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.
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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