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<p>The Department and NHS England expects clinical commissioning groups (CCGs) to
take both NHS England and National Institute for Health and Care Excellence guidance
into account in formulating local polices, and for prescribers to reflect local policies
in their prescribing practice.</p><p> </p><p>In March 2018, CCG guidance was published
on conditions for which over the counter items should not be routinely prescribed
in primary care. This covers 35 minor conditions, including recommendations on the
use of emollients for self-care of mild dry skin. The recommendation in this guidance
only applies to those with mild dry skin or mild irritant dermatitis. If CCGs have
implemented the guidance as intended, patients with moderate to severe eczema will
still be able to receive their emollients on prescription as it is a chronic condition.</p><p>
</p><p>NHS England has also recently run a consultation on ‘Items which should not
routinely be prescribed in primary care: an update and a consultation on further guidance
for clinical commissioning groups (CCGs)’. This included proposals around the proscribing
of emollient bath and shower preparations (it did not cover all emollients, which
come in a range of other formulations).</p><p> </p><p>Variation of prescribing of
emollient bath and shower preparations was reviewed and published as part of the consultation
undertaken from 28 November 2018 – 28 February 2019. Details of this are available
in the consultation document at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf"
target="_blank">https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf</a></p><p>
</p><p>NHS England is currently taking account of all consultation responses and updated
CCG guidance is due to be published in the summer of 2019.</p>
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