NHS England has announced plans to curb the prescription of “low-priority” items like silk garments. There is limited evidence the clothing helps people with eczema and dermatitis enough to justify prescribing it, a consultation document says. Officials are proposing taking eight items off the NHS prescription list under plans aimed at saving £68m a year. Others include an acne medication and diabetes products. The items, which are deemed to be of relatively low clinical effectiveness, to have cheaper options available or to be of “low priority” for funding, are:
• Silk garments – for eczema and dermatitis
• Aliskiren – used to treat blood pressure
• Amiodarone – to treat abnormal heart rhythms
• Bath and shower emollient preparations – to treat eczema and dermatitis
• Dronedarone – to treat the heart condition atrial fibrillation
• Minocycline – to treat acne
• Blood glucose testing strips – for diabetes
• Needles for pre-filled and reusable insulin pens – for diabetes
Many prescribers will not be surprised by the recommendations and have already started phasing out the items. The health service in England spends more than £1.2m a year on prescriptions for silk garments, examples of which include silk baby bodysuits, infant leggings, children’s pyjamas, gloves or tubular sleeves. In the case of the diabetes testing strips, needles and pens, officials are proposing that GPs prescribe more cost-effective alternatives rather than scrapping them. NHS England has already ordered an end to the routine prescribing of 18 low-value items, including homeopathy treatments and over-the-counter products such as paracetamol and cough medicines.
NHS England chief executive Simon Stevens said: “The NHS is one of the most efficient health services in the world but, as part of the long-term plan for the NHS, we’re determined to make taxpayers’ money go further and drive savings back into front-line care. “It is essential the NHS should not be paying for anything which has been proven to be ineffective or where there are safer or cheaper alternatives.” The consultation comes ahead of GPs being issued with new guidance next week on gluten-free prescriptions. While patients can still receive bread and gluten-free baking mixes under NHS prescriptions, they are no longer eligible for other foodstuffs such as pizzas, cakes and biscuits, NHS England said. Officials added that the NHS began funding gluten-free food products in the late 1960s, when availability was limited, but now a wide variety of foods is available in supermarkets. The consultation will run for three months from 28 November 2018 until 28 February 2019, after which joint commissioning guidance is expected to be published by NHS England and NHS Clinical Commissioners.