Post by kickingfrog on Feb 13, 2017 13:38:41 GMT
Coeliac prescribing Guidance (Sheffield)
Posted by Lily Paddweller on 13/2/2017
GF board
University of Sheffield
Appendices: Assessment of the Impact of
CPD (Continuing Professional Development) Case Studies
Professor Nigel Mathers, Dr Caroline Mitchell and Amanda
Hunn
Case Study
....2. Coeliac prescribing Guidance: MyHealth Strensall
1. INTRODUCTION
This initiative was developed in 2010 by a single GP as part of his ongoing CPD.
He identified a need
to update and implement local guidance for coeliac prescribing.
Gluten free foods have been
available on prescription but national guidance produced in 2010 indicated that some foods such
biscuits, cakes, cake mixes, luxury bread, cereals and ready meals were all readily available from
supermarkets, are not considered essential to the diet and as such should not be prescribed on FP10s.
Further to these guidelines, it was felt necessary to assess the prescriptions of all patients on the
Coeliac register within the Practice.
One of the principal reasons for doing this was to reduce practice
prescribing costs....
...Most patients acknowledged the necessity of restricting the ‘luxury’ products and the number of
prescription items given the current financial climate. Nevertheless a small number remained
resistant to the change.
On trying to rationalise the prescribing and reduce the volume of prescription items, it became
apparent that some of the prescription items were only available in fixed pack sizes which meant it
was impossible to make dose adjustments in some cases.
The practice also tried to rationalise the number of products which were available for prescription.
However from the patient perspective it was important to have a choice. For example, some patients
wanted to be able to choose 6 items from a total of 20. The Practice is complying with their wishes but
this can lead to complicated screen views on the computer system for Practice staff....
www.gmc-uk.org/Appendices__Assessment_of_the_Impact_of_CPD_Case_Studies.pdf_51700250.pdf
Posted by Lily Paddweller on 13/2/2017
GF board
University of Sheffield
Appendices: Assessment of the Impact of
CPD (Continuing Professional Development) Case Studies
Professor Nigel Mathers, Dr Caroline Mitchell and Amanda
Hunn
Case Study
....2. Coeliac prescribing Guidance: MyHealth Strensall
1. INTRODUCTION
This initiative was developed in 2010 by a single GP as part of his ongoing CPD.
He identified a need
to update and implement local guidance for coeliac prescribing.
Gluten free foods have been
available on prescription but national guidance produced in 2010 indicated that some foods such
biscuits, cakes, cake mixes, luxury bread, cereals and ready meals were all readily available from
supermarkets, are not considered essential to the diet and as such should not be prescribed on FP10s.
Further to these guidelines, it was felt necessary to assess the prescriptions of all patients on the
Coeliac register within the Practice.
One of the principal reasons for doing this was to reduce practice
prescribing costs....
...Most patients acknowledged the necessity of restricting the ‘luxury’ products and the number of
prescription items given the current financial climate. Nevertheless a small number remained
resistant to the change.
On trying to rationalise the prescribing and reduce the volume of prescription items, it became
apparent that some of the prescription items were only available in fixed pack sizes which meant it
was impossible to make dose adjustments in some cases.
The practice also tried to rationalise the number of products which were available for prescription.
However from the patient perspective it was important to have a choice. For example, some patients
wanted to be able to choose 6 items from a total of 20. The Practice is complying with their wishes but
this can lead to complicated screen views on the computer system for Practice staff....
www.gmc-uk.org/Appendices__Assessment_of_the_Impact_of_CPD_Case_Studies.pdf_51700250.pdf