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  • FIRST POST
    • MSE Callum
    • By MSE Callum 17th Mar 17, 12:31 PM
    • 272Posts
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    MSE Callum
    MSE News: Cost of NHS prescriptions and dental care to rise next month
    • #1
    • 17th Mar 17, 12:31 PM
    MSE News: Cost of NHS prescriptions and dental care to rise next month 17th Mar 17 at 12:31 PM
    The charge for an NHS prescription and NHS dental care in England will rise from 1 April, the Government has announced...
    Read the full story:
    'Cost of NHS prescriptions and dental care to rise next month'

    Click reply below to discuss. If you haven’t already, join the forum to reply. If you aren’t sure how it all works, read our New to Forum? Intro Guide.
Page 1
    • Kim_13
    • By Kim_13 17th Mar 17, 1:16 PM
    • 1,093 Posts
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    Kim_13
    • #2
    • 17th Mar 17, 1:16 PM
    • #2
    • 17th Mar 17, 1:16 PM
    Isn't it about time all parts of the UK got the same treatment when it comes to prescriptions?

    The charge is getting silly considering they try not to give you any more than 14 tablets on one prescription.
    Sealed Pot 10 #520 ~ ~£57.55/£100
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    • 50Twuncle
    • By 50Twuncle 17th Mar 17, 2:56 PM
    • 7,420 Posts
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    50Twuncle
    • #3
    • 17th Mar 17, 2:56 PM
    • #3
    • 17th Mar 17, 2:56 PM
    Isn't it about time all parts of the UK got the same treatment when it comes to prescriptions?

    The charge is getting silly considering they try not to give you any more than 14 tablets on one prescription.
    Originally posted by Kim_13
    Even more importantly - my GP will only allow a months worth of tablets on a single prescription !
    • Pop Up Pirate
    • By Pop Up Pirate 18th Mar 17, 7:17 AM
    • 771 Posts
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    Pop Up Pirate
    • #4
    • 18th Mar 17, 7:17 AM
    • #4
    • 18th Mar 17, 7:17 AM
    I also think they need to introduce charges to see a doctor.
    • teddysmum
    • By teddysmum 18th Mar 17, 6:16 PM
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    teddysmum
    • #5
    • 18th Mar 17, 6:16 PM
    • #5
    • 18th Mar 17, 6:16 PM
    I also think they need to introduce charges to see a doctor.
    Originally posted by Pop Up Pirate

    No, as, older people in particular, who don't like to bother the doctor, would be more likely to stay away, with terrible consequences.


    Just charge those who fail to turn up more than once, taking at source from wages/benefits if they refuse to pay.


    Every month our GPs post a notice giving the number of no shows and they go into the hundreds.


    I was in a sub-waiting area at our hospital, this week and while I was in that section (just covering three consultants) there were two no shows, besides at least four who did not respond to a nurse's call in the outer general waiting room.


    The consultant appointments were about half an hour each, so such a lot of time wasted, while others wait for an appointment.
    • Ames
    • By Ames 18th Mar 17, 7:53 PM
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    Ames
    • #6
    • 18th Mar 17, 7:53 PM
    • #6
    • 18th Mar 17, 7:53 PM
    No, as, older people in particular, who don't like to bother the doctor, would be more likely to stay away, with terrible consequences.


    Just charge those who fail to turn up more than once, taking at source from wages/benefits if they refuse to pay.


    Every month our GPs post a notice giving the number of no shows and they go into the hundreds.


    I was in a sub-waiting area at our hospital, this week and while I was in that section (just covering three consultants) there were two no shows, besides at least four who did not respond to a nurse's call in the outer general waiting room.


    The consultant appointments were about half an hour each, so such a lot of time wasted, while others wait for an appointment.
    Originally posted by teddysmum
    I totally agree with charging for missed appointments.

    I wonder though (having read Freakonomics) if charging to see a doctor would increase time wasting? I'm thinking of the nurseries that found fining parents for being late meant that parents were late more, seeing it as an optional extra. Would people end up seeing the doctor more for minor issues that don't warrant it, on the grounds that they're paying for a service so are entitled to use it as much as they want?

    Or you'd probably get people who'd turn up with half a dozen things to talk about, in order to get their money's worth, and the GP would have to either overrun, or ask them to come back another time and potentially miss something.
    Unless I say otherwise 'you' means the general you not you specifically.

    Reading the alphabet in 2017. 21/100
    ABCDEFGHIJKLMNOPQRSTUVWXYZ
    • brook2jack
    • By brook2jack 18th Mar 17, 8:41 PM
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    brook2jack
    • #7
    • 18th Mar 17, 8:41 PM
    • #7
    • 18th Mar 17, 8:41 PM
    For a couple of years pre 2006 NHS dentists were allowed to charge for failed appointments. Failure rates plummeted. Post 2006 in England and Wales dentists are not allowed to charge for failed appointments and the rates have rocketed. The worst offenders are young men . In some areas 40% of new patient appointments are missed.

    In 2010 the average NHS dentist had almost 1100 missed appointments per year. https://bda.org/dentists/policy-campaigns/research/workforce-finance/gp/failure-to-attend
    • theoretica
    • By theoretica 18th Mar 17, 9:31 PM
    • 4,723 Posts
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    theoretica
    • #8
    • 18th Mar 17, 9:31 PM
    • #8
    • 18th Mar 17, 9:31 PM
    I assume that most places have a proportion of no-shows calculated into the number of appointments they offer already. Just like airlines overbooking.
    But a banker, engaged at enormous expense,
    Had the whole of their cash in his care.
    Lewis Carroll
    • Mishomeister
    • By Mishomeister 18th Mar 17, 10:23 PM
    • 708 Posts
    • 184 Thanks
    Mishomeister
    • #9
    • 18th Mar 17, 10:23 PM
    • #9
    • 18th Mar 17, 10:23 PM
    I believe the charges shouls be the same for every one. I don't see why Welsh and Scottish get it free whilst English have to pay?
    • Pop Up Pirate
    • By Pop Up Pirate 19th Mar 17, 7:07 AM
    • 771 Posts
    • 1,791 Thanks
    Pop Up Pirate
    A small charge, maybe 50p,to see the doctor would not be enough to keep people away, and is just enough to pay for admin costs at surgeries which would help the service as a whole.
    • Nick_C
    • By Nick_C 19th Mar 17, 7:24 AM
    • 2,776 Posts
    • 3,736 Thanks
    Nick_C
    The thing that annoys me is when the prescription costs much more than the drug. I use generic betnovate. About 30g a year. If I could buy it OTC it would be about £3.
    • Ames
    • By Ames 19th Mar 17, 12:30 PM
    • 16,093 Posts
    • 27,983 Thanks
    Ames
    The thing that annoys me is when the prescription costs much more than the drug. I use generic betnovate. About 30g a year. If I could buy it OTC it would be about £3.
    Originally posted by Nick_C
    Have you asked for a private prescription for it?
    Unless I say otherwise 'you' means the general you not you specifically.

    Reading the alphabet in 2017. 21/100
    ABCDEFGHIJKLMNOPQRSTUVWXYZ
    • teddysmum
    • By teddysmum 19th Mar 17, 12:44 PM
    • 7,444 Posts
    • 4,374 Thanks
    teddysmum
    For a couple of years pre 2006 NHS dentists were allowed to charge for failed appointments. Failure rates plummeted. Post 2006 in England and Wales dentists are not allowed to charge for failed appointments and the rates have rocketed. The worst offenders are young men . In some areas 40% of new patient appointments are missed.

    In 2010 the average NHS dentist had almost 1100 missed appointments per year. https://bda.org/dentists/policy-campaigns/research/workforce-finance/gp/failure-to-attend
    Originally posted by brook2jack
    When you make your next appointment with my dentist, you are given a slip of paper with date, time and name of dentist, followed by a message saying that you may be charged if you fail to attend.
    • teddysmum
    • By teddysmum 19th Mar 17, 12:46 PM
    • 7,444 Posts
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    teddysmum
    I assume that most places have a proportion of no-shows calculated into the number of appointments they offer already. Just like airlines overbooking.
    Originally posted by theoretica

    When I heard the hospital nurses discussing the no shows, one commented that they should, therefore , finish on time.
    • brook2jack
    • By brook2jack 19th Mar 17, 1:28 PM
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    brook2jack
    When you make your next appointment with my dentist, you are given a slip of paper with date, time and name of dentist, followed by a message saying that you may be charged if you fail to attend.
    Originally posted by teddysmum

    Unfortunately you cannot be charged for missing NHS dental appointments in England and Wales.

    Many dentists invest heavily in text reminders , which in a NHS context are very,very expensive as the software licences alone are hundreds of pounds a month. However that makes some difference but not a huge amount. To quote from the research link I posted earlier

    “Majority of patients missing appointments are amongst new patients and most of them are exempt from payments. Lots of these patients do express that, as they do not have to pay for their appointments due to exemption, it does not matter if they miss appointments.”
    • tensandunits
    • By tensandunits 19th Mar 17, 1:48 PM
    • 835 Posts
    • 1,191 Thanks
    tensandunits
    “Majority of patients missing appointments are amongst new patients and most of them are exempt from payments. Lots of these patientsdo express that, as they do not have to pay for their appointments due to exemption, it does not matter if they miss appointments.”
    Originally posted by brook2jack
    I must confess to being rather irritated by that statement. What do they mean by 'lots of these patients', I wonder. As somebody who is exempt from charges myself I resent the implication that I must therefore have a cavalier attitude to wasting practitioners time.

    I also think they need to introduce charges to see a doctor.
    Originally posted by Pop Up Pirate
    I too think that would be a good idea, also A&E which I understand often gets clogged up with drunks and time-wasters.
    • antrobus
    • By antrobus 19th Mar 17, 2:00 PM
    • 14,647 Posts
    • 20,730 Thanks
    antrobus
    I believe the charges shouls be the same for every one. I don't see why Welsh and Scottish get it free whilst English have to pay?
    Originally posted by Mishomeister
    Only about 10% of the English pay prescription charges. There is a long list of exemptions, including 'people over 60'.

    The thing that annoys me is when the prescription costs much more than the drug. I use generic betnovate. About 30g a year. If I could buy it OTC it would be about £3.
    Originally posted by Nick_C
    That's perfectly true. My local NHS trust helpfully prints the cost of every drug on the packet on meds supplied on discharge from hospital. None of mine cost anywhere near £8.60.

    But then, £104 a year for a season ticket is a much better deal if you are on about ten different meds.
    • brook2jack
    • By brook2jack 19th Mar 17, 2:02 PM
    • 3,945 Posts
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    brook2jack
    I must confess to being rather irritated by that statement. What do they mean by 'lots of these patients', I wonder. As somebody who is exempt from charges myself I resent the implication that I must therefore have a cavalier attitude to wasting practitioners time.
    Originally posted by tensandunits
    This research is showing trends, not commenting on individuals.

    This is a quote from this report https://bda.org/dentists/policy-campaigns/research/workforce-finance/gp/failure-to-attend


    Another quote from the report
    “On audit analysis we find that the vast majority (ie.90% plus) tend to be non-fee paying NHS patients, with a poor attendance record.”

    Unfortunately this bears out other research that non fee paying patients are responsible for the majority of missed appointments.

    General research in missed appointments shows it is 20 to 29 year olds who are most likely to miss appointments , those attending for the first time , non payers and those who have missed appointments before.
    • pmduk
    • By pmduk 19th Mar 17, 3:56 PM
    • 7,176 Posts
    • 5,175 Thanks
    pmduk


    That's perfectly true. My local NHS trust helpfully prints the cost of every drug on the packet on meds supplied on discharge from hospital. None of mine cost anywhere near £8.60.
    Originally posted by antrobus
    I've long believed every item dispensed on a prescription should be priced this way. Hopefully it may reduce waste.
    • unforeseen
    • By unforeseen 19th Mar 17, 4:01 PM
    • 1,389 Posts
    • 1,745 Thanks
    unforeseen

    But then, £104 a year for a season ticket is a much better deal if you are on about ten different meds.
    Originally posted by antrobus
    Due to my current prescriptions I use up my prepayment certificate costs in 2 months.

    Next month they even lose that bit of income when I turn 60
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