This disappointing decision comes despite 65% of respondents to the consultation disagreeing with the proposal.
Earlier in 2019, NHS England held a consultation to gather
feedback on its proposal that a number of medicines/products, including ‘bath
and shower preparations for dry and pruritic skin conditions’ should no longer
routinely be prescribed in primary care. Given that this would adversely affect
many people who currently obtain these products on prescription for their
psoriasis, we encouraged you to respond directly to the consultation and share
Unfortunately, we have now been made aware that NHS England has decided to push through
with this proposal which advises local Clinical Commissioning Groups (CCGs)
that GPs and nurse prescribers in primary care should no longer offer bath and
shower preparations to their patients on prescription. The guidance states
that 'no routine exceptions have been defined’ so concessions will not be made
for people with long term conditions, such as psoriasis.
You can read the full wording of the recommendation here
(skip to page 16)
We are particularly disappointed that this decision has been
made despite a clear majority (65%) of respondents to the consultation disagreeing
with the proposal, with disagreement highest among patient and public
respondents – the people who, ultimately, will be impacted by the implementation
of this guidance.
Please click here and see pages 16-19 for full details of
the response to the consultation
What can I do about this?
If you feel strongly about this issue, we would recommend
that you contact your local MP and advise them of your concerns. Your MP can
take the issue forward on your behalf both locally and by raising the broader
issue within Parliament itself.
You can find your local MP here, and access a template
letter which you can adapt and edit to suit your needs here.
If you do contact your MP, please let us know and keep us
updated on any action they are prepared to take on your behalf.
Is this connected to the ‘emollient rationing’
The two issues are distinct as they stem from separate NHS
England guidance – we agree that this is very confusing!
If you are currently finding it difficult to get leave-on emollients on prescription
from your GP, this is quite possibly due to a misinterpretation by your local
CCG of the guidance ‘Conditions for which over the counter items should not
routinely be prescribed in primary care: Guidance for CCGs’ which was published
in March 2018.
This guidance recommends that emollients should no longer be
prescribed in primary care for ‘mild dry skin’ (see page 27), however long term
conditions, such as psoriasis, are exempt (see page 12).
To clarify, if you have psoriasis, you ARE entitled to
obtain leave-on emollients on prescription. Please direct your GP or nurse
prescriber to the relevant pages of the NHS England guidance if you have any
issues, and consider contacting your MP (see above).