 In November 2017 all four decided to stop prescriptions for gluten-free food in a bid to save £650,000 per year, despite guidance which said they should offer prescriptions for gluten-free bread and flour.There are 36 practices in North Derbyshire CCG.Out-of-hours services are provided in the county by Derbyshire Health United A proposal by Southern Derbyshire Clinical Commissioning Group to establish just one hub for extended hours access in their area for pre-bookable appointments after 6.30pm on weekdays and on Saturday and Sunday, was abandoned after the Derbyshire local medical committee complained that this was inappropriate in a rural area.