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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7287 p204
21 February 2004

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Time for a moratorium more
What are prescription charges for? more


Time for a moratorium

With regard to the dispute about the petition for a new Royal Charter for the Royal Pharmaceutical Society, The Journal has taken its coverage of events extremely seriously. Members of staff have done everything in their power to ensure that news stories and other contributions have been fair, accurate and balanced. What we have not done yet is publish any item giving reasons why, in its High Court action, the Save Our Society group has named individual members of the Society's Council. In the interests of our readers, we do so this week (p206).

We acknowledge that we are legally entitled to publish whatever we wish about this case, and the Council of the Society, to which we are editorially accountable, has not asked us to stop publishing comment about it. However, the facts of the case and events leading up to the legal proceedings are open to different interpretations. We believe that revisiting the issues will not further illuminate members’ understanding of the dispute because, with feelings running so high, issues that are “grey” are being seen as “black” or “white”.

It is our view that nothing will be gained by publishing further comment on the issues until the case is heard in the High Court, which everyone involved must now recognise is the forum in which the dispute will be determined. For that reason The Journal has decided to introduce a moratorium on debate about the issue. If there are any developments before the case is heard, The Journal will, of course, report them.

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What are prescription charges for?

Once again, charges for NHS prescriptions in England and Scotland are due to rise in April, although, at 10p per single item, below the rate of inflation. Meanwhile, charges in Wales are expected to be phased out completely by 2007.

The whole system needs an overhaul, as The Journal has said on many previous occasions. The question that remains to be answered is “What are the charges for?”.

As an income generator for the NHS they barely scratch at the surface. Well over half of prescriptions are exempt from charges. The result is that people on low incomes, and others who do not have to pay, visit their GPs for inappropriate clinical reasons. Only recently, has the short-sightedness and the expense of this policy been recognised in government circles and the treatment of minor ailments passed to some community pharmacies.

For those patients who have to pay prescription charges but find the cost a burden, other tactics are used: they only pick up the “essential” items from their pharmacist, they miss doses or make the course run longer than prescribed. We can only speculate on the impact that this approach may have on these patients’ long-term health.

Of course, the prescription charge is not the only reason people do not take medicines as prescribed: compliance is a complex issue. However, taxpayers — who have to pay for everyone’s medicines — are entitled to have an answer to the question posed.

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