How are prescriptions checked?

Castiel said:
I'm not disputing that, but how Scotland or Wales adjust their NHS budgets doesn't mean that care is any better for it. Figures show that even though the English NHS spends less per head than the other UK devolved health care systems, it actually has better Health outcomes.

There is also the issue of scale, population size impacts the costs enormously, which I suspect is your answer.
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Over 90% of prescriptions dispensed in England are exempt. Although the other fewer than 10% is a relatively small number in comparison, it's still a nice revenue stream that I'm sure the NHS aren't likely to give up willingly, especially as it's being squeezed financially.
 
If you come to Scotland with a prescription from an English doctor would you get your prescription for free?

Likewise, if I went to England with a Scottish prescription would I pay what you guys do?
 
Dyson said:
Wow, never thought it'd be anywhere near that figure!
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well people with long term illness tend to require a lot more prescriptions and with chronic conditions they might well have free prescriptions

smackheads etc.. too

there are also a lot of benefits scumbags... one of my friends is a GP and gets afro-carribean women booking appointments to demand a particular brand of hand cream... she could tell them to use ordinary moisturiser or just prescribe it but they're generally scumbags and will either kick off or just waste another GPs time booking another appointment so she just writes a prescription so they can go get an expensive product for free that other people would just buy from boots
 
mrochester said:
Never underestimate how many prescriptions are given to the over 60s!
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dowie said:
well people with long term illness tend to require a lot more prescriptions and with chronic conditions they might well have free prescriptions

smackheads etc.. too

there are also a lot of benefits scumbags... one of my friends is a GP and gets afro-carribean women booking appointments to demand a particular brand of hand cream... she could tell them to use ordinary moisturiser or just prescribe it but they're generally scumbags and will either kick off or just waste another GPs time booking another appointment
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Wasn't discrediting the amount, just never thought of it being that high. May as well go 100% then, catch up with Wales and Scotland.
 
NI is like insurance. We begrudge it but we pay it, and mostly never see anything from it. The craw is the premium is paid to those that don't.
 
dowie said:
well people with long term illness tend to require a lot more prescriptions and with chronic conditions they might well have free prescriptions

smackheads etc.. too

there are also a lot of benefits scumbags... one of my friends is a GP and gets afro-carribean women booking appointments to demand a particular brand of hand cream... she could tell them to use ordinary moisturiser or just prescribe it but they're generally scumbags and will either kick off or just waste another GPs time booking another appointment so she just writes a prescription so they can go get an expensive product for free that other people would just buy from boots
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I don't think it's just Afro-Caribbean women who are touting prescriptions for E45 cream. Simple answer is prescribe a cheaper alternative or don't prescribe it at all...enabling them just for a quiet life doesn't solve anything
 
Ahleckz said:
If you come to Scotland with a prescription from an English doctor would you get your prescription for free?

Likewise, if I went to England with a Scottish prescription would I pay what you guys do?
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No. A Scottish prescription presented in England would attract the prescription charge, An English prescription presented in Scotland would attract a prescription charge. Only prescriptions issues and dispensed in Scotland are exempt.
 
This is why health care (mostly) shouldn't be free. Because at the end of the day people then expect everything for free and just get in an entitled mindset.
 
Rookie mistake from the pharmacy... At my pharmacy we always ask for proof and if on income support we take down their NI number unless it's a regular we know. The amount of people that I catch trying to get away with it is unbelievable.
 
Xordium said:
This is why health care (mostly) shouldn't be free. Because at the end of the day people then expect everything for free and just get in an entitled mindset.
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Health care should be entirely free, however society has its priorities set by fools and greed for the most part so we are stuck with it being mostly free.
 
Castiel said:
I don't think it's just Afro-Caribbean women who are touting prescriptions for E45 cream. Simple answer is prescribe a cheaper alternative or don't prescribe it at all...enabling them just for a quiet life doesn't solve anything
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it is just down to having dark skin and so dry skin showing up more easily... It isn't E45 but some specific brand that they apparently demand

Easier said than done re: telling them to go away if they'll kick off or book another appointment to see another doctor and waste more time. Could say the same about GPs prescribing antibiotics for colds etc... pushy parents etc.. demanding a prescription etc..etc..
 
Castiel said:
Health care should be entirely free, however society has its priorities set by fools and greed for the most part so we are stuck with it being mostly free.
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You can't afford to treat everyone, to the best of our ability all the time. The NHS was never intended to do this - its purpose was to create a healthy working population - not needlessly prolong life or for that matter create life.

Which is why I said:

Xordium said:
This is why health care (mostly) shouldn't be free.
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Free healthcare has actually broken the basic ethical principles of medicine because the you have substituted the sound and the rationale for costly and invasive medical interventions that in the longterm cause more harm.
 
Checks on free entitlement were purely random at least it was up here in Scotland before all prescriptions became free for everyone. You would be very unlucky to be caught.
 
Xordium said:
You can't afford to treat everyone, to the best of our ability all the time. The NHS was never intended to do this - its purpose was to create a healthy working population - not needlessly prolong life or for that matter create life.

Which is why I said:

Free healthcare has actually broken the basic ethical principles of medicine because the you have substituted the sound and the rationale for costly and invasive medical interventions that in the longterm cause more harm.
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The NHS was intended to be Free at Point of Use as a comprehensive universal health system to secure the Improvement in the physical and mental health of the population And the diagnosis, prevention and treatment of illness of said population.

http://old.post-gazette.com/pg/pdf/201004/2010_national-health-service-book_01.pdf

It was indeed intended to be (mostly) free.

As for the rationale that healthcare should be individually charged (mostly) is not something I agree with, or ever will....I not sure that charging for medical services is one of the basic ethical principles of medicine either.
 
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Castiel said:
The NHS was intended to be Free at Point of Use as a comprehensive universal health system to secure the Improvement in the physical and mental health of the population And the diagnosis, prevention and treatment of illness of said population.

http://old.post-gazette.com/pg/pdf/201004/2010_national-health-service-book_01.pdf

It was indeed intended to be (mostly) free.

As for the rationale that healthcare should be individually charged (mostly) is not something I agree with, or ever will....I not sure that charging for medical services is one of the basic ethical principles of medicine either.
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If you believe that the NHS was founded to allow people to pass on genetic illness onto multiple offspring, pay for IVF treatment for people who decided their career was more important and left it too late, medically treat the result of poor lifestyle changes, medically treat aged people without good reason etc then knock yourself out.

Doing more harm than good even if you are doing good is against the basic principles of medicine one of which is that beneficence > non-maleficence. Keeping people alive to suffer year after year because you are afraid to let them die and to keep on treating them irrespective falls afoul of that. As does allowing peoples "right to have children" to go ahead of the suffering those children may then ensue.

Free healthcare for everything rather than creating a basic standard of health encourages the wrong people to get the most money. I am betting most people on these forums know of one family where the parents have had repeated children with congenital abnormalities and then carried on anyway and now have a people carrier, house and 20k per annum all on the taxpayer.

The world got on fine before and would get on fine after the world's two biggest economies both require people to have the finances for health and the countries seem to do just fine even if certain individuals suffer. Which of course is a shame but it's also life. You have to accept not everyone will get the best deal.
 
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