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In the year to June 2017, the NHS spent approximately £569 million on prescriptions for medicines that could be bought over the counter from a pharmacy or supermarket. That is why, following public consultation earlier this year, NHS England issued guidance to reduce the routine prescribing of some medicines for minor, short-term ailments, including head lice treatment.
In the year to June 2017, the NHS spent approximately £569 million on prescriptions for medicines that could be bought over the counter from a pharmacy or supermarket. That is why, following public consultation earlier this year, NHS England issued guidance to reduce the routine prescribing of some medicines for minor, short-term ailments, including head lice treatment.
What assessment he has made of the potential merits of reversing NICE guidance prohibiting the prescription of headlice treatment by GPs.
Yesterday, I met people from the charity Community Hygiene Concern, which provides cheap, reusable and effective bug-busting kits for less than £5. However, because of these NHS prescription guidance changes, these kits are no longer available, which threatens an epidemic of head lice in our schools. Surely head lice should not be considered a minor ailment. Will the Minister please write to Simon Stevens to encourage him to meet me and Community Hygiene Concern to look at this issue again?
Yesterday, I met people from the charity Community Hygiene Concern, which provides cheap, reusable and effective bug-busting kits for less than £5. However, because of these NHS prescription guidance changes, these kits are no longer available, which threatens an epidemic of head lice in our schools. Surely head lice should not be considered a minor ailment. Will the Minister please write to Simon Stevens to encourage him to meet me and Community Hygiene Concern to look at this issue again?
I have been itching all morning while thinking about this answer. I do not believe there is an epidemic because of NHS England’s actions. Clinical experts in the NHS advise that head lice can be safely and effectively treated by wet combing; I have very recent personal experience of doing this, as I am sure do many parents in this House. Chemical treatment is recommended only in exceptional circumstances. I had not heard of the charity the hon. Lady mentions, but as we discussed before questions, I am happy to facilitate that interaction.
I have been itching all morning while thinking about this answer. I do not believe there is an epidemic because of NHS England’s actions. Clinical experts in the NHS advise that head lice can be safely and effectively treated by wet combing; I have very recent personal experience of doing this, as I am sure do many parents in this House. Chemical treatment is recommended only in exceptional circumstances. I had not heard of the charity the hon. Lady mentions, but as we discussed before questions, I am happy to facilitate that interaction.
I have been itching all morning while thinking about this answer. I do not believe there is an epidemic because of NHS England’s actions. Clinical experts in the NHS advise that head lice can be safely and effectively treated by wet combing; I have very recent personal experience of doing this, as I am sure do many parents in this House. Chemical treatment is recommended only in exceptional circumstances. I had not heard of the charity the hon. Lady mentions, but as we discussed before questions, I am happy to facilitate that interaction.
Yesterday, I met people from the charity Community Hygiene Concern, which provides cheap, reusable and effective bug-busting kits for less than £5. However, because of these NHS prescription guidance changes, these kits are no longer available, which threatens an epidemic of head lice in our schools. Surely head lice should not be considered a minor ailment. Will the Minister please write to Simon Stevens to encourage him to meet me and Community Hygiene Concern to look at this issue again?
In France, where head lice are more common per capita than in the UK, people make good use of pharmacies, because it costs money to visit a general practitioner and because the state promotes the role of pharmacies. May I therefore ask the Minister why do we not advertise that we should be using pharmacies more often than not, instead of going to a GP?
In France, where head lice are more common per capita than in the UK, people make good use of pharmacies, because it costs money to visit a general practitioner and because the state promotes the role of pharmacies. May I therefore ask the Minister why do we not advertise that we should be using pharmacies more often than not, instead of going to a GP?
But not lice!
But not lice!
I do not know whether my hon. Friend is familiar with wet combing his hair.
I do not know whether my hon. Friend is familiar with wet combing his hair.
In France, where head lice are more common per capita than in the UK, people make good use of pharmacies, because it costs money to visit a general practitioner and because the state promotes the role of pharmacies. May I therefore ask the Minister why do we not advertise that we should be using pharmacies more often than not, instead of going to a GP?
Only with my gel.
Only with my gel.
Only with his gel. He is absolutely right that, as the Secretary of State just said, community pharmacies are experts in so many minor health matters, and Pharmacy First can absolutely be used when it comes to head lice as well.
Only with his gel. He is absolutely right that, as the Secretary of State just said, community pharmacies are experts in so many minor health matters, and Pharmacy First can absolutely be used when it comes to head lice as well.
In France, where head lice are more common per capita than in the UK, people make good use of pharmacies, because it costs money to visit a general practitioner and because the state promotes the role of pharmacies. May I therefore ask the Minister why do we not advertise that we should be using pharmacies more often than not, instead of going to a GP?
rose—
rose—
I was just nit-picking.
I was just nit-picking.
It will soon be Christmas.
It will soon be Christmas.
What assessment he has made of the potential merits of reversing NICE guidance prohibiting the prescription of headlice treatment by GPs.
What assessment he has made of the potential merits of reversing NICE guidance prohibiting the prescription of headlice treatment by GPs.
In the year to June 2017, the NHS spent approximately £569 million on prescriptions for medicines that could be bought over the counter from a pharmacy or supermarket. That is why, following public consultation earlier this year, NHS England issued guidance to reduce the routine prescribing of some medicines for minor, short-term ailments, including head lice treatment.
To ask the Secretary of State for Health and Social Care, pursuant to the oral contribution of 25 October 2018 of the hon. Member for Kingston upon Hull West and Hessle, Official Report, column 456, what assessment he has made of the effect that recent changes to NHS guidance to...
To ask the Secretary of State for Health and Social Care, pursuant to the oral contribution of 25 October 2018 of the hon. Member for Kingston upon Hull West and Hessle, Official Report, column 456, what assessment he has made of the effect that recent changes to NHS guidance to...
The Department has made no such assessment. The section of NHS England’s guidance which covers head lice says that chemical treatment for them is only used in exceptional cases; the usual treatment is wet combing. NHS England undertook an Equalities and Health Inequalities analysis ‘Conditions for which over the counter items should not be routinely prescribed in primary care: Equality and health inequalities full analysis form’ alongside the guidance, which assessed the impact of the guidance on those from low income households and those living in poverty. The analysis can be accessed using the following link:
https://www.england.nhs.uk/wp-content/uploads/2018/03/otc-ehi-analysis-form.pdf
In March, NHS England changed its guidance on conditions for which over-the-counter items should not be routinely prescribed in primary care, with one being head lice. An average bottle of head lice shampoo costs between £10 and £12, which is a significant sum for parents in the most deprived areas....
In March, NHS England changed its guidance on conditions for which over-the-counter items should not be routinely prescribed in primary care, with one being head lice. An average bottle of head lice shampoo costs between £10 and £12, which is a significant sum for parents in the most deprived areas....
I was not aware of that and I share the hon. Lady’s concern; I remember the nightmare of trying to get rid of head lice when my kids were young, and I am sure all hon. Members will have their own horror stories of how persistent head lice are. I...
I was not aware of that and I share the hon. Lady’s concern; I remember the nightmare of trying to get rid of head lice when my kids were young, and I am sure all hon. Members will have their own horror stories of how persistent head lice are. I...
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of whether their is a causal link between the increased use of portable electronic devices and the (a) incidence and (b) prevalence of head lice in (i) primary and (ii) secondary school aged...
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of whether their is a causal link between the increased use of portable electronic devices and the (a) incidence and (b) prevalence of head lice in (i) primary and (ii) secondary school aged...
Public Health England has not carried out any assessment or study on the relationship between use of portable electronic devices and head lice in school aged children.
School nurses and their teams as public health nurses provide advice and guidance to schools and parents on head lice prevention and treatment; however they do not check individual pupils’ hair. Parents are best placed to identify head lice and should be encouraged to regularly check their own child’s hair.
Parents may also seek advice from their practice nurse or pharmacist.
To ask Her Majesty’s Government what warnings and advice they intend to give to the public about the incidence of treatment-resistant head lice in the UK.
To ask Her Majesty’s Government what warnings and advice they intend to give to the public about the incidence of treatment-resistant head lice in the UK.
There are no plans to issue any specific warnings or advice around the incidence of treatment-resistant head lice. Guidance for the treatment of head lice is to wet comb using a head lice comb, as opposed to using insecticides.
To ask the Secretary of State for Education (1) how many outbreaks of head lice there have been in schools in (a) England and (b) Lancashire in each of the last five years;
[132691]
To ask the Secretary of State for Education (1) how many outbreaks of head lice there have been in schools in (a) England and (b) Lancashire in each of the last five years;
[132691]
The Department of Education does not gather the information requested. It is a matter for individual school determination as to how they manage any incidents of head lice and the appropriateness of when to call in a school nurse.
(2) how many times nurses have been called into schools in (a) England and (b) Lancashire to deal with outbreaks of head lice in each of the last five years.
[132692]
Graham Jones:
(2) how many times nurses have been called into schools in (a) England and (b) Lancashire to deal with outbreaks of head lice in each of the last five years.
[132692]
Graham Jones:
The Department of Education does not gather the information requested. It is a matter for individual school determination as to how they manage any incidents of head lice and the appropriateness of when to call in a school nurse.
To ask Her Majesty’s Government how many NHS prescriptions were issued between January 2008 and June 2010 for the treatment of head lice by individual product; what was the cost of each product; and whether prescriptions issued by nurse prescribers and prescribing pharmacists running minor ailment schemes are included.
To ask Her Majesty’s Government how many NHS prescriptions were issued between January 2008 and June 2010 for the treatment of head lice by individual product; what was the cost of each product; and whether prescriptions issued by nurse prescribers and prescribing pharmacists running minor ailment schemes are included.
| Number of prescription items written in the UK and dispensed in the community in England and the net ingredient cost (NIC)—January 2008 to June 2010 | |||
|---|---|---|---|
| Chemical name | Product name | Items | NIC(£’s) |
| Carbaryl | Carylderm Liquid 1% | 4,035 | 18,169 |
| Carylderm Liquid Shampoo 1% | 1 | 5 | |
| Carylderm Lotion 0.5% | 312 | 1,411 | |
| Carbaryl total | 4,348 | 19,585 | |
| Dimeticone (parasiticidal) | Hedrin Lotion 4% | 90,817 | 617,936 |
| Hedrin Lotion Spray 4% 100 ml | 277 | 2,022 | |
| Hedrin Lotion Spray 4% 120 ml | 1,487 | 12,624 | |
| Hedrin Lotion Spray 4% 60 ml | 42 | 267 | |
| Dimeticone parasiticidal total | 92,623 | 632,849 | |
| Malathion | Derbac-M Liquid 0.5% | 201,694 | 1,190,974 |
| Prioderm Cream Shampoo 1% | 246 | 969 | |
| Prioderm Lotion 0.5% | 52,595 | 292,846 | |
| Quellada-M Cream Shampoo 1% | 3,607 | 14,312 | |
| Quellada-M Liquid 0.5% | 23,039 | 114,918 | |
| Suleo-M Lotion 0.5% | 525 | 2,892 | |
| Malathion total | 281,706 | 1,616,910 | |
| Other parasiticidal preparations | Nitty Gritty Head Lice Repellent Spray 250 ml | 12 | 69 |
| Other parasiticidal preparations total | 12 | 69 | |
| Phenothrin | Full Marks Foam Aero 0.5% 150g | 2,059 | 14,438 |
| Full Marks Foam Aero 0.5% 50g | 2,369 | 8,800 | |
| Full Marks Liquid 0.5% | 16,439 | 93,921 | |
| Full Marks Lotion 0.2% | 7,883 | 43,291 | |
| Phenothrin total | 28,750 | 160,450 | |
| Combs | Nitcomb-M2 Comb | 691 | 1,567 |
| Nitcomb-S1 Comb | 261 | 318 | |
| Nitty Gritty NitFree Comb | 12,408 | 73,098 | |
| Combs total | 13,360 | 74,982 | |
| Grand total | 420,799 | 2,504,846 |