Prescribing of nutritional supplements is increasing in general practice

doi:10.1136/bmj.318.7186.808

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J Norwood, Consultant in public health medicine.,
D Short, Research assistant.,
N Dakhill, Research assistant.

Department of Medicines Management, University of Keele, Keele ST5 5BG

EDITOR—Potter et al state that making nutritional supplementation a routine part of hospital prescribing has cost implications.1 Although we agree with this statement, we believe that the issue is far wider than that of hospital prescribing. Prescribing of enteral feed products in primary care is one of the most rapidly increasing areas of drug expenditure.

As part of a study for the NHS Executive,2 we analysed prescribing analysis and cost (PACT) data for the …