Gluten-Free Food Service (GFFS) Foods Available on Prescription to Patients

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1 Gluten-Free Food Service (GFFS) Foods Available on Prescription to Patients December 2017 Pharmacy and Prescribing Department NHS Shetland Gilbert Bain Hospital Lerwick Phone:

2 Introduction Each month, patients who have been registered by their doctor to the Gluten-Free Food Service (GFFS), will have to order them from their chosen pharmacy. Coeliac UK, the world s oldest and largest Coeliac Disease (CD) charity, has with NHS Scotland developed a table of food units that will be used to give patients a suggested number of units for consumption within a calendar month. Please see the table below to check that your unit allocation has been correct and that you are using the correct amount to create your monthly food order. As nutritional requirements vary between; genders, ages, levels of activity, lifestyle and occupation, so too do the Units reflect this. The unit allocation should allow you to receive a proportion of your energy requirements from Gluten-Free foods, on prescription. Monthly Gluten Free Food Prescription Requirements Suggested number Age of units per month Child 1-3 years 10 Child 4-6 years 11 Child 7-10 years 13 Child years 15 Child years 18 Male years 18 Male years 16 Male 75+ years 14 Female years 14 Female 75+ years 12 Breastfeeding Add 4 units 3 rd Trimester pregnancy Add 1 unit 2

3 The List of Products The list below does not include all foods that are currently available on prescription. Instead, it has been created using NHS Shetland prescribing information about the most commonly prescribed Gluten-Free food items used in Shetland, over the recent months. The products on the list have also been selected based on their availability through our network of community pharmacies in Shetland, and their suppliers. Products which have costly delivery expenses have not been included in this table of products. Gluten-Free food products such as biscuits, cookies, cakes and other sweet items should be self-funded by the patient. These products are available locally and are not thought to be essential parts of the diet. They also contradict the NHS public health campaigns and messages that are there to promote the importance of eating healthily and therefore have not been included within this list. A small variety of plain biscuits have been included, however a maximum of 3 units per month should be used by these. Units per Food TYPE Food item <400g bread g loaf/bread 1 600g+ bread g rolls/baguettes g rolls/baguettes 1 500g bread mix/flour mix 2 <199g savoury biscuits/crackers g+ savoury biscuits/crackers 1 250g pasta g pasta g+ pasta 2 2x g pizza bases 1 500g oats g breakfast cereal g xanthan gum 1 Number of units 3

4 Fresh Gluten-Free bread products may be ordered too. Fresh products have to be ordered in bulk (6-8 loaves depending on the manufacturers batch sizes). The maximum number of units per month should include the need to order these quantities. In order to obtain the bread as efficiently and freshly as possible, patients are advised to work with their pharmacy team and choose the appropriate ordering day for them. The list has been compiled with the aim of obtaining products that are available from the usual pharmaceutical wholesalers without added delivery charges. Where a product attracts an extra delivery charge, this will not normally be covered by NHS Shetland. The list will be reviewed annually in order to keep it up to date and in line with patient preferences and requests. If something is on the formulary that you normally receive, please tell a member of your pharmacy team. 4

5 NHS Shetland s Gluten-Free Food Formulary ITEM NAME BREAD PIP Code Pack Size(s) GFF Units Ener-G (G/W free) Brown rice sliced bread *474g 1 White rice bread sliced *456g 1 Genius (Gluten free) Soft Brown Sandwich Loaf Sliced *535g 6 Soft White Sandwich Loaf Sliced *535g 6 Seeded Brown Farmhouse Loaf Sliced *535g 6 Glutafin (G/W free) Fibre Loaf - Sliced *300g ½ White loaf -Sliced *300g ½ Glutafin Select (Gluten free) Fresh brown loaf - sliced *400g 8 Fresh white loaf - sliced *400g 8 Fresh seeded loaf- sliced *400g 8 Fibre loaf - sliced *400g 1 White loaf - sliced *400g 1 Seeded loaf - sliced *400g 1 Juvela (Gluten free) Fresh fibre loaf *400g 8 Fresh white loaf - sliced *400g 8 White loaf - sliced *400g 1 Fibre loaf - sliced *400g 1 White loaf - unsliced *400g 1 Fibre loaf - unsliced *400g 1 Part-baked white loaf unsliced *400g 1 Part-baked Fibre loaf unsliced *400g 1 Lifestyle (Gluten free) Fresh brown bread -sliced *400g 8 Fresh high fibre bread -sliced *400g 8 Fresh white bread - sliced *400g 8 Warburtons (G/W free) White bread-sliced *400g 4 Brown bread-sliced *400g 4 Seeded bread - sliced *400g 4 5

6 ROLLS Barkat Home fresh par-baked Baguettes *200g 0.5 Par-baked baguettes *200g 0.5 Home fresh par-baked Bread rolls (6pack)260g 1 Par-baked rolls *2pack 0.5 Ener-G (G/W free) Dinner rolls (6 pack) *280g 1 Glutafin (G/W free) Part baked fibre rolls (4 pack) *50g(200g) 0.5 White rolls (4 pack) *50g(200g) 0.5 Baguette( 2pack) *350g 1 Part baked Long white rolls (2 pack) x75g (150g) 0.5 Part baked white rolls(4 pack) *50g(200g) 0.5 Juvela (Gluten free) Fresh fibre rolls(5 per pack) *(5*85g) 8 Fresh white rolls (5 per pack) *(5*85g) 8 Part-baked fibre rolls (5 per pack) *85g 1 Part-baked white rolls (5 per pack) *85g 1 Fibre rolls (5 per pack) *85g 1 White rolls (5 per pack) *85g 1 Mixed case fresh white (20*85g rolls +4*400g loaves sliced Mixed case Fresh fibre (20*85g rolls +4*400g loaves sliced) Mixed case fresh loaves (4*400g fibre + 4*400g white) Mixed case fresh rolls (20*85g rolls fibre+20*85g rolls white Mixed case fresh loaves and rolls (20*85g rolls+4*400g white loaves Mixed case fresh loaves and rolls (20*85g + 4*400g fibre loaves) Lifestyle Healthcare Fresh High Fibre rolls (5 per pack) *400g 8 Fresh rolls- brown(5 per pack) *400g 8 Fresh rolls - white (5 per pack) *400g 8 Warburtons (G/W free) Rolls white (220g, 3 per pack ) *3packs 2 Rolls brown (220g, 3 per pack) *3packs 2 White baguette (2pack*80g) g*4 2 White thin rolls (4pack x43g) g*4 2 Seeded thin rolls (4pack x43g) g*4 2 6

7 FLOUR MIXES Barkat Bread mix *500g 2 Flour mix *500g 2 Glutafin (G/W free) Multi-purpose white mix *500g 2 Multi-purpose fibre mix *500g 2 Fibre bread mix *500g 2 Bread Mix *500g 2 Glutafin Select (Gluten free) Fibre bread mix *500g 2 Bread mix *500g 2 Multipurpose fibre mix *500g 2 Multip-purpose white mix *500g 2 Glutenex White Bread Mix *500g 2 Heron Foods Wheat free bread and cake mix *500g 2 Wheat free high fibre bread mix *500g 2 Innovative solutions Pure brown rice flour *500g 2 Pure gluten free blended flour *1kg 4 Pure potato starch flour *500g 2 Pure Tapioca starch flour *500g 2 Pure white rice flour *500g 2 Pure brown teff flour kg 4 Pure white teff flour kg 4 Juvela (Gluten free) Fibre mix *500g 2 White mix *500g 2 Harvest white mix *500g 2 Orgran ( Order from Phoenix or Alliance) Easy Bake Bread Mix *450g 2 Pizza & Pastry mix *375g 1.5 SR Flour *500g 2 7

8 PIZZA BASES Barkat Brown Rice Pizza crust *150g 0.5 White Rice pizza crust *150g 0.5 Glutafin Pizza bases (2 pack) 300g *300g 1 Juvela Pizza bases (2 pack) 360g *360g 1 PASTA Barkat Macaroni *500g 2 Spaghetti *500g 2 Spirals *500g 2 Shells *500g 2 Lasagne *250g 1 Gnocchi *250g 1 Buckwheat pasta penne *250g 1 Buckwheat pasta spirals *250g 1 Short-cut tagliatelle *500g 2 Glutafin (G/W free) Penne *500g 2 Pasta (Conchiglie)shells *500g 2 Fusilli(spirals) *500g 2 Fibre Fusilli(spirals) *500g 2 Spaghetti *500g 2 Juvela (Gluten free) Fusilli (spirals) *500g 2 Lasagne sheets *250g 1 Macaroni *500g 2 Spaghetti *500g 2 Tagliatelle *250g 1 Penne fibre *500g 2 Orgran (Gluten Free) Buckwheat spirals *250g 1 Corn spirals *250g 1 Rice&Millet spirals *250g 1 Rice&Corn Lasagne *200g 1 Rice&Corn Macaroni *250g 1 Rice&corn spirals *250g 1 8

9 Rizopia Organic Brown Rice Pasta Fusilli *500g 2 Lasagne *375g 1.5 Penne *500g 2 Spaghetti *500g 2 CRACKERS AND BISCUITS Barkat Round Matzo Crackers *200g 1 Crackers *200g 1 Crispbread *150g 0.5 Glutafin (G/W free) Crackers plain *200g 1 Crackers high fibre *200g 1 Crispbread ** *150g 0.5 Mini crackers *175g 0.5 Juvela (Gluten free) Crispbread *200g 1 Savoury biscuits *150g 0.5 Crackers *65g(125g) 0.5 Nairn's Wholegrain crackers g 0.5 Warburtons (G/W free) Bran crackers *150g 0.5 BAKING AIDS Barkat Xanthan gum *80g 0.5 Ener-G Xanthan Gum *170g 1 Innovative solutions Pure Xantham gum *100g 1 9

10 BREAKFAST CEREALS Barkat (Gluten free) Cornflakes *250g 1.5 Porridge *500g 1.5 Glutafin (G/W free) Cornflakes *375g 1.5 Fibre Flakes *300g 1.5 Nairn's (Gluten free) Porridge oats *450g 1.5 Juvela (Gluten free) Flakes *300g 1.5 Fibre flakes *300g 1.5 Corn flakes *375g 1.5 Crispy rice *375g 1.5 Pure oats *500g

11 Ordering Your Gluten-Free Foods When it comes to ordering your foods, you will have to do so by completing a form like the one shown below, using the information from the table above. This form will be retained at your pharmacy and you can have copies of it to make ordering easier for you. More copies of it will also be available at your pharmacy, along with more copies of this booklet. Any questions about the service will be happily answered by the staff. 11

12 Useful Contacts Pharmacies Name Contact Number Opening Hours A L Laing (01595) :00 17:00 Boots (01595) :00 17:30 Freefield (01595) :00 17:30 Scalloway (01595) :00 17:00 Brae (01806) :00 17:00 Health Centres Name Contact Number Bixter (01595) Brae (01806) Hillswick (01806) Lerwick (01595) Levenwick (01950) Scalloway (01595) Hillsgarth (01957) Walls (01595) Whalsay (01806) Yell (01957)

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