Why won’t my GP take over prescribing an off-label or unlicensed medication from my private specialist?
Why won’t the practice take over prescribing from a private specialist?
NHS GPs are only able to prescribe medicines that are approved for use within NHS guidance and local Integrated Care Board (ICB) policies. When a patient sees a private specialist, that clinician remains responsible for any treatment they recommend, including providing prescriptions and monitoring.
If the treatment is not routinely prescribed in the NHS or falls outside local policy, we are unable to take over prescribing responsibility. This ensures patient safety and consistent prescribing standards across the NHS.
What is an “off-label” medication?
An “off-label” medication is one that is used for a purpose not included in its official licence (for example, a drug licensed for smoking cessation being prescribed for a mental health condition). Specialists may sometimes use medicines off-label based on their clinical judgement, but NHS GPs are not obliged to continue such prescriptions unless this use is supported by national or local NHS guidance.
Why can’t my GP prescribe my off-label medication on the NHS?
Prescribing off-label requires specialist oversight, monitoring and responsibility. NHS GPs can only prescribe off-label medicines where there is clear evidence of safety, local approval and shared care arrangements agreed by the ICB. If these are not in place, the prescribing and monitoring remain the responsibility of the initiating private specialist.
Who is responsible for ensuring I have no break in treatment?
If you are under the care of a private specialist, they are responsible for ensuring there is no interruption in your treatment. A specialist should not discharge you or allow a break in medication until it is confirmed that your NHS GP has formally agreed to take over prescribing.
Can I discuss alternative NHS treatment options?
Yes. If your current treatment cannot be prescribed through the NHS, you can book an appointment with one of our GPs to discuss NHS-approved alternatives that may be suitable for your condition.
This information is provided to help patients understand how NHS and private care interact, and to ensure treatments are managed safely and in line with NHS prescribing policies.