Tag Archives: prescription

Sajid Javid doesn’t know pharmacists can already prescribe medicines

Sajid Javid: he always looks so pleased with himself despite having absolutely no reason for it.

A new plan by Health Secretary Sajid Javid – to relieve pressure on GPs by allowing pharmacists to prescribe medicines – is almost certain to fail because they can already do that.

It seems Javid is so poor at his job that he doesn’t realise his local chemist has been allowed to write prescriptions for routine illnesses since 2006.

As a way of handling complaints that patients can’t get face-to-face appointments with their doctor, this will be another Tory disaster.

Changes that would make a real difference – like those proposed last year by the Royal Pharmaceutical Society that would allow pharmacists to make changes to the quantities, strength and formulation of prescriptions dispensed, or supply another version of a medicine on prescription – do not appear to be part of Javid’s plan.

What an ignoramus.

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Tories plan to hit people over 60 with prescription charges

Prescription: if you’re over 60 and you need one of these – especially if it’s on a regular basis – then the price is set to skyrocket under a new Tory plan to make money for private healthcare firms.

Is this some of the government policy Lord Bethell has been discussing on his private email account, to keep it away from pesky Freedom of Information requests?

The Conservatives are planning to raise the age at which people may receive free prescriptions in England from 60 to 66, in line with the state pension age.

That’s the wrong yardstick, of course.

Firstly, prescriptions should be free to everybody because we all pay into the National Health Service via our taxes. If you are in England and you pay for prescriptions, you are literally paying twice for your medicine.

Secondly, if free prescriptions must be rationed, then in a country where many people are extremely poor, it makes sense to provide them to those who are most likely to need them – meaning, if they must be pegged to age, that they should become available at the age when most people start to suffer the illnesses associated with age.

The problem is that this is not a matter of medical need; it is about giving more money to the private companies that the Tory government has allowed to flood into the health service in order to make a profit from your pain.

That’s around £300 million per year, according to Lord Bethell – around £46.75 for an average person without need for regular medication – or £130.90 for people who need more than 12 prescriptions a year. And that’s at current prices which are sure to increase.

It’s a typical Tory back-of-a-fag-packet idea, based on a desire to rake in cash for people who don’t need it, from people who desperately do – but aren’t being given a choice about whether to give it up.

In other words: extortion.

Ministers are consulting on raising the age when people become eligible for free prescriptions in England to 66-years-old – but pharmacists branded the plan ‘unacceptable’

Source: People over 60 could be hit by prescription charges under new Government plans – Mirror Online

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Tories inflict head louse epidemic on poor children with new NHS cost-cutting measure

Head lice: Your scalp is probably itching at the sight of them.

Did a private pharmaceutical company lobby the Tories to take bug-busting shampoos off the NHS, so it could double its income?

Interesting thought, isn’t it?

And, if austerity is over, why can’t the Tory NHS afford simple anti-headlouse shampoo?

A head lice epidemic could be coming to … schools after the NHS banned GPs from prescribing “bug buster” shampoo.

NHS England changed its guidelines in March on what over-the-counter items could be routinely prescribed in a bid to save £100m from its budget, with head lice treatment axed from the list.

Previously, the insecticide treatment cost the NHS £4.92, but parents fighting off itchy bugs will now be forced to fork out double that to buy the same product over-the-counter.

A spokesman for the NHS said head lice could be “safely and effectively treated by wet combing”, with chemical intervention recommended in only the most “exceptional circumstances”.

Emma Hardy, Labour MP for Hull West and Hessle, said: “This is just another example of this Tory government making a small saving in the short term that could lead to a much bigger cost in the long term.

“They’ve also completely failed to recognise how significant a cost this treatment could be to someone who is just about managing to get by.”

Source: Warning Hull could face ‘head lice epidemic’ as GPs ban shampoo – Hull Live

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Universal Credit claimants on medication could be fined for failing to tick prescription box – that DOESN’T EXIST

I’m going to go out on a limb here and suggest that this takes government incompetence to a new depth.

Who designs prescription forms? It has to be the Department of Health – right?

All the Department for Work and Pensions had to do was advise the Department of Health that a new box should be added, so Universal Credit claimants could declare their status, and all the DoH had to do was comply.

Yet this has not happened, and innocent claimants are getting the blame.

We all know what happens if benefit claimants lose even a small amount of money – it becomes almost impossible for them to meet their day-to-day needs.

Many are driven to despair, some to suicide, and some die because of their illnesses – because their lack of money makes it impossible for them to obtain their medicine or keep it in the required condition (remember David Clapson, everyone).

Of course, this could be intentional – another turn of the screw on the sick and disabled, as part of the Conservative Party’s genocidal “chequebook euthanasia” campaign against them.

Even if it isn’t, it is endangering lives.

That’s why I’m suggesting it takes incompetence to a new disgraceful depth.

An unemployed man was left in tears and without medication because of an error with the Tory Government’s botched Universal Credit roll-out.

Universal Credit claimant Matthew Smythe went to a pharmacist to collect the free medicine that he needs for an ongoing condition and is entitled to – only to be told that he could be fined up to £100 for not ticking the Universal Credit box on his prescription – even though such a box doesn’t exist.

This is because prescription forms have not been updated in line with the controversial new benefits policy – which is causing confusion and misery for struggling people.

Source: Jobseeker left in tears and without medication because of Universal Credit error – Liverpool Echo


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Price tag on prescriptions to aid dismantling of the NHS

HuntPay1

Why do you think Jeremy Hunt wants to put a price tag on prescription medicines, along with the line “Funded by the UK taxpayer”?

Do you really think it’s to achieve the stated aim, to “reduce waste by reminding people of the cost of medicine, but also improve patient care by boosting adherence to drug regimes”? If so, please think again.

The intention is to encourage healthy people to resent paying for expensive medicines that are taken by the very ill who – they’ll believe – don’t put any money towards it themselves.

Hunt is hoping that this will nudge people away from supporting the National Health Service and towards private care, with everybody having to pay for their own healthcare, no matter whether they are able to do so or not.

It’s a suicidal proposition, as Harry Leslie Smith (who remembers life before the NHS) will happily testify.

But then, the Tories convinced enough people to vote for them that they managed to get a Parliamentary majority in this year’s election, so it seems there is much that is suicidal about the people of the UK.

In any case, Hunt is hoping people forget that the vast majority of UK tax is paid indirectly, via VAT and other methods – and sick people contribute to that form of taxation just as much as the healthy.

Hunt also fails to take into account the fact that he, also, is funded by the UK taxpayer – with his Cabinet ministerial salary of £145,000+.

Perhaps we should label him, to remind everybody that they pay for his silliness as well.

Follow me on Twitter: @MidWalesMike

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A&E fears fall on deaf ears

Andy Burnham, Shadow Health Secretary: He'd rather listen to real doctors than spin doctors.

Andy Burnham, Shadow Health Secretary: He’d rather listen to real doctors than spin doctors.

The title of this article should seem brutally ironic, considering that the Coalition government famously ‘paused’ the passage of the hugely controversial Health and Social Care Act through Parliament in order to perform a ‘listening exercise’ and get the views of the public.

… Then again, maybe not – as the Tories (with the Liberal Democrats trailing behind like puppies) went on to do exactly what they originally wanted, anyway.

Have a look at the motion that went before the House of Commons today:

“That this House is concerned about recent pressure in Accident and Emergency departments and the increase in the number of people attending hospital A&Es since 2009-10; notes a recent report by the Care Quality Commission which found that more than half a million people aged 65 and over were admitted as an emergency to hospital with potentially avoidable conditions in the last year; believes that better integration to improve care in the home or community can relieve pressure on A&E; notes comments made by the Chief Executive of NHS England in oral evidence to the Health Select Committee on 5 November 2013, that the NHS is getting bogged down in a morass of competition law, that this is causing significant cost and that to make integration happen there may need to be legislative change; is further concerned that the competition aspects of the Health and Social Care Act 2012 are causing increased costs in the NHS at a time when there is a shortage of A&E doctors; and calls on the Government to reverse its changes to NHS competition policy that are holding back the integration needed to help solve the A&E crisis and diverting resources which should be better spent on improving patient care.”

Now have a look at the amendment that was passed:

“That this House notes the strong performance of NHS accident and emergency departments this winter; further notes that the average waiting time to be seen in A&E has more than halved since 2010; commends the hard work of NHS staff who are seeing more people and carrying out more operations every year since May 2010; notes that this has been supported by the Government’s decision to protect the NHS budget and to shift resources to frontline patient care, delivering 12,000 more clinical staff and 23,000 fewer administrators; welcomes changes to the GP contract which restore the personal link between doctors and their most vulnerable patients; welcomes the announcement of the Better Care Fund which designates £3.8 billion to join up health and care provision and the Integration Pioneers to provide better care closer to home; believes that clinicians are in the best position to make judgements about the most appropriate care for their patients; notes that rules on tendering are no different to the rules that applied to primary care trusts; and, a year on from the publication of the Francis Report, notes that the NHS is placing an increased emphasis on compassionate care, integration, transparency, safe staffing and patient safety.”

Big difference, isn’t it?

From the wording that won the vote, you would think there was nothing wrong with the health service at all – and you would be totally mistaken.

But this indicates the sort of cuckooland where the Coalition government wants you to live; Jeremy Hunt knows what the problems are – he just won’t acknowledge them. And he doesn’t have to – the media are run by right-wing Tory adherents.

So here, for the benefit of those of you who had work to do and missed the debate, are a few of the salient points.

Principal among them is the fact that ward beds are being ‘blocked’ – in other words, their current occupants are unable to move out, so new patients cannot move in. This is because the current occupants are frail elderly people with no support in place for them to live outside hospital. With no space on wards, accident and emergency departments have nowhere to put their new admissions, meaning they cannot free up their own beds.

Health Secretary Jeremy Hunt had nothing to say about this.

Andy Burnham, who opened proceedings, pointed out the huge increase in admissions to hospital accident and emergency departments – from a rise of 16,000 between 2007 and 2010 to “a staggering” 633,000 in the first three years of the Conservative-Liberal Democrat Coalition government.

Why the rapid rise? “There has been a rise in people arriving at A and E who have a range of problems linked to their living circumstances, from people who have severe dental pain because they cannot afford to see the dentist, to people who are suffering a breakdown or who are in crisis, to people who cannot afford to keep warm and are suffering a range of cold-related conditions.”

He said almost a million people have waited more than four hours for treatment in the last year, compared with 350,000 in his year as Health Secretary; the statement in the government amendment that waiting times have halved only relates to the time until an initial assessment – not total waiting time. Hospital A and Es have missed the government’s targets in 44 of the last 52 weeks.

Illnesses including hypothermia are on the rise, and the old Victorian ailments of rickets and scurvy are back, due to increased malnutrition.

Hospitals are filling up with the frail elderly, who should never have ended up there or who cannot get the support needed to go home because of a £1.8 billion cut in adult social services and support. This, Mr Burnham said, was “the single most important underlying cause of the A and E crisis”; ward admissions cannot be made because the beds are full. The number of emergency admissions of pensioners has topped 500,000 for the first time.

Ambulances have been held in queues outside A and E, unable to hand over patients to staff because it is full. That has left large swathes of the country — particularly in rural areas — without adequate ambulance cover.

The government is downgrading A and E units across the country into GP-run clinics, while pretending that they are still to be used for accidents and emergencies – in the middle of the A and E crisis.

People in England are reducing the number of drugs they are taking because they cannot afford to buy them. Families are choosing between eating, heating or other essentials, like prescriptions.

Competition rules have been stifling care, Mr Burnham said: “The chief executive of a large NHS trust near here says that he tried to create a partnership with GP practices and social care, but was told by his lawyers that he could not because it was anti-competitive.”

He added: “Two CCGs in Blackpool have been referred to Monitor for failing to send enough patients to a private hospital. The CCG says that there is a good reason for that: patients can be treated better in the community, avoiding costly unnecessary hospital visits. That is not good enough for the new NHS, however, so the CCG has had to hire an administrator to collect thousands of documents, tracking every referral from GPs and spending valuable resources that could have been spent on the front line.”

And the health trust in Bournemouth wanted to merge with neighbouring Poole trust, but competition rules stopped the merger taking place.

Mr Burnham demanded to know: “Since when have we allowed competition lawyers to call the shots instead of clinicians? The Government said that they were going to put GPs in charge. Instead, they have put the market in charge of these decisions and that is completely unjustifiable. The chief executive of Poole hospital said that it cost it more than £6 million in lawyers and paperwork and that without the merger the trust will now have an £8 million deficit.

“The chief executive of NHS England told the Health Committee about the market madness that we now have in the NHS: ‘I think we’ve got a problem, we may need legislative change… What is happening at the moment… we are getting bogged down in a morass of competition law… causing significant cost and frustration for people in the service in making change happen. If that is the case, to make integration happen we will need to change it’ – that is, the law. That is from the chief executive of NHS England.”

The response from current Health Secretary Jeremy Hunt needs to be examined carefully.

He said more than 96 per cent of patients were seen within four hours – but this conforms with Mr Burnham’s remark; they were seen, but not treated.

He tried to rubbish Mr Burnham’s remarks about scurvy by saying there had been only 26 admissions relating to scurvy since 2011 – but this misses the point. How many were there before 2011? This was an illness that had been eradicated in the UK – but is now returning due to Coalition policies that have forced people into malnutrition.

He dodged the issue of competition rules strangling the NHS, by saying that these rules were in place before the Health and Social Care Act was passed. In that case, asked Mr Burnham, “Why did the government legislate?” No answer.

As stated at the top of this article. he did not answer the question of the frail elderly blocking hospital beds at all.

The vote was won by the government because it has the majority of MPs and can therefore have its own way in any division, unless the vote is free (unwhipped) or a major rebellion takes place among its own members.

But anyone considering the difference between the Labour Party’s motion and the government’s amendment can see that there is a serious problem of perception going on here.

Or, as Andy Burnham put it: “This Secretary of State … seems to spend more time paying attention to spin doctors than he does to real doctors.”

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