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But NHS England said CCGs should not be expected to prescribe the new medicines if they could not afford to.

Nappy rash cream, head lice treatment, ibuprofen and medication for athlete’s food are also on the list.

Doctors could refuse to prescribe blockbuster drugs for heart disease, blindness and arthritis that are routinely offered abroad.

Breakthrough medicines for heart disease and arthritis may also be restricted in future – even if they have been approved by the rationing body Nice.