David Rose
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Health charities have called on the Government to reform the “unacceptable” NHS prescription charges in England, claiming that the system is “inherently unfair”.
Alan Johnson, the Health Secretary, defended the £7.10 charge last week and said that it would remain in England, despite being abolished or reduced in other parts of Britain.
In a letter to The Times today, the heads of 14 of the country’s leading healthcare and disability charities call on the Government to think again. They say the poorest and neediest patients cannot afford potentially life-saving treatment and often have to limit the medications they take.
Wales introduced free prescriptions for all in April 2007 and Scotland has reduced the cost to £5, the first of several price cuts which will lead to free prescriptions by 2011. Northern Ireland has frozen its charge at £6.85, forestalling a 25p increase in England last month.
Change to the English system is “long overdue”, the letter adds. “The latest research shows that around 800,000 people every year cannot afford their prescriptions. It is simply unacceptable in today’s health service to force people to select their medication based on what they can afford rather than what their doctor prescribes.”
Speaking at the Royal College of Nursing annual congress in Bournemouth, Mr Johnson called the £435 million raised by prescription charges last year a “large slug of money” that was needed by the NHS in England.
He later explained to reporters that Middle England – or people with jobs “like mine and yours”, as he put it – could afford to pay the charge when they were ill. He added that 88 per cent of patients in England receive their prescriptions free. Research by Macmillan Cancer Support, one of the signatories of the letter, suggests that one in seven cancer patients, aged 55 and under, who currently pays for prescriptions is unable to afford his or her treatment.
Citizens Advice, another signatory, said that some of the poorest and sickest patients were risking their health.
A spokeswoman for Macmillan added: “Improvements in cancer treatment over the past few decades mean cancer patients are increasingly using preventative drugs for years after initial cancer treatment has ended.”
She added that patients were expected to take Tamoxifen, the breast cancer drug, for up to ten years after they went into remission to help to prevent a recurrence of cancer. “This places a far higher cost on the patient and effectively charges them for life-extending treatment,” she added. The letter is in response to a planned public consultation on the charges announced by Mr Johnson. But the charities fear that this will involve “nothing more than tinkering”.
“Ministers have already made clear that any changes must be ‘cost-neutral’,” they add. “This means that any reform will inevitably involve some patients losing out.”
The Commons Health Select Committee first recommended that a review be undertaken in July 2006, but ministers took a further year before announcing last July that they would consult on reform “in the autumn”.
A spokesman for the Department of Health said yesterday: “The extensive exemption arrangements we have in place mean that, in England, 88 per cent of prescription items are dispensed free of charge.
“And anyone may obtain all the prescriptions they need if they buy a prescription prepayment certificate, which works out at less than £2 per week.”
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My Statutory Sick Pay is £72/wk and, with breast cancer, I am being asked to pay £35.70 every two weeks for prescription items. After my chemo I will be on tamoxifen and herceptin for years. Do I feed myself or buy the prescriptions?
gilly, Taunto, England
Why should people get free prescriptions just because they live in Wales or Scotland when English people have to pick up the financial slack? The only way to make this system fair is for everyone to pay a reduced rate or everyone pay the full amount. This is the same situation as with uni fees.
Charlotte, Somerset,
The call by Health Charities for reform of prescription charges must be taken seriously. Why are people in England being penalised? How does Mr Johnson dare to say that people in England can afford them when research indicates that up to 800,000 cannot.
Nina Ali, Solicitor, Reading, UK
The prescription charges system is a complete anachronism and does need a radical overhawl. The list of medical conditions that entitle patients to free prescriptions (for ANY other drug not just the drug for that condition) discriminates against the 2 biggest killers cancer & heart disease.
A GP, Nottingham,
How can it be "unfair" to charge what it costs for something? It is surely unfair not to do so.Too many people regard hand-outs as a right. Charity, by definition, should be voluntary, and only go to the deserving i.e. those who can't get by on their own, in spite of their best efforts.
Peter Cressall, La Lucila, Argentina
Yet another reason why we should get out of Iraq.
The direct savings from not having to mend soldiers and pay pensions would enable England to have free prescriptions.
Ian, Solihull, UK
Gordon Brown says he cares. How can he and his government care when he and his ministers defend an increase in what amounts to a tax on being ill!
Jack Stone, Southend on Sea, England.
The problem is the inconsistencies of the prescription system. Some medical conditions allow free prescriptions, such as under active thyroid , diabetes and epilepsy. This is is outdated and needs overhauling as it discriminates against people with other chronic conditions not included on the list
Steven Quilliam , Prudhoe , UK
'He added that 88 per cent of patients in England receive their prescriptions free. '
I queried this a month ago and this was the answer:
Approximately 50 per cent of the population are exempt from prescription charges. The 88% refers to the number of prescription items.
Spin ?
Bill Glanvill, Horsham, Sussex
I have a serious heart condition. Not only am I tarred with the IB brush, but I have to pay for my medication. now they have taken my IB from me leaving me with nothing.
However if I were 16 and knocked up all would be paid for.
Are you listening Gordon?
J. Wilkes, Gloucester,
.... It is simply unacceptable in todays health service to force people to select their medication based on what they can afford rather than what their doctor prescribes.
Thats a JOKE - its more what we are ALLOWED to prescribe
A Doctor, Midlands, UK
"I believe the government has an active campaign of racial discrimination when it comes to the health care of the English in the UK.
Stephen, St. Ives, England"
I bleave this to be the case of all things to do with England not just Health.
MR W Jones, Liverpool, England
I would like to know how much of the £435million raised is spent on policing the system, selling prepay certificates, etc.
Perhaps it is very little as it appears that you can declare on the form that you don't have to pay with very little chance of being caught. This is almost a voluntary scheme
ian cooper, newark, uk
Prescription charges help offset the cost of inflated management salaries, management overstaffing and expensive public servant pension schemes. The Health Service under Labour has unfortunately become an untenable system.
peterj, Malvern,
A pre-payment certificate costs £102.50. How many poor people can find that to spare all in one go? Members of this Government should be made to live entirely on benefit levels of pay for three months before being allowed to make judgements as they are clearly not intelligent enough to work it out
P Robbins, Cornwall,
Has not Mr Johnson heard, inflation is running at 2.5%.
I know it's a joke,but it's their line.
Funny how this is never a factor when the Government is collecting money and an absolute when giving it away.
Many of the same people who lose on the 10p,without benifit,lose again.
robert everitt, wolverhampton,
I believe the government has an active campaign of racial discrimination when it comes to the health care of the English in the UK.
Stephen, St. Ives, England