9.4.1 Foods for special diets

Some gluten free products can be prescribed on an FP10 for gluten-sensitive enteropathies including steatorrhoea due to gluten-sensitivity, coeliac disease and dermatitis herpetiformis. Prescriptions must be endorsed ACBS.

The diagnosis of coeliac disease is increasing. The gold standard for making the diagnosis is duodenal biopsy as blood tests may give false positives. However, false negatives are rare so blood tests may be a useful screening test. Gluten should not be withdrawn prior to a biopsy or blood test. Refer to gastroenterologist or specialist dietician led coeliac clinic for further advice.

Gluten free products

Northern, Eastern and Western Devon CCG have advised that GPs should not prescribe gluten free products for patients aged 18 years and over.

Patients under 18 years of age are able to receive a limited range of gluten free products on prescription.

When prescribing for patients under 18 years of age, the number of units recommended in the Coeliac UK 2011 revised prescribing guidelines should be taken into consideration. The details of these guidelines are available here.

In addition to gluten-free food, patients should eat natural carbohydrate foods such as rice and potatoes. Gluten-free substitute foods should only provide 15% of the total energy required. Further information can be found on the NHS Choices Eatwell Guide.

Patient information leaflet: Frequently asked questions document

Formulary preferred brands of gluten free foods

Bread Long Life

  • Glutafin® Select (£3.42 to £3.72 per 400g loaf)
  • Juvela® (£3.54 per 400g loaf)

Bread Fresh - please prescribe in case quantities

  • Genius® (£2.78 to £2.88 per 400g loaf) (Case quantity 6 loaves)
  • Juvela® (£3.39 to £3.69 per 400g loaf) (Case quantity 8 loaves)
    • Juvela® can also be prescribed as a mixed case (4 white and 4 fibre loaves)

Pasta

  • Barkat® (£5.88 per 500g)
  • Juvela® (£7.21 per 500g)

Flour & Mixes

  • Glutafin Select® Mix (£6.66 per 500g)
  • Juvela® Mix (£7.35 per 500g)
  • Orgran® flour (£3.10 per 500g)

 

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