AVON VALLEY PRACTICE Gluten Free Prescribing Guidelines Wiltshire CCG recommends that prescribing of Gluten-free foods should be in accordance with the ‘Gluten-free foods: Revised prescribing guidelines 2011’ published by Coeliac UK. Gluten-free prescribing should focus on enabling people with coeliac disease to access gluten-free staple foods as part of a healthy balanced diet Gluten-free crackers and crispbreads may be used in place of bread Sweet biscuits should only be considered in exceptional circumstances on clinical advice We will provide you with a list of all the foods that you may require, with the quantity of each, so that you can select on the repeat prescription those that are required for a particular month and amend quantities as necessary The approximate monthly requirement for various patient groups is provided below so that you can see how many units are advised according to your age, sex and other health needs. The food examples can be interchanged i.e. bread mixes can be interchanged with bread, rolls or baguettes. People with coeliac disease/DH: monthly gluten-free food prescription requirements Age group Advised Example of monthly prescription number of units 1-3 years 10 6 x 400g bread (or 3 x 500g mix suitable for making bread) 2 x 300g breakfast cereal 1 x 250g pasta 4-6 years 11 6 x 400g bread (or 3 x 500g mix suitable for bread making) 2 x 500g pasta 1 (2 x 110 - 180g) pizza bases 7-10 years 13 8 x 400g bread (or 4 x 500g mix suitable for making bread) 2 x 500g pasta 1 (2 x 110 - 180g) pizza bases 11-14 years 15 8 x 400g bread (or 4 x 500g mix suitable for making bread) 2 x 500g gluten-free oats 1 x 500g pasta 2 x (2x 110-180g) pizza bases 15-18 years 18 8 x 400g bread (or 4 x 500g mix suitable for making bread) 3 x 500g pasta 2 x 300g breakfast cereal 1 x crackers/ crispbreads Male 19-59 18 8 x 400g bread (or 4 x 500g mix suitable for making bread) years 3 x 500g pasta 2 x 300g breakfast cereal 1 x (2 x 110 - 180g) pizza bases Male 60-74 16 8 x 400g bread (or 4 x 500g mix suitable for making bread) years 2 x 500g pasta 2 x 500g gluten-free oats 1 x crackers/ crispbreads Male 75+ years 14 8 x 400g bread (or 4 x 500g mix suitable for making bread) 1 x 500g pasta 2 x 500g gluten-free oats 1 x crackers/ crispbreads Age group Female 19-74 years Female 75+ years Advised number of units 14 12 Breastfeeding Add 4 units 3rd trimester pregnancy Add 1 unit Example of monthly prescription 8 x 400g bread (or 4 x 500g mix suitable for making bread) 1 x 500g pasta 2 x 300g breakfast cereal 1 x crackers/ crispbreads 6 x 400g bread (or 4 x 500g mix suitable for making bread) 1 x 500g pasta 2 x 500g gluten-free oats 1 x crackers/ crispbreads 1 x 400g bread 1 x 500g pasta 1 x crackers / crispbreads 1 x crackers / crispbreads Please note, additional units may be required and this should be assessed on an individual basis by a registered dietician. The number of units represented by the prescribable gluten-free food item is given to enable you to select the products you wish to have per month. Prescribable food item 400g bread 100 - 250g rolls / baguettes 250 - 400g rolls / baguettes 500g bread mix / flour mix 100g savoury biscuits / crackers 200g savoury biscuits / crackers / crispbreads 250g pasta 500g pasta 2 x 110 - 180g pizza bases 500g oats 300g breakfast cereal 100 - 170g xanthan gum No. of units 1 1/2 1 2 1/2 1 1 2 1 1 1/2 1 1/2 1 We are not always able to obtain food items in the precise quantities as stated however we will ensure the number of units are provided. We would also like to send you a text message or an email when your Gluten Free products are available for collection. Please complete and return the attached form to sign up for this service. For more information, please visit Coeliac UK: http://www.coeliac.org.uk/sites/files/coeliac/updated_-_gluten-free_foods__a_revised_prescribing_guide_2012_-_10_07_reduced_size_1.pdf