NHS cutting back on prescriptions?

NHS cutting back on prescriptions?

Author
Discussion

Moonhawk

10,730 posts

219 months

Wednesday 29th March 2017
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WestyCarl said:
I didn't mean on prescription. It was a response to someone saying they'd be dead without asthma drugs, "proper" celiacs would also be dead without GF food, I was making the point Celiac is a condition and not just a fad. Part of me believes it shouldn't be available on prescription.
I know it's not just a fad - but drawing parallels with an asthma drug is a bit disingenuous.

Most non processed food (and many processed foods) are GF by default. If somebody with celiac disease wants to eat GF pasta and bread - than that is a lifestyle choice - not a necessity.

Moonhawk

10,730 posts

219 months

Wednesday 29th March 2017
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stuartmmcfc said:
My carer was telling me last night that there are a number of old people on her "round" who don't leave the house and who don't use the internet and so relie on Chemist home delivery for access to all sort of things. that "normal" people can get easily.
Obviously they will have to adjust to the new system but this takes medical supervision away from people, some of who aren't exactly capable of looking after themselves.
What sort of things are we talking here?

sidicks

25,218 posts

221 months

Wednesday 29th March 2017
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stuartmmcfc said:
Winner of the worlds worst post reading and understanding.

If they don't use the internet, then it doesnt matter if the supermarket is next door, they can't order using that system.
Obviouusly a friend or carer goes to do the shopping for them. They aren't medically trained to supervise/oversee the use of drugs like paracetamol though. And if they forget to buy them them or start increasing the use or no longer need to take them?
These are people who really require support to live independently
So because of a limited minority we have to have inappropriate rules for the rest?

Wouldn't it make more sense to have sensible rules for the majority and then deal with the exceptions afterwards?

stuartmmcfc

8,662 posts

192 months

Wednesday 29th March 2017
quotequote all
sidicks said:
So because of a limited minority we have to have inappropriate rules for the rest?

Wouldn't it make more sense to have sensible rules for the majority and then deal with the exceptions afterwards?
Yes, it would be sensible, there's a lot of things that shouldn't be on the list. In fact, if you'd asked me on Monday I'd have totally agreed.
However on Monday evening, someone on the front line with practical experience of the situation explained the concerns to me and I could see what she was getting at.
Deal with the exceptions afterwards totally. As long as the exceptions are dealt with. Having first hand experience of cuts to social care and how they really do affect some people I don't have a lot of faith that the exceptions won't simply fall down the cracks.

Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
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Flip Martian said:
Its bonkers. Until I saw this report I had no idea you could get GF food on prescription.

As an asthmatic I take 2 different inhalers and have to pay for them; they're not free on the NHS. Without them, ultimately I'd be dead. But some woman who can't tolerate gluten gets her bread and cake (etc) for free.

So not only am I paying for my own life saving drugs, I'm paying for her food.

Where on earth is that sensible?! FFS. I don't mind paying my prescription season ticket fee but I do actually think life saving meds or those for chronic conditions have a case to be made available free. GF food is just nonsensical. Go and buy it.
People with coeliac disease do not automatically get their scrips for free- they pay a fee like anyone else unless exempt such as under 16 or over 60 or on some benefits etc they pay a prescription fee for each item type. For example a separate fee for spaghetti and another one for penne pasta. Most adult coeliacs have a prepaid certificate.

Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
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Paul Dishman said:
There was a big cull in items allowed on NHS prescription in 1985. This is peanuts by comparison, but still worth doing. It's about time that all GF products were removed from NHS supply, they are freely available in supermarkets
I think things have changed since you practised. There is a lot of scripts for fresh bread which are not available in supermarkets. I checked in a large Tesco today. No bread at all, no bread rolls, no pizza bases. Lots of snack foods and some pasta.

Nimby

4,591 posts

150 months

Wednesday 29th March 2017
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I read today that, in spite of the cuts being discussed here, the NHS will continue to pay for homeopathic prescriptions. Sigh ...

stuartmmcfc

8,662 posts

192 months

Wednesday 29th March 2017
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Moonhawk said:
What sort of things are we talking here?
In the cases that were highlighted to me it's as simple as a pack of 22p paracetamol.
The Doctor prescribes them to control chronic pain. The free prescription is delivered free to the door and the carer ensures they're taken. The Doctor can monitor the treatment.
Obviously an expensive process but the alternative (if you care about their pain) is to live in a home and receive 24 hr supervision. Hardly a cheaper alternative.

Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
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Murph7355 said:
anonymous said:
[redacted]
So can you point to the page that explains the cost/benefit of free provision of gluten free products? ie.
Just playing devils advocate.
If female coeliacs each gluten products then they suffer from diarrhoea. The villi in the intestines shrink so less nutrients absorbed and they lose a lot of weight and become malnourished. When they are admitted to hospital to sort these problems out the cost is very much greater.
The males have the above problem plus it can make them infertile as well. So lots of problems.

Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
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Countdown said:
Evanivitch said:
And incredibly difficult when you have a child that wants to eat "normal" food, not to mention that we eat a lot of gluten foods because they are incredibly convenient. You're also dramatically cutting down on the carb options for a child, effectively reducing them to rice and potatoes.

I think for adults it is reasonable to expect them to cover the choice of buying gluten free alternatives, but the free provision should remain for minors.
$64m question - why should it remain "free" when it's possible to buy it without prescription?
Coeliacs have to pay the same prescription charges as everyone else. They are not free.

A big problem is that parents with more than one child will not cook a separate meal for the child who is not coeliac. So use the gluten free one for both children or all the family! This is clearly wrong but not sure how it can be stopped. Theoretically the GP is only supposed to prescribe only what the coeliac would eat per month but I've seen scripts for huge amounts of foods.

Murph7355

37,715 posts

256 months

Wednesday 29th March 2017
quotequote all
Aston Traveller said:
Just playing devils advocate.
If female coeliacs each gluten products then they suffer from diarrhoea. The villi in the intestines shrink so less nutrients absorbed and they lose a lot of weight and become malnourished. When they are admitted to hospital to sort these problems out the cost is very much greater.
The males have the above problem plus it can make them infertile as well. So lots of problems.
IF THEY EAT GLUTEN.

Does every foodstuff available contain it? Clue - no.

Is it a life giving necessity to eat bread or pasta (etc - things with gluten in). Clue - no.

It's bks.

Feckin spaghetti on the NHS. And we're having a lengthy debate about it. I'd cry if I wasn't pissing my pants with laughter (can I get pants on the NHS?).

But hey, let's just tax everyone more to cover the deficit.

It's beyond moronic.

Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
quotequote all
Murph7355 said:
Aston Traveller said:
Just playing devils advocate.
If female coeliacs each gluten products then they suffer from diarrhoea. The villi in the intestines shrink so less nutrients absorbed and they lose a lot of weight and become malnourished. When they are admitted to hospital to sort these problems out the cost is very much greater.
The males have the above problem plus it can make them infertile as well. So lots of problems.
IF THEY EAT GLUTEN.

Does every foodstuff available contain it? Clue - no.

Is it a life giving necessity to eat bread or pasta (etc - things with gluten in). Clue - no.

It's bks.

Feckin spaghetti on the NHS. And we're having a lengthy debate about it. I'd cry if I wasn't pissing my pants with laughter (can I get pants on the NHS?).

But hey, let's just tax everyone more to cover the deficit.

It's beyond moronic.
I did not say I agreed with GF stuff on scripts- I was giving information as to why it happens.
Just for information if you want pants on the NHS you have to get them from the community nurse as they are not allowed on an NHS script. However, they are not your Calvin Klein sort biggrin

Murph7355

37,715 posts

256 months

Wednesday 29th March 2017
quotequote all
Aston Traveller said:
I did not say I agreed with GF stuff on scripts- I was giving information as to why it happens.
Just for information if you want pants on the NHS you have to get them from the community nurse as they are not allowed on an NHS script. However, they are not your Calvin Klein sort biggrin
Screw that. I need Calvin's as Tesco smalls make me itch. Furthermore I want them delivered to me as I can't get to a Tesco. While they're at it, tell them to bring me some crab sticks. I'm allergic to prawns and u less I get the non-prawn fishy goodness on the NHS I will die. Probably.

(Appreciate you were playing Devil's advocate. But even he's pissing his pants at this one).

jjlynn27

7,935 posts

109 months

Wednesday 29th March 2017
quotequote all
Going to start a new website www.calmthefkdown.com. It'll be funded by people needing to get some perspective. It'll not be funded by taxpayers.
And people will be actively encouraged to type about their anger regarding BBC, NHS the thieving government wanting more of their 'hard earned'. It'll be open during standard working hours and it'll offer the safe space to deal with their anxieties over irrelevant stuff, the stuff that'll make zero difference to them. They'll be encouraged to discuss if it's actually zero or some equally inconsequential impact.


Aston Traveller

373 posts

148 months

Wednesday 29th March 2017
quotequote all
Murph7355 said:
Aston Traveller said:
I did not say I agreed with GF stuff on scripts- I was giving information as to why it happens.
Just for information if you want pants on the NHS you have to get them from the community nurse as they are not allowed on an NHS script. However, they are not your Calvin Klein sort biggrin
Screw that. I need Calvin's as Tesco smalls make me itch. Furthermore I want them delivered to me as I can't get to a Tesco. While they're at it, tell them to bring me some crab sticks. I'm allergic to prawns and u less I get the non-prawn fishy goodness on the NHS I will die. Probably.

(Appreciate you were playing Devil's advocate. But even he's pissing his pants at this one).
You can get stuff on the NHS for that itch and also stuff for that allergy. If in hospital you might get someone to help you apply the cream for that itch.........

Murph7355

37,715 posts

256 months

Wednesday 29th March 2017
quotequote all
jjlynn27 said:
Going to start a new website www.calmthefkdown.com. It'll be funded by people needing to get some perspective. It'll not be funded by taxpayers.
And people will be actively encouraged to type about their anger regarding BBC, NHS the thieving government wanting more of their 'hard earned'. It'll be open during standard working hours and it'll offer the safe space to deal with their anxieties over irrelevant stuff, the stuff that'll make zero difference to them. They'll be encouraged to discuss if it's actually zero or some equally inconsequential impact.
jj - you were made for govt.

1) Excess expenditure is only a problem if in chunks of 40bn. Don't worry about it otherwise as it's pointless. Peanuts. It' s only 20p a month each.

2) You appear to want to waste time and effort creating something that already exists (ie THIS forum).

3) "Standard working hours" is a concept you are familiar with.

You are Gordon Brown AICMFP. (Though you partially ruined your credentials by noting it won't be taxpayer funded. Why the Fernández not. It would only be 2p each a week).

smile

jjlynn27

7,935 posts

109 months

Wednesday 29th March 2017
quotequote all
Murph7355 said:
jjlynn27 said:
Going to start a new website www.calmthefkdown.com. It'll be funded by people needing to get some perspective. It'll not be funded by taxpayers.
And people will be actively encouraged to type about their anger regarding BBC, NHS the thieving government wanting more of their 'hard earned'. It'll be open during standard working hours and it'll offer the safe space to deal with their anxieties over irrelevant stuff, the stuff that'll make zero difference to them. They'll be encouraged to discuss if it's actually zero or some equally inconsequential impact.
jj - you were made for govt.
I know.

Murph7355 said:
1) Excess expenditure is only a problem if in chunks of 40bn. Don't worry about it otherwise as it's pointless. Peanuts. It' s only 20p a month each.
Not really. It's not binary, I can't get excited about a potential saving of £100m on a £120bn budget. If I can save a £1b; fine. £2b? Twice as nice.


Murph7355 said:
2) You appear to want to waste time and effort creating something that already exists (ie THIS forum).
Takes minutes. It'll be bigger than this part of the forum. Much bigger and better. And more beautiful.

It will be advertised on BBC, at NHS hospitals and similar. I bet there is an untapped market of angry people who want to vent their anger. For premium users I might hire psych, to guide them through anger and anxieties that public sector leeches inflict on their, hard working, god fearing, proper old fashioned lives. I'd provide safe space where any dissenting voices will be quickly and ruthlessly dealt with.

Murph7355 said:
3) "Standard working hours" is a concept you are familiar with.
Indeed I am. Who isn't? PH NPE seems to be most active during those.

Murph7355 said:
You are Gordon Brown AICMFP. (Though you partially ruined your credentials by noting it won't be taxpayer funded. Why the Fernández not. It would only be 2p each a week).

smile
I'm a lot younger and much, much better looking.

dandarez

13,282 posts

283 months

Wednesday 29th March 2017
quotequote all
jjlynn27 said:
Murph7355 said:
jjlynn27 said:
Going to start a new website www.calmthefkdown.com. It'll be funded by people needing to get some perspective. It'll not be funded by taxpayers.
And people will be actively encouraged to type about their anger regarding BBC, NHS the thieving government wanting more of their 'hard earned'. It'll be open during standard working hours and it'll offer the safe space to deal with their anxieties over irrelevant stuff, the stuff that'll make zero difference to them. They'll be encouraged to discuss if it's actually zero or some equally inconsequential impact.
jj - you were made for govt.
I know.

Murph7355 said:
1) Excess expenditure is only a problem if in chunks of 40bn. Don't worry about it otherwise as it's pointless. Peanuts. It' s only 20p a month each.
Not really. It's not binary, I can't get excited about a potential saving of £100m on a £120bn budget. If I can save a £1b; fine. £2b? Twice as nice.


Murph7355 said:
2) You appear to want to waste time and effort creating something that already exists (ie THIS forum).
Takes minutes. It'll be bigger than this part of the forum. Much bigger and better. And more beautiful.

It will be advertised on BBC, at NHS hospitals and similar. I bet there is an untapped market of angry people who want to vent their anger. For premium users I might hire psych, to guide them through anger and anxieties that public sector leeches inflict on their, hard working, god fearing, proper old fashioned lives. I'd provide safe space where any dissenting voices will be quickly and ruthlessly dealt with.

Murph7355 said:
3) "Standard working hours" is a concept you are familiar with.
Indeed I am. Who isn't? PH NPE seems to be most active during those.

Murph7355 said:
You are Gordon Brown AICMFP. (Though you partially ruined your credentials by noting it won't be taxpayer funded. Why the Fernández not. It would only be 2p each a week).

smile
I'm a lot younger and much, much better looking.
Perhaps you are the exception. I thought all Trolls were ugly? hehe

What are the working hours in the Hall of the Mountain King?


Paul Dishman

4,704 posts

237 months

Wednesday 29th March 2017
quotequote all
Aston Traveller said:
Paul Dishman said:
There was a big cull in items allowed on NHS prescription in 1985. This is peanuts by comparison, but still worth doing. It's about time that all GF products were removed from NHS supply, they are freely available in supermarkets
I think things have changed since you practised. There is a lot of scripts for fresh bread which are not available in supermarkets. I checked in a large Tesco today. No bread at all, no bread rolls, no pizza bases. Lots of snack foods and some pasta.
Things haven't changed that much since 2014

IroningMan

10,154 posts

246 months

Wednesday 29th March 2017
quotequote all
dandarez said:
Perhaps you are the exception. I thought all Trolls were ugly? hehe

What are the working hours in the Hall of the Mountain King?
Get that fekkin' orchestra off my mountain!