Nutritional products on prescription
Nutrition on prescription is indicated in a number of clinical conditions, both temporary and lifelong, for example:
* feeding to support weight gain prior to surgery (cardiac, cleft palate) or post surgery
* cystic fibrosis,
* inflammatory bowel disease,
* children and adults with complex needs
* faltering growth
* Inherited Metabolic Disorders (IMD, e.g. phenylketonuria)
* mental health needs
Dietitians can request nutrition on prescription but cannot independently prescribe. In 2016 Dietitians became eligible to become supplementary prescribers on completion of further training.
The Advisory Committee on Borderline Substances (ACBS) approves all nutritional products listed in Part XV of the Drug Tarriff and the British National Formulary. Over 1400 nutritional products are listed with significant variation in indications and product specifications. The ACBS does not influence or monitor prices.
The dietetic project focuses on appropriate prescribing of oral nutritional items including specialist infant formulas and oral nutrition support (ONS) in both adults and children. Information on gluten free and Inherited Metabolic Disorders has also been produced.
To date the LPP dietetic project
1. Has produced and collated a rich archive of appropriate prescribing work which can be accessed here
2. Is the only NHS organisation to produce key performance indicators (KPI) on appropriate nutritional prescribing which can be accessed here
3. Is the only NHS organisation to host dietetic, pharmacy and procurement staff in one team
4. The work of the Nutrition Task and Finish group can found here
5. Best practice guidance on prescribing or requesting prescriptions of nutrition information can be found here
6. Meetings on appropriate prescribing of nutrition are held regularly and email updates are sent as required. Information on previous meetings can be found here
To join the email list contact Rebecca.firstname.lastname@example.org
Information on the procurement of nutrition can be found on the right hand side.