Last year 1.1 billion prescription items were dispensed in primary care at a cost of £9.2billion.
This growing cost coupled with finite resources means it is important that the NHS achieves the greatest value from the money that it spends. We know that across England there is significant variation in what is being prescribed and to whom. Often patients are receiving medicines which have been proven to be ineffective or in some cases dangerous, and/or for which there are other more effective, safer and/or cheaper alternatives.
NHS England has partnered with NHS Clinical Commissioners to support Clinical Commissioning Groups (CCGs) in ensuring that they can use their prescribing resources effectively and deliver best patient outcomes from the medicines that their local population uses. CCGs asked for a nationally coordinated approach to the development of commissioning guidance in this area to ensure consistency and address unwanted variation.
There is a consultation, which is being nationally coordinated but also encompasses a local element, is addressed to all CCGs, the public and patients, and any relevant interest group or body. It will be open for 3 months from 21 July until 21 October 2017.
Set out in the consultation document are proposed national guidance for CCGs on medicines which can be considered to be of low priority for NHS funding. The consultation looks at guidance for 18 different medicines.
You can read more about the consultation below:
Please give your feedback on the consultation on the NHS England website here: https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed/
In Derbyshire, all four Clinical Commissioning Groups have already spent a lot of time looking at medicines ensuring they deliver the best patient outcomes and that prescribing resources are used most effectively.
Local decisions have already been made around the medications in the consultation. The table below shows the list of medication, the instruction on when they can be prescribed or not prescribed and when the decision was made. At the moment, although the guidance is in place, the items can still be prescribed in specific circumstances. Please note these local decisions may change as a result of the National Consultation.