Prescriptions (if you would like to register to order online please call 01332 271212)

Repeat Prescriptions

There are two available options for ordering your medication:

  1. Telephone the Medicines Order Line service – 0115 855 0260, open Monday – Friday 9am-4pm. When ordering your prescriptions through the Medicines Order Line your prescription will still be sent to your nominated pharmacy.  Please click here to view and download the leaflet
  2. Online – you can register for online services and request your prescriptions online via the link at the top of this page. If you wish to order your medication through Online Services then please come in to the Surgery and speak to a member of the reception team, please make sure you have some photo I.D. with you. You can also arrange this by calling the surgery and answering some security questions. Your log in details will then be sent to you via sms or email. We will give you the website information, a user name and password that you can use to order your repeat medications. When ordering your prescriptions through Online Services your prescription will still be sent to your nominated pharmacy.

If you see a message online saying you need to contact the surgery to arrange a review please order by listing the items you in need in the 'make a custom request box'. The surgery will contact you when you need to make an appointment.

Please note the custom request box is for requesting regular medication ONLY. For requests for call backs or any other query please contact the surgery.

Please remember that 48 hours are required to process repeat prescriptions, excluding weekends and Bank Holidays, for your request to be processed.

Any problems please telephone the surgery. The prescription has to be signed by a doctor and we are therefore unable to provide repeat prescriptions ‘on demand’.

Prescription Fees

Help with NHS costs

In England, around 90% of prescription items are dispensed free. This includes exemptions from charging for those on low incomes, such as:

  • those on specific benefits or through the NHS Low Income Scheme
  • those who are age exempt
  • those with certain medical conditions
  • More information is available at NHS Choices

NHS Charges

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

  • Prescription (per item): £9.35
  • 12-month prepayment certificate (PPC): £108.10 (this can be done in 10 monthly instalments)
  • 3-month PPC: £30.25

If you will have to pay for four or more prescription items in three months or more than 14 items in 12 months, you may find it cheaper to buy a PPC.

  • Telephone advice and order line 0845 850 0030
  • General Public - Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website.

Medications not available on prescription

Self-care is widely acknowledged as an important solution to managing demand and keeping the NHS sustainable. Supporting people to self-manage common conditions such as coughs and colds could help bring down the 57 million GP consultations each year for minor ailments, a situation which costs the NHS approximately £2 billion and takes up to an hour a day on average for every GP.

Medications no longer routinely prescribed are for conditions that:

  • may be considered to be self-limiting, so they do not need treatment as they will get better of their own accord or
  • are suitable for self-care, so that the person suffering does not normally need to seek medical advice and can manage the condition by purchasing over the counter items directly (see table 1)

In addition

  • some products prescribed at NHS expense have insufficient evidence of clinical effectiveness and should no longer be routinely prescribed (see table 2)

Table 1 - Conditions considered self-limiting whilst will get better of their own accord

 Self-limiting Conditions

Condition Example products (not exhaustive) Specific Exceptions (for general exceptions full policy) 
Acute sore throat Sore throat lozenges and sprays   
Infrequent cold sores of the lip

Aciclovir cream

Zovirax cold sore cream 

Immunocompromised patients 
Conjunctivitis (also see hayfever below) Chloramphenicol eye drops or ointment    Children patient under 2 years of age

Sodium cromoglicate eye drops

Otrivine-antistin eye drops

 
Coughs, colds and nasal congestion

Simple linctus, pholcodine linctus

Pseudoephedrine nasal sprays and oral preparations

Xylometazoline and ephedrine nasal spray and drops

 
Cradle cap Olive oil, cradle cap shampoos  If causing distress to infant and not improving 
Haemorrhoids Anusol cream, ointment or suppositories   
Anusol HC cream, ointment or suppositories Patient less than 18 years of age 
Infant colic

Simeticone liquid 

Dimeticone liquid

 
Colief liquid Confirmed lactose intolerance only
Mild cystitis

Potassium citrate mixture or sachets

Cranberry products 

 

 

 Minor conditions suitable for self care

 Condition Example products (not exhaustive)   Specific Exceptions (for general exceptions see full policy)
Mild irritant dermatitis Emollient creams and lotions  
Mild corticosteroid creams (e.g. hydrocortisone)

Exceptions for hydrocortisone cream:

  • Children under 10 years
  • Pregnant women
  • When required for use on the face, anogential region, broken or infection skin (including cold sores, acne and athlete's foot)

Dandruff

(mild scaling of the scalp)

Shampoos including antifungal, antiseptic, selenium and coal tar  
Diarrhoea (adults)

Loperamide

Oral rehydration sachets 

Children 
Dry eyes/ sore tired eyes Hypromellose eye drops, carbomer 980 gel  
Earwax Olive oil, sodium bicarbonate ear drops   

Excessive sweating

(hyperhidrosis) 

Aluminium chloride 20% solutions (e.g. Driclor, Anhydrol Forte)   
Head lice  Dimeticone, malathion, cyclomethicone, permethrin shampoos and liquids  Children under 6 months of age 
Indigestion and heartburn  Peptac, Gaviscon     
Infrequent constipation  Senna, lactulose, macrogol sachets 

Children where dietary and lifestyle changes have not been sufficient

MHRA Drug Safety August 2020

Infrequent migraine  Analgesics, migraleve, triptans  Patients with severe or recurrent migraines 
Insect bites and stings  Antihistamine oral and topical preparations, calamine lotion   
Topical corticosteroids

Exceptions for hydrocortisone cream:

  • Children under 10 years
  • Pregnant women
  • When required for use on the face, anogenital region, broken or infected skin (including cold sores, acne and athlete's foot)
Mild acne Benzoyl peroxide creams and gels   
Mild dry skin Emollient creams and lotions   
Sunburn due to excessive sun exposure Emollients, oral and topical antihistamines, analgesics   
Sun protection Sun creams such as Uvistat, Sunsense, etc.   ACBS approved indication of protection from UV radiation in abnormal cutaneous photosensitivity (i.e. where skin protection should be prescribed) 

Mild to moderate hayfever/   seasonal rhinitis

 Antihistamines, nasal sprays, eye drops  
Minor burns and scalds Antiseptic creams, analgesics 

More serious burns always require professional medical attention. Burns requiring hospital A&E treatment include but are not limited to:

  • all chemical and electrical burns
  • large or deep burns
  • burns that cause white or charred skin
  • burns on the face, hands, arms, feet, legs or genitals that cause blisters
Minor conditions associated with pain, discomfort and/or fever (e.g. aches and sprains, headaches, period pain, back pain) Analgesics, NSAIDs, topical anti-inflammatory preparations  
Mouth ulcers Local anaesthetic gels, hydrocortisone buccal tablets

Exceptions for hydrocortisone buccal tablets:

  • Children under 12 years of age
Nappy rash Barrier preparations such as Sudocrem, metanium  
Oral thrush

Daktarin oral gel 

Nystatin oral suspension

Infants less than 4 months old (Note that Daktarin oral gel is only licensed for 4 months and older) 

Nystatin is POM so will need a prescription if required

Dental products

Mouthwashes

Toothpaste 

 
Ringworm/ athlete's foot Topical preparations containing miconazole, clotrimazole etc.   Lymphoedema or history of lower limb cellutitis 
Teething/ mild toothache  Teething gels, paracetamol, ibuprofen   
Threadworms Mebendzole  Children under 2 years of age. Not licensed for OTC sale
Travel sickness Cinnarizine, hyoscine   
Warts and verrucae  Salicyclic acid containing products, glutaraldehyde  Treatment of anogential warts


Table 2 Examples of medicines that have little evidence of benefit (Note: this list and examples given is not exhaustive)

Product category Example of products (not exhaustive) Specific Exceptions (for general exceptions see full policy) Resources
Probiotics

 VSL#3,

lactobacillus,acidophilus

VSL#3 classified as a BLACK drug as not recommended or commissioned as the ACBS had withdrawn their approval.

No routine exceptions have been identified.

Vitamins and minerals Pharmacy own brands of vitamins/ multivitamins (i.e. Boots, Lloyds, Superdrug, Valupak), Haliborange, Sanatogen, Fruitivits Sachets, Spatone, Seven Seas, Lamb, Vita E, Osteocaps, Osteocare, Redoxon, Centrum

Vitamin D (high strength) for proven vitamin D deficiency. Calcium and vitamin D for osteoporosis or osteopenia. Vitamin D for patients with hyperparathyroidism, hypercalcaemia and patients receiving parenteral osteoporosis treatment as per the JAPC position statement on self-care with vitamin D*. NB maintenance or preventative treatment is not an exception. See vitamin D management, position statement, and patient information leaflet

Vitamin B - refeeding syndrome. For details please see traffic light classifications here

Vitamin B12 deficiency. Post bariatric surgery – only as specified in the JAPC guideline on monitoring and medication after bariatric surgery - link

Vitamin supplements for premature and low birth weight babies as advised by hospital. For details please see Infant feeding guideline

Patients suitable to receive Healthy start vitamins for pregnancy or children between the ages 6 months to their fourth birthday. (NB this is not on prescription but commissioned separately)