacients has also been updated so that capsaicin cream can be prescribed in line with NICE guidance.

NHS England and NHS Improvement commented:

“During the consultation we heard a range of views from patients, clinicians, local commissioners and members of the public. The joint clinical working group also considered additional clinical evidence reviewed by the Specialist Pharmacy Service on the use of bath and shower preparations and silk garments for the treatment of dry and pruritic skin conditions.

“Based on the consultation findings we are undertaking further work to examine in more detail which factors influence the choice of blood glucose testing strips. The guidance therefore does not include proposals on the prescribing of blood glucose testing strips, at this stage.”

A copy of the updated guidance can be found on the NHS England website.

If you have any questions about the guidance for CCGs please contact the NHS England / NHS Improvement medicines policy team at: england.medicines@nhs.net

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