Medicines Optimisation Team Updates

October 2019:

Cambridgeshire and Peterborough CCG no longer supports the prescribing of bath and shower emollients, for both adults and children. These are products used for dry, itchy and scaly skin conditions such as eczema and dermatitis.

Using bath and shower emollients are not considered to be any more clinically effective than applying moisturiser directly onto your skin. A clinical trial carried out in 2018 provided strong evidence that emollient bath additives provide minimal or no additional benefit beyond standard management of eczema in children. Standard management of eczema includes soap avoidance and regular applications of a leave-on emollient. An emollient cream or ointment which can be used instead of soap (except for Liquid and White Soft Paraffin 50:50 ointment). This may include an emollient cream or ointment that are currently being used which can be used for both washing in the bath or shower and applying regularly as a leave-on emollient.
The Medicines Optimisation Team have produced a leaflet to support the deprescribing of these products, along with a poster. Hyperlinks to these, as well as  the CCG’s Position statement concerning them can be seen below.
This recommendation is also in line with the NHS England Policy (which includes these products): Items which should not routinely be prescribed in primary care: Guidance for CCGs. Access this document here.
The Medicines Optimisation Team are able to support Practices in deprescribing these products, please do contact me should you require any help.
Please do come back to me should you require any further information.

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