Gluten free food policy (updated February 2018) - NHS ...
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Gluten free food policy (updated February 2018)
If you or someone you care for has Who can I ask for
been diagnosed with coeliac specialist advice?
disease and/or dermatitis
You can get specialist advice on
herpetiformis, then it is important
how to follow a GF diet from
to adhere to a gluten free (GF) diet. your dietician. It is very
important that you make sure
Prescribing gluten free foods is you have the recommended
no longer recommended on the amounts of specific nutrients,
NHS for patients in such as calcium and iron.
Cambridgeshire and Patients are urged to attend
Peterborough. annual review appointments
when they are offered.
When GPs were first able to prescribe
GF foods in the 1960s, the choice in Which foods are
shops was limited. It was therefore naturally gluten free?
appropriate for GF foods to be
prescribed. The changes have been There are a variety of foods which
introduced because:
you can eat that are naturally GF,
A wider range of GF products are
such as fruits, vegetables, meat, fish,
now available at supermarkets,
poultry, eggs, cream, milk, rice,
health food shops and online.
potatoes, pulses and beans.
Many carbohydrate foods are
naturally gluten free, such as
GF oats are a valuable source of
potatoes, rice and some noodles.
These products can be bought fibre. After diagnosis GF oats can be
from supermarkets. introduced. Some people may find
GF products are often more they have symptoms after eating
expensive when prescribed than oats. If this happens to you, tell your
prices in the shops and online. healthcare professional. For a full list
Food items are generally not of which foods do not contain gluten
available on prescription for other and which foods do, see pages 3 & 4.
conditions. ALWAYS READ FOOD LABELS
On the 1 February 2018 outcomes of a Coeliac UK is an excellent
national consultation relating to the support group for patients who
prescribing of GF foods were need to adhere to a GF diet. For
published. This has been reviewed, in more information visit
conjunction with the outcomes of a www.coeliac.org.uk
local consultation, and within
Cambridgeshire and Peterborough
Should you require more information,
GPs will continue to be supported to
please contact the Patient Experience
not prescribe gluten free foods on
Team on Freephone 0800 279 2535
prescription.
or 01223 725 588
Wcapccg.pet@nhs.net )
(Email:
h
2 eFoods that DO NOT contain gluten - Try these!
Flour Corn flour, polenta, potato, cassava, bean and lentil flour, split pea flour,
millet, quinoa, buckwheat, rice (all types), maize, arrowroot, sorghum,
teff, amaranth, chestnut*, soya*, tapioca*, sago*.
Cereals Some branded and equivalent supermarket brands of corn-based or rice-
based cereals e.g. cornflakes, rice snaps, honey nut cornflakes. (Always
check the label as some varieties may not be gluten free.)
Breads, Gluten free products specially manufactured (supermarkets have specialised
cakes and ranges): e.g. breads, biscuits, pizza bases, flour mixes, cakes. Products
made from cereals or flours from the allowed list. Products made without
biscuits
flour (always check the label for gluten sources) or with gluten free flour.
Pasta, rice All types of fresh rice. Rice noodles (always check the label). Gluten free
pasta, corn pasta, quinoa and rice pasta*.
and noodles
Potatoes All fresh potatoes. Some crisps (always check the label). Home-made
chips made from fresh potatoes and cooked in oil which has not been used
to fry products containing gluten e.g. battered fish*.
Meat, fish and All fresh meat, fish and poultry. Tinned fish e.g. tuna/salmon. Smoked,
poultry and meat kippered or dried fish. Gluten free sausages and fish fingers.
alternatives*
Milk, dairy, Natural plain cheese, fresh milk, cream, condensed milk, yoghurts,
eggs and dairy fromage frais, soya milk, goat’s milk, coconut milk, almond milk, rice milk,
dried skimmed milk powder, eggs.
alternatives
Fats and oils Vegetable oil, olive oil, butter, lard, reduced fat/low-fat spreads, ghee*
Fruit, Fresh, dried or tinned fruit, vegetables, nuts, beans, pulses and seeds.
vegetables, nuts
and pulses
Meringues, sorbets, ice creams, jelly, mousses, custard powders, milk
Desserts
puddings made with gluten free ingredients. Always check labels of these
food products.
Snack foods Prawn crackers, plain* rice cakes, poppadoms, home-made popcorn, gluten
free crisp breads and crackers‡. Always check the labels for these products.
Confectionary, Sugar, golden syrup, icing sugar, treacle, molasses, jam, honey,
sweets and marmalade, peanut butter, boiled sweets and jellies.
preserves
Soups, Fresh salt and pepper, herbs, spices, vinegars (e.g., rice wine, balsamic,
barley malt*), fresh soups, gluten free soups, sauces and seasonings.
sauces and
seasonings
Drinks Tea, coffee, fizzy drinks, squashes, cordials, fresh juices, milk, some
and cocoa powders, cider, spirits, wines, liqueurs, sherry, port, GF beer*.
alcohol
Other Bicarbonate of soda, fresh and dried yeast, marzipan, supermarket
branded yeast extracts*, plain tofu*, food colourings and flavourings,
gelatine. Always check the labels. The vast majority of medicines
prescribed by a GP are gluten free*.
3Foods that DO contain gluten – Avoid these!
Flour Wheat, rye, barley, bulgar wheat, spelt, durum wheat, triticale, khorasan
wheat (Kamut®), wheat flour, wheat starch, wheat bran, oat bran, semolina,
couscous, malt and malted barley, bale, Einkorn*.
Cereals Wheat-based breakfast cereals and muesli.
Breads, cakes All bread and bread products made from wheat, barley or rye* - e.g.
and biscuits croissants, bagels, pitta bread, chapatti, naan bread, crispbreads,
crackers, matzos, muffins, scones, croutons, pancakes, pizza, Yorkshire
puddings, wafers and ice cream cones, pastries and pies.
Pasta, rice Any fresh, dried or tinned pasta, and noodles (except some rice
and noodles noodles*). Processed rice found in salads or ready meals.
Potatoes Processed potatoes e.g. potato salad, waffles, some chips, instant mash,
crisps or potato snacks.
Meat, fish and Some processed meats or products coated in batter or breadcrumbs. Pies,
poultry and meat puddings, suet, stuffing, fish fingers, chicken nuggets, fishcakes, sausages,
burgers, haggis, faggots*, taramasalata, and rissoles.
alternatives*
Milk, dairy, eggs Check the labels of processed cheese, low-fat cheese spreads, artificial cream,
and dairy some ice creams and yoghurts. Yoghurts containing muesli or cereals. Scotch
eggs.
alternatives
Fats and oils Suet, low-fat spreads.
Fruit, vegetables, Processed fruit and vegetables that are coated in breadcrumbs/or in sauces.
nuts and pulses Some brands of nuts e.g. pearl barley*.
Desserts and Trifles, sponge puddings, semolina, tarts, and puddings made from flours
Puddings in the ‘foods to avoid’ list.
Snack foods Pretzels, Bombay mix, snacks made from flours in the ‘foods to avoid’ list.
Confectionary, Some chocolate bars, toffees and sweets (always check labels).
sweets and
preserves
Soups, sauces Packet soups and sauces, gravies, soy sauce, ketchups, mayonnaise,
and seasonings salad dressings, pickles and chutneys, stuffing and stuffing mixes, stock
cubes, bouillon, and Worcestershire sauce (always check labels* )
Drinks and Barley drinks or squashes, cloudy fizzy drinks (always check labels*),
alcohol malted milk drinks, instant vending machine drinks, some milkshakes,
sports drinks, beer, lager, stout, ale.
Other Baking powder, some medicines and vitamins.
Adapted from Patient.co.uk Coeliac Disease Diet Sheet via URL:
www.patient.info/health/coeliac-disease-diet-sheet
*Coeliac UK Gluten free checklist (2015).
https://www.coeliac.org.uk/glutenfree-diet-and-lifestyleIf you would like information in another language or format, please ask us.
If you have any concerns, please contact us:
You can telephone:
FREEPHONE 0800 279 2535 or 01223 725 588
or email on:
CAPCCG.pet@nhs.net
or write to us at:
Patient Experience Team
Lockton House
Clarendon Road
Cambridge
CB2 8FH
We are available 9.00 am to 5.00 pm, Monday to Friday excluding Bank
Holidays. Outside these hours an answerphone system is available - please
leave a message and we will return your call.
Published by NHS Cambridgeshire and Peterborough Clinical
Commissioning Group
With acknowledgement to NHS West Suffolk Clinical Commissioning Group
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