Addendum to NHSE
RAG rating
Document type
Prescribing guideline
Hertfordshire and West Essex ICB
Output type
Pharmacy / Prescribing

Over The Counter Medicines

Addendum to National Over the Counter (OTC) Guidance

This document has been produced to support prescribers with the local implementation of the NHS England (NHSE) guidance Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs that was published in March 2018. This national guidance was published following consultation with the public and the outcome of this consultation was reflected in the final published guidance.

Following the formation of the Hertfordshire and West Essex Integrated Care Board (ICB) a decision has been taken to apply the national OTC guidance across the ICB. The superseded policies that were prepared for use at place were broadly aligned with the national guidance; this addendum lists local or place-based considerations that are still in place in addition to the provisions described in the national guidance.

Additional conditions for which OTC items should not be routinely prescribed

  • Food items (according to local guidelines)
  • Fungal nail infections. Exceptions: No routine exceptions, see general exceptions
  • Thrush (short-term): Exceptions: No routine exceptions, see general exceptions
Version number
Developed by
Thayera Khan, Pharmaceutical Advisor, Janet Weir, Lead Pharmacist, Hazel Angus Lead Pharmaceutical Advisor, Stacey Golding Lead Pharmacist
Approved by
Date approved / updated
February 2022
Review date
The recommendation is based upon the evidence available at the time of publication. This recommendation will be reviewed upon request in the light of new evidence becoming available.
Superseded version