NHS cutting back on prescriptions?

NHS cutting back on prescriptions?

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Discussion

anonymous-user

55 months

Tuesday 28th March 2017
quotequote all
garyhun said:
I have 2 prescriptions per month that I have to pay for. How does one get a yearly prescription?
Ignore - just found it's a PPC. Why would my GP not have mentioned this to me? Crazy!

Countdown

Original Poster:

40,010 posts

197 months

Tuesday 28th March 2017
quotequote all
Sheepshanks said:
I'm sure I saw recently that 90% of prescriptions are free. If that's true then it hardly seems worth the effort of charging for the other 10% - it probably costs more in admin.
That might be because the vast majority of people who pay decide NOT to bother with a prescription because they can get it cheaper from Tesco (sorry, I meant Waitrose!!!!)

Ceeejay

401 posts

152 months

Tuesday 28th March 2017
quotequote all
Murph7355 said:
So can you point to the page that explains the cost/benefit of free provision of gluten free products? Or IVF?

If our government decides to invest money in helping people procreate who have medical / genetic issues that are reducing the chances of it happening naturally, are they creating an even worse issue for future generations where that condition has now spread further into the gene pool, requiring even more NHS funding ??

Pieman68

4,264 posts

235 months

Tuesday 28th March 2017
quotequote all
Tankrizzo said:
Slightly OT - do you have a medical exemption card? I've been T1 for 26 years and I never had a card, and got fined recently for ordering prescriptions without it.
Yes I do. I am T2 and was given an exemption card that lasts 5 years on diagnosis. They have just renewed it for the next 5 years

Loyly

18,006 posts

160 months

Tuesday 28th March 2017
quotequote all
Oceanic said:
Just add some balance, Gluten free food, can be as much 5 or 6 times more expensive to purchase than non-Gluten equivalents.
So? The NHS shouldn't have to foot the bill for it.

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
anonymous said:
[redacted]
Please explain your claim on the sustainability of the NHS...
wavey

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
anonymous said:
[redacted]
I think the 'imbeciles' are the ones who thing that money grows on trees and who can't explain where the money will come from to fund the NHS.

Or in other words, your explanation does not support your claim. As expected.


Edited by sidicks on Tuesday 28th March 15:31

Mr Will

13,719 posts

207 months

Tuesday 28th March 2017
quotequote all
anonymous said:
[redacted]
Ah yes - the "It's bad for me so everyone else should be made to suffer too" argument. Compelling.

jjlynn27

7,935 posts

110 months

Tuesday 28th March 2017
quotequote all
All this, the antibiotics, the IVF, the gluten free food, in the grand scheme of things are an irrelevance.
We have more people and they are living longer. It is a simple as that.
The cost of healthcare provision for a man who is 89 is three times as much as for someone who is 70.
It's nine times as for someone who is 50. 32% of hospital costs are spent for 1% of the population. As Trumpster would say, they are big, not so beautiful numbers.
The UK is near the top of every obesity table. Not only that this influences outcomes of procedures, but a quick google says that £4.2b is spent on obesity-related treatments. Add in

Saving 100m on IVF is a distraction.

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
jjlynn27 said:
All this, the antibiotics, the IVF, the gluten free food, in the grand scheme of things are an irrelevance.
We have more people and they are living longer. It is a simple as that.
The cost of healthcare provision for a man who is 89 is three times as much as for someone who is 70.
It's nine times as for someone who is 50. 32% of hospital costs are spent for 1% of the population. As Trumpster would say, they are big, not so beautiful numbers.
The UK is near the top of every obesity table. Not only that this influences outcomes of procedures, but a quick google says that £4.2b is spent on obesity-related treatments. Add in

Saving 100m on IVF is a distraction.
Indeed, so do you think the NHS as it currently stands is 'sustainable'?

Mr Will

13,719 posts

207 months

Tuesday 28th March 2017
quotequote all
sidicks said:
anonymous said:
[redacted]
I think the 'imbeciles' are the ones who thing that money grows on trees and who can't explain where the money will come from to fund the NHS.

Or in other words, your explanation does not support your claim. As expected.
No, the imbeciles are the ones that think that taxation is a complicated subject only they are clever enough to understand.

I'd much rather see a 5% increase in my national insurance payments than an equivalent decrease in NHS funding. I'm not the only one either.

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
Mr Will said:
No, the imbeciles are the ones that think that taxation is a complicated subject only they are clever enough to understand.

I'd much rather see a 5% increase in my national insurance payments than an equivalent decrease in NHS funding. I'm not the only one either.
And that solves the problem, does it?

Murph7355

37,782 posts

257 months

Tuesday 28th March 2017
quotequote all
anonymous said:
[redacted]
I'm glad you pointed me at those links as I'd already read them.

My eyesight may be failing me (I don't get tests on the NHS wink) but I cannot see where the absolute cost of IVF over the years to the NHS is stated. I also cannot see where the benefits are set out that justify those costs. All I can see are recommendations for changes to the current guidelines that will cost the NHS MORE money each year.

I don't need to know that increasing service provision will cost MORE. This is part of what makes the NHS unsustainable, and your linking to NICE documents like those above does the exact opposite of proving that a sensible job is being done on those sort of assessments.

Focussing on IVF, the cost of looking after kids properly is horrendous. I am not saying only the wealthy should have kids - nature makes it impossible to means test procreation. However, if someone cannot naturally conceive and cannot afford the cost of IVF to mitigate that, how are they going to afford looking after the kids for the duration? Life deals us all bum hands at times. The NHS should not be there to try and level the genetic playing field (as I think countdown notes).

From what I can see, the NICE papers express no relative merits of providing this service against others, nor against available funds. Which is the root of the problem - it's all well and good suggesting updated guidelines that move IVF provision from 81% NHS funded to 93% NHS funded, but how should that be paid for? And why is that shift a necessary or even good thing? Doesn't matter how much Googling I do, or reading of reports etc, it appears the erudite ones creating them seem incapable of answering these questions wink

Countdown

Original Poster:

40,010 posts

197 months

Tuesday 28th March 2017
quotequote all
Mr Will said:
No, the imbeciles are the ones that think that taxation is a complicated subject only they are clever enough to understand.

I'd much rather see a 5% increase in my national insurance payments than an equivalent decrease in NHS funding. I'm not the only one either.
Why not look at what the NHS is spending money on at the same time to decide whether this is something that the State should fund or whether it's something the individual should pay for themselves.?


sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
Countdown said:
Why not look at what the NHS is spending money on at the same time to decide whether this is something that the State should fund or whether it's something the individual should pay for themselves.?
That would seem logical, rather than just spend more!

jjlynn27

7,935 posts

110 months

Tuesday 28th March 2017
quotequote all
sidicks said:
jjlynn27 said:
All this, the antibiotics, the IVF, the gluten free food, in the grand scheme of things are an irrelevance.
We have more people and they are living longer. It is a simple as that.
The cost of healthcare provision for a man who is 89 is three times as much as for someone who is 70.
It's nine times as for someone who is 50. 32% of hospital costs are spent for 1% of the population. As Trumpster would say, they are big, not so beautiful numbers.
The UK is near the top of every obesity table. Not only that this influences outcomes of procedures, but a quick google says that £4.2b is spent on obesity-related treatments. Add in

Saving 100m on IVF is a distraction.
Indeed, so do you think the NHS as it currently stands is 'sustainable'?
As it currently stands, no.

As midengined mentioned we have few options.
Spend more money to keep the levels of service.
Spend same money with reduced levels of service.
Set an age at which we stop providing 'free' service.

Where the money is going to come from, is irrelevant. It could be through general taxation, it could be through insurance. My experience of insurance based healthcare (outside the UK) is that there are two winners. Health professionals and insurance companies.

I do think that people without this experience have a very distorted picture of the cost of healthcare provision.

Mr Will

13,719 posts

207 months

Tuesday 28th March 2017
quotequote all
sidicks said:
Mr Will said:
No, the imbeciles are the ones that think that taxation is a complicated subject only they are clever enough to understand.

I'd much rather see a 5% increase in my national insurance payments than an equivalent decrease in NHS funding. I'm not the only one either.
And that solves the problem, does it?
Not falling for that trap - exactly which problem are you referring to?

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
jjlynn27 said:
As it currently stands, no.

As midengined mentioned we have few options.
Spend more money to keep the levels of service.
Spend same money with reduced levels of service.
Set an age at which we stop providing 'free' service.
Agreed. Thanks.

jjlynn27 said:
Where the money is going to come from, is irrelevant. It could be through general taxation, it could be through insurance. My experience of insurance based healthcare (outside the UK) is that there are two winners. Health professionals and insurance companies.

I do think that people without this experience have a very distorted picture of the cost of healthcare provision.
Increasing taxation can only get you so far. Far more realistic to review how and what the services can (and should) provide!

sidicks

25,218 posts

222 months

Tuesday 28th March 2017
quotequote all
Mr Will said:
Not falling for that trap - exactly which problem are you referring to?
The sustainability (or otherwise) of the NHS as it currently stands
(I.e. The topic being discussed when you made your comment...)

Edited by sidicks on Tuesday 28th March 16:02

kiethton

13,921 posts

181 months

Tuesday 28th March 2017
quotequote all
Countdown said:
Murph7355 said:
<snip> 4x the figure noted could be saved by simply not funding IVF on the NHS. So together, half a billion a year stripped from the cost base.<snip>
That's what i was alluding to. At what point do we say "Sorry, we don't think that's something that the State should provide. If you want it you're on your own..."
Bust as somebody who will likely need this service whats better....£xxk of IVF now or the total cost of IVF annually for life courtesy of the NHS should the 50/50 chance conspire against us? (genetic condition)

Of course if covered on my Vitality of course that'll be the first port of call