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Gluten-free food products for use in Coeliac Disease and gluten intolerance

Gluten-Free food products for use in Coeliac Disease and gluten intolerance • Historically availability in supermarkets poor – no longer the case • A wide range of products now available online and in supermarkets at affordable prices • Price paid if prescribed under the NHS is significantly higher (2-3 times higher plus handling fees and out of pocket expenses)

Gluten-Free food products for use in Coeliac Disease and gluten intolerance Blackburn with Darwen and East Lancashire CCGs will commission only treatments or services which accord with all of the following principles: • Appropriateness • Effectiveness • Cost-effectiveness • Ethical • Affordability

Gluten-Free food products for use in Coeliac Disease and gluten intolerance The NHS Constitution commits the CCGs: • to provide best value for taxpayers’ money and the most-effective, fair and sustainable use of finite resources • to make decisions in a clear and transparent way

Gluten-Free food products for use in Coeliac Disease and gluten ` intolerance • In 2015-16 Blackburn with Darwen CCG spent £110,000 on GF products, and East Lancashire £205,998 through the NHS. This can be re-invested into alternative patient services • The CCGs plan to undergo a patient engagement exercise in the coming weeks • Proposal is to stop commissioning GF products through the NHS based on: o Range of products are now available from supermarkets o Cost is comparative to non-GF products o Patients to be encouraged to avoid certain products such as pizza bases, bread and pasta and to eat healthier choices: fruit and vegetables, potatoes, rice, fish etc

Engagement Proposal • Online survey – 3 weeks (looking at commencing ASAP) • Promotion via media, social media, and web • Briefing to PPGs, Healthwatch, and councillors to promote