The Scottish Government indicated earlier this month that the community pharmacy gluten-free service would continue. There was also news that the range of products available to prescribe would remain significantly greater than south of the border in England.
A new part (part 16) of the Scottish Drug Tariff was introduced in early December 2018. This new part of the Scottish drug tariff lists gluten-free food items that may be prescribed on GP10 or supplied through the community pharmacy gluten-free food service.
NHS Scotland individuals who have an appropriate clinical diagnosis will continue to be able to access a wide range of gluten-free foods on prescription. The new part 16 section of the Scottish drug tariff is a list of products that are counted as borderline substances with respect to supply within NHS primary care in Scotland of gluten-free food items. Products in this part of the drug tariff can be prescribed for patients with one of the following conditions;
- Proven gluten enteropathy.
- Clinical diagnosis of coeliac disease.
- Clinical diagnosis of dermatitis herpetiformis.
These products may be supplied either by prescription authorised by an appropriate practitioner or as supplied through a community pharmacy under the gluten-free food service.
A number of products have been discontinued since the last iteration of the list in September 2017. These discontinued items are listed in the recent circular.
The Scottish Government have indicated that they will be working with software suppliers to ensure that products now blacklisted in England do not appear blacklisted in Scotland.