Fund vouchers for people with coeliac disease

We urge the government to fund vouchers for those who are medically diagnosed with coeliac disease.

People with coeliac disease must follow a strict gluten-free diet for life to avoid serious health risks. Gluten-free foods cost 183% more on average against their gluten containing alternative, placing a burden on those with limited income. We believe that vouchers would promote health equity, ensuring access to necessary food and preventing health risk.

The Government recognises the significant impact coeliac disease can have and remains committed to ensuring people receive appropriate care and support. However, there are no plans to introduce vouchers for gluten‑free food. Support is already available through NHS prescriptions for gluten‑free bread and mixes, alongside existing low‑income support schemes. Any expansion of provision would require substantial additional public funding and must be balanced against wider NHS priorities.

Evidence from previous local pilots shows that voucher schemes can add administrative complexity for patients and the NHS, with limited patient engagement. Gluten‑free foods have long been available on prescription, and access to both specialist and naturally gluten‑free foods has improved significantly in supermarkets, making it easier for people to maintain a balanced diet.

Following extensive consultation in 2017 with patients, clinicians and organisations including Coeliac UK, the then Government decided to retain NHS prescribing of gluten‑free bread and mixes for eligible patients. This helps protect those on lower incomes, who may otherwise struggle with higher retail prices. Further support is available through the NHS Low Income Scheme, Prescription Prepayment Certificates, and the continued freeze on prescription charges. While national policy allows prescribing of gluten‑free bread and mixes, integrated care boards may set local policies in line with local needs and resources.

Looking ahead, the 10 Year Health Plan will improve care for people with long‑term conditions by strengthening community services, improving digital access, and expanding personalised care. This will support timely diagnosis, effective follow‑up, and better long‑term health outcomes for people living with coeliac disease.

Department of Health and Social Care