NHS England has advised CCGs that a prescription for the treatment of infrequent constipation should not routinely be offered in primary care as the condition is appropriate for self-care. The NHS England guidance applies to short term, infrequent constipation caused by changes in lifestyle or diet such as lack of water or movement or changes in diet. GPs should continue to prescribe laxatives to manage acute constipation with more complex aetiology (e.g. iatrogenic) and chronic constipation.
The NHS England guidance does not apply to the management of children and laxatives for children should continue to be prescribed by GPs.
The Lancashire and South Cumbria Self-Care and Access to OTC Medicines – Template policy has been developed for use by care homes in Lancashire and South Cumbria. The policy must be reviewed by each care home for suitability and finalised prior to use.
This policy MUST be read in conjunction with the local or care home medicines policy
In developing local commissioning policies, the CCG will commission treatments or services which accord with all of the following principles:
A number of treatments which should be considered a LOW PRIORITY are detailed within this policy
Guidance on consensus approaches to managing Palliative Care Symptoms
The purpose of this guidance is to outline recommendations for prescribing within primary care in Lancashire and South Cumbria. It is intended to provide information on current best practice including providing advice on prescribing situations which are not always clear so as to ensure a consistent approach by primary care prescribers across Lancashire and South Cumbria. All prescribers are encouraged to follow this guide.