Electronic Prescription Service
The Electronic Prescription Service (EPS) is an NHS service which allows us to send your prescriptions electronically to a pharmacy of your choice (near to where you live, work or shop).
You have 2 choices for how this works:
- You can choose a pharmacy or dispenser to dispense all your prescriptions. When you get a prescription, it will be sent electronically to the dispenser you have chosen. You can collect your medicines or appliances without having to hand in a paper prescription.
- You can decide each time you are issued a prescription where you would like it to be dispensed. When you are issued a prescription, you will be given a paper copy that you can take to any pharmacy or other dispenser in England. The paper copy will contain a unique barcode that will be scanned to download your prescription from the secure NHS database.
Important Information regarding your Prescription
Changes to prescribing of bath and shower
The NHS will be asking doctors to stop or greatly reduce the prescribing of some
treatments. This is because the treatments are:
• Not as safe as other treatments OR
• Not as good (effective) as other treatments OR
• More expensive than other treatments that do the same thing.
This includes bath and shower preparations for dry and itchy skin conditions.
This document will explain why the changes are happening and where you can get more
information and support.
Which bath and shower preparations are affected?
Moisturising bath and shower preparations are bath oils that are poured into the bath
water, and bath and shower emollients which can be used to wash the body. These
products are used for dry and itchy skin conditions such as eczema.
Why will these bath and shower preparations not be prescribed
A study showed that using pour in the bath emollients did not make any difference to
eczema symptoms and therefore using these products is not a good use of NHS
There is no good quality evidence to show that bath and shower emollients are more
effective than leave on emollients used as a soap substitute.
There are also risks with using bath emollients such as skin irritation if large amounts
are used, particularly if antiseptic bath oils are used.
What options are available instead of these bath and shower
It is still really important to use leave-on emollient moisturisers and avoid soap.
Emollients can be used as a soap substitute. Mix a small amount (around teaspoonful)
of emollient in the palm of your hand with a little warm water and spread it over damp or
dry skin. Rinse and pat the skin dry, being careful not to rub it.
You can use soap substitutes for handwashing, showering or in the bath. Emollients do
not foam like normal soap but are just as effective at cleaning the skin.
Items which should not routinely be prescribed in primary care – bath and shower
preparations for dry and itchy skin conditions
Where can I find more information and support?
• You can speak to your local pharmacist, GP or the person who prescribed the
medication to you.
• Your local patient group.
• NHS website https://www.nhs.uk/conditions/emollients/
• The Patients Association can also offer support and advice: www.patientsassociation.
org.uk/ or call 020 8423 8999
• British Medical Journal. Results of the BATHE study including patient video.
Find out more about the medicines that are being stopped or reduced: