Prescriptions, HIV and Charges

posted: 10/03/2009

The British Medical Association has branded as pointless the Department of Health's consultation on making everyone with a long-term condition exempt from prescription charges. 

It says this is a waste of time and energy and the government should just make all remaining prescriptions free once more. Just 1 in 10 prescriptions are now paid for and this will fall even more because cancer patients will get free prescriptions from 1 April.

In Wales and Scotland all prescription charges have either already been abolished or are about to be abolished.

HIV treatment costs

Since the start of this year Greater Manchester HIV clinics (among other HIV clinics) have stopped prescribing any drugs except those for HIV and their treatment side effects. People must now turn to a GP for prescriptions for all other healthcare needs, such as depression amd anxiety, and sexual dysfunction. 

For some people with HIV this means paying for these prescriptions - some people are exempt, some are exempt because of low income, and some people can buy a discount card. Find out what help is available with English prescription charges here.

The charging review

The Prescription Charges Review will consider how to implement prime minister Brown's commitment to exempt patients with long-term conditions (LTCs) from prescription charges over the next few years following the exemption for cancer patients.

It will consider:

• how to define the range of long term conditions affecting patients that should be exempted from prescription charges;
• how exemption from charging can best be phased in, with due regard to:
  - what is in the best interests of patients
  - the potential impact on the wider health care system
  - implications for existing policies on management of long term conditions
  - implications for public expenditure

The review will report to the Minister for Public Health and the Secretary of State for Health in Summer 2009.

It would be good to have your say on exempting HIV as a longterm condition from prescription charges but it seems the Deaprtment of Health doesn't want to hear - there is no way to feed your views to the department at the consultation page.

Last September Gordon Brown announced that “as over the next few years the NHS generates cash savings in its drugs budget we will plough savings back into abolishing charges for all patients with long-term conditions”.  The Department of Health has established the Prescription Charges Review, chaired by Sir Ian Gilmore, to make recommendations on how this policy will be implemented. 

Charging by diagnosis or disability

The idea that we should discriminate in levels of charges according to diagnosis or disability is fundamentally misconceived. Herpes is a chronic condition. So are HIV and ME.

TB and syphilis are perhaps not chronic conditions because they can be treated and people cured, but it is in the interest of the rest of the population that people take their treatments properly and become clear of infections.

Continuing to restrict help with prescription charges to save money is a false economy. Despite the help available, the simple existence of charges is enough of a barrier to put off some of the poorest and most vulnerable. 

George House Trust supports the BMA argument, prescription charging has reached the point where the income from charging isn't worth the administrative and other costs of collection. Scotland and Wales are already seeing the benefits of free prescriptions. We don't need a review, we need prescription charges in England scrapped.

Department of Health Consultation

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