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Vol 280 No 7491 p242-243
1 March 2008

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Letters

• Retention fees
• Contracts
• Prescription charges
• Responsible pharmacist
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• Emergency contraception (2)
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Letters to the Editor

Prescription charges

Abolishing charges would save money and have benefits

From Mrs T. Jenns, MRPharmS

I cannot understand why English residents are not up in arms about why they are to continue to pay a full prescription charge when Welsh and Scottish residents do not. This seems grossly unjust to me. In fact, the whole charging system is ridiculous. Surely it would be better to abolish all charges for everyone in the British Isles. Perhaps pharmacies in England should start a petition which members of the public could sign.

Think of all the savings: no departments to process prepayment and medical/maternity exemption applications; savings with tax credit processing; a simpler process for pricing prescriptions; no investigations needed by the NHS fraud department to check patient exemptions; and an enormous saving on staff, paper, print and postage costs.

There would also be benefits for pharmacy: no more time-consuming receipts to write out in the pharmacy or give refunds for, and then for someone else to process in the PPD; no sorting prescriptions into separate bundles; less paperwork; no checking for proof of exemption; no charges from the banks when customers pay by card for a tax that we make no money from.

Would it not be wonderful not to have to ask patients whether they have to pay or not? We are all so busy now, it would be great to use the time instead to counsel patients. Life would be so much easier for those pharmacies on the borders of Scotland and Wales too.

And how much more straightforward it would be for electronic transfer of prescriptions. I believe one of the main stumbling blocks to a paperless system is how an exemption declaration might be made. Abolition of charges means no paperwork and that could save millions in ETP development costs and possibly bring implementation forward. It would also save pharmacy printing costs.

It all seems so simple. Of course, people will say it will cost too much. Well we could try it, and then if it all becomes too expensive we could add a few drugs to the blacklist or make some available to prescribe for selected conditions only. At least that can all be dealt with by computer programming.

Tessa Jenns
Wimborne, Dorset

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