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PJ Online homeThe Pharmaceutical Journal
Vol 276 No 7387 p159
11 February 2006

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Affordability drives prescription charge exemptions

Prescription charges

No research has been done on whether prescription charges hinder treatment

Government policy on who should be exempt from prescription charges is driven by patients' ability to pay and not the conditions from which they suffer.

This was made clear to the House of Commons Health Committee at the end of January by Felicity Harvey, head of the Department of Health’s medicines, pharmacy and industry group. Dr Harvey was giving evidence to the committee’s inquiry into NHS charges.

She told the committee that there were no plans to review the current disease-based exemption categories.

Dr Harvey added that recent reviews of charge exemptions had been based on prescription costs, affordability and the NHS Low Income Scheme and that these were not currently under review either.

At a separate evidence session last week (PJ, 4 February, p125 and 128), Ellen Schafheutle, research fellow in the drug usage and pharmacy practice group, University of Manchester, who has examined prescription charges internationally (PJ, 8 March 2003, p336 PDF (50K)), said that no research had been done in the UK on whether patients who could not afford to have prescriptions dispensed then cost the NHS more in further treatment.

Howard Stoate (Lab, Dartford) said that it was important to know that figure because if it was £450m or more a year it would wipe out the £450m that was raised from prescription charges.

During the same evidence session, Rob Darracott, director of corporate and strategic development, Royal Pharmaceutical Society, said that it favoured a system of monthly payments for prescription charge prepayment certificates.

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