Prescribing of gluten free products

Below are the database queries which are used to create this measure. These are run against a copy of the BSA prescribing data which we store in Google BigQuery. We're working on making our BigQuery tables publicly available at which point it will be possible to run and modify these queries yourself. But even where code and database queries are not directly useable by others we believe it is always preferable to make them public.

Description Cost of gluten-free products per 1000 patients
Why it matters Gluten-free products are available on prescription for patients who have a biopsy-confirmed diagnosis of coeliac disease. These products are also now available to purchase, e.g. from supermarkets, and many NHS areas are considering stopping or restricting their supply on prescribing. Following a consultation, the Department for Health has recommended that a restricted range of products remain available on prescription. Please note this list now excludes low-protein products which are also catagorised by dm+d and NHSBSA as being gluten-free, as these products have different indications for ACBS use.
Tags Standard, Cost Saving, Nutrition
Implies cost savings Yes
History View change history on GitHub →

Numerator SQL

SELECT
     CAST(month AS DATE) AS month,
     practice AS practice_id,
     SUM(actual_cost) AS numerator
 FROM hscic.normalised_prescribing_standard
 WHERE ( bnf_code LIKE '0904010AU%' OR --Gluten Free/Wheat Free Snacks 
 bnf_code LIKE '0904010AC%' OR --Gluten Free/Wheat Free Cereals 
 bnf_code LIKE '0904010AD%' OR --Gluten Free/Wheat Free Cakes/Pastries 
 bnf_code LIKE '0904010H0%' OR --Gluten Free Bread 
 bnf_code LIKE '0904010Q0%' OR --Gluten Free Pasta 
 bnf_code LIKE '0904010A0%' OR --Gluten Free/Wheat Free Biscuits 
 bnf_code LIKE '0904010AB%' OR --Gluten Free/Wheat Free Cooking Aids 
 bnf_code LIKE '090401080%' OR --Gluten Free/Wheat Free Pasta 
 bnf_code LIKE '0904010U0%' OR --Gluten Free/Wheat Free Bread 
 bnf_code LIKE '090401070%' OR --Gluten Free/Wheat Free Grains/Flours 
 bnf_code LIKE '0904010AA%' OR --Gluten Free/Wheat Free Mixes 
 bnf_code LIKE '090401030%' OR --Gluten Free Mixes 
 bnf_code LIKE '0904010J0%' OR --Gluten Free Grains/Flours 
 bnf_code LIKE '0904010AG%' OR --Gluten Free/Wheat Free Meals 
 bnf_code LIKE '0904010L0%' OR --Gluten Free Cakes/Pastries 
 bnf_code LIKE '0904010I0%'    --Gluten Free Biscuits 
 )
 GROUP BY month, practice_id

Denominator SQL

SELECT
     CAST(month AS DATE) AS month,
     practice AS practice_id,
     SUM(total_list_size / 1000.0) AS denominator
 FROM hscic.practice_statistics
 GROUP BY month, practice_id