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NHS prescriptions for drugs of limited clinical value

on .

What is changing?

From July 2018, changes are being introduced across North Staffordshire and Stoke-on-Trent which will mean that 18 medicines that used to be prescribed will no longer be routinely available on NHS prescriptions. This is because these medicines have been identified as either:

  • not as safe as other treatments or
  • not as good or effective as other treatments or
  • more expensive than other treatments that do the same thing.

Which medicines are affected?

The medicines that will no longer be routinely prescribed are:

  1.   pdf Co-proxamol (111 KB)
  2.   pdf Dosulepin (74 KB)
  3. pdf (74 KB)   pdf Prolonged-release Doxazosin (76 KB) (also known as Doxazosin Modified Release)
  4.   pdf Immediate Release Fentanyl (100 KB)
  5.   pdf Glucosamine and Chondroitin (72 KB)
  6.   pdf Herbal Treatments (100 KB)
  7.   pdf Homeopathy (73 KB)
  8.   pdf Lidocaine Plasters (78 KB)
  9.   pdf Liothyronine (87 KB) (including Armour Thyroid and liothyronine combination products)
  10.   pdf Lutein and Antioxidants (74 KB)
  11.   pdf Omega-3 Fatty Acid Compounds (74 KB)
  12.   pdf Oxycodone and Naloxone Combination Product (84 KB)
  13.   pdf Paracetamol and Tramadol Combination Product (84 KB)
  14.   pdf Perindopril Arginine (73 KB)
  15.   pdf Rubefacients (75 KB) (excluding topical non-steroidal anti-inflammatory drugs or NSAIDs)
  16.   pdf Once Daily Tadalafil (75 KB)
  17.   pdf Travel Vaccines (76 KB) (vaccines administered exclusively for the purposes of travel)
  18.   pdf Trimipramine (96 KB)

Why is this happening?

This change of policy has come about as a result of NHS England’s guidance which recommends this change to prescribing the 18 medicines listed above.

The guidance follows a national consultation and our own local engagement with patient groups and health professionals to gather views on these medicines and any issues around stopping prescribing them.

The annual prescribing cost for these medicines in Staffordshire is around £3 million which could be put to better use to support more serious health conditions. As the organisation responsible for this money, we are working with local GP practices to make sure that the money we are allocated for medicines is used wisely and where it will have the most benefit to patients.

Anyone currently receiving one of the medicines listed above should continue ordering their prescription and taking their medicines as usual until they have received advice from their doctor.

Need more information?

More information is available from NHS England:

NHS England guidance



If you have any concerns about the decision, please contact PALS at:
Freephone: 0800 030 4563; Mon to Fri 9am to 4pm (excluding Bank Holidays - answerphone available)
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.