Conditions for which over the counter items should not routinely be prescribed in primary care (Coastal - Closes 28th February 2018)

1. Conditions for which over the counter items should not routinely be prescribed in primary care

 

1. Please provide the first 4 Characters of your postcode Eg: BN43 *

 

2. In what capacity are you responding to this survey? If responding on behalf of an organisation please specify in the Organisation section

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3. Have you read the summary or the full consultation document for 'Conditions for which over the counter items should not routinely be prescribed in primary care'?
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4. Do you feel there are any groups likely to be disproportionately affected by this work? Please provide further information in the comments section on why you think this might be the case. *

YesNoNot sure
Age
Disability
Gender reassignment
Race
Religion or belief
Sex/sexual orientation
Marriage and civil partnership
Pregnancy and maternity
 

5. Do you feel there is any further evidence we should consider in our proposals on the potential impact on health inequalities experienced by certain groups? Please provide further information in the comments section on why you think this might be the case.
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6. Do you agree with the three proposed categories for [items] or [conditions] as listed below. Please provide further information in the comments section *

AgreeNeither agree or disagreeDisagreeUnsure
An item of low clinical effectiveness, where there is a lack of robust evidence for clinical effectiveness
A condition that is self-limiting and does not require medical advice or treatment as it will clear up on its own
A condition that is a minor illness and is suitable for self-care and treatment with items that can easily be purchased over the counter from a pharmacy
 

7. Do you agree with the general exceptions proposed? Read Section 1.5 of the full consultation document for full details. With regards to conditions identified as being appropriate for self-care, it is intended to encourage people to self-care for minor illnesses as the first stage of treatment. However Clinicians should continue to prescribe taking account of NICE guidance as appropriate for the treatment of long term conditions and for the treatment for complex patients . Please provide further information in the comments section *

AgreeNeither agree or disagreeDisagreeUnsure
Circumstances where the product licence doesn’t allow the product to be sold over the counter to certain groups of patients. This may vary by medicine, but could include babies, children and/or women who are pregnant or breast- feeding. Community Pharmacists will be aware of what these are and can advise accordingly.
Patients with a minor condition suitable for self-care that has not responded sufficiently to treatment with an OTC product.
Patients where the clinician considers that the presenting symptom is due to a condition that would not be considered a minor ailment
Circumstances where the prescriber believes that in their clinical judgement, exceptional circumstances exist that warrant deviation from the recommendation to self-care.
Patients where the clinician considers that their ability to self-manage is compromised as a consequence of social, medical or mental health vulnerability to the extent that their health and/or wellbeing could be adversely affected if left to self-care.
 

8. Should we include any other patient groups in the general exceptions? Please provide further information in the comments section. *

 

9. Section 1: Drugs with limited evidence of clinical effectiveness. Do you agree with the recommendation to advise CCGs to support prescribers in advising patients that [item] should not be routinely prescribed in primary care due to limited evidence of clinical effectiveness? Please provide further information in the comments section. *

AgreeNeither agree or disagreeDisagreeUnsure
Probiotics
Vitamins and minerals
 

10. Section 2: Self-Limiting Conditions. Do you agree with the recommendation to advise CCGs to support prescribers in advising patients that a prescription for treatment of [condition] should not routinely be offered in primary care as the condition is self-limiting and will clear up on its own without the need for treatment? Please provide further information in the comments section. *

AgreeNeither agree or disagreeDisagreeUnsure
Acute Sore Throat
Cold Sores
Conjunctivitis
Coughs and colds and nasal congestion
Cradle Cap (Seborrhoeic dermatitis – infants)
Haemorrhoids
Infant Colic
Mild Cystitis
 

11. Section 3: Minor Ailments Suitable for Self-Care. Do you agree with the recommendation to advise CCGs to support prescribers in advising patients that a prescription for treatment of [condition] should not routinely be offered in primary care as the condition is appropriate for self-care? Please provide further information in the comments section *

AgreeNeither agree or disagreeDisagreeUnsure
Contact Dermatitis
Dandruff
Diarrhoea (Adults)
Dry Eyes/Sore (tired) Eyes
Earwax
Excessive sweating (Hyperhidrosis)
Head Lice
Indigestion and Heartburn
Infrequent Constipation
Infrequent Migraine
Insect bites and stings
Mild Acne
Mild Dry Skin/Sunburn
Mild to Moderate Hay fever/Seasonal Rhinitis
Minor burns and scalds
Minor conditions associated with pain, discomfort and/fever. (e.g. aches and sprains, headache, period pain, back pain)
Mouth ulcers
Nappy Rash
Oral Thrush
Prevention of dental caries
Ringworm/Athletes foot
Teething/Mild toothache
Threadworms
Travel Sickness
Warts and Verrucae
 

12. Are there any item or condition specific exceptions you feel should be included, in addition to those already proposed and the general exceptions covered earlier?

If needed, please provide further information below