Update on gluten-free prescriptions in the North East and North Cumbria

Following a six-week public involvement period earlier this year, and after carefully considering more than 1,400 comments, the Integrated Care Board (ICB) has agreed to change how gluten-free foods are prescribed.

From 1 March 2026, gluten-free bread and flour mix will continue to be available on NHS prescription only for people aged under 25. Prescribing for adults aged 25 and over will no longer continue after this date.

This decision balances the need to use limited NHS resources fairly and effectively while taking steps to protect vulnerable patients. The decision to continue supporting children and young people recognises the challenges of adapting to a gluten-free diet following a coeliac disease diagnosis, as well as the wider impact of child poverty in our region.

When gluten-free products were first introduced to the NHS in the 1960s, there were very few suitable alternatives available. Today, gluten-free products are widely available in supermarkets, online and in local shops, with clear labelling to support safe dietary choices. As the NHS now cares for more people with complex and long-term health conditions, we need to make sure funding delivers the greatest benefit for everyone.

Over the coming months, the ICB will be working with the Northern Treatment Advisory Group (NTAG) to update the clinical guidance on gluten-free prescribing in preparation for the upcoming change in eligibility.

The North East and North Cumbria Integrated Care Board would like to thank everyone who shared their views in the last few months, including patients, carers, community groups, healthcare professionals and partners. Your feedback has helped shape this final decision.