Earlier in the year NHS England and NHS Clinical Commissioners also published guidance on ‘Items which should not be routinely prescribed in primary care’ and subsequently the Birmingham and Solihull CCG policy was produced. Medicines included in the policy are:

• Co-proxamol
• Dosulepin
• Glucosamine and chondroitin
• Herbal treatments
• Homeopathy
• Immediate release fentanyl
• Lidocaine plasters
• Liothyronine
• Lutein and antioxidants
• Once daily Tadalafil
• Omega-3 fatty acid compounds
• Perindopril arginine
• Prolonged release doxazosin
• Rubifacients (excluding topical NSAIDs)
• Targinact – Oxycodone and naloxone combination
• Tramacet – paracetamol and tramadol combination
• Trimipramine
• Vaccines administered exclusively for the purposes of travel (see list in policy)

NHS England Guidance:https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/ 

Birmingham and Solihull CCG policy: https://nhs.us5.list-manage.com/track/click?u=fc496e37a02fff5979483df7e&id=50f4e99283&e=261acd4ccf