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Self care, medicines purchased and the abolition of the prescription charge. Roger Walker Pharmaceutical Public Health Team 23 October 2006. What is the issue?. If we abolish the prescription charge in Wales will this reduce the incentive to purchase medicines for self care?

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Self care medicines purchased and the abolition of the prescription charge

Self care,

medicines purchased

and the abolition of the prescription charge

Roger Walker

Pharmaceutical Public Health Team

23 October 2006


What is the issue

What is the issue?

  • If we abolish the prescription charge in Wales will this reduce the incentive to purchase medicines for self care?

  • Does this matter?

  • …and if it matters should we stop it?


Self care medicines purchased and the abolition of the prescription charge

Self care

“Self-care is one of the best examples

of how partnership between the

public and health service can work”.

Securing our future health: taking a long-term view

Derek Wanless 2002

“ A step-change in individuals’ and

communities’ acceptance of

responsibility for their health is needed”.

The review of health and social care in Wales

Derek Wanless 2003

“Even greater efforts will be made to

help people look after their own health”

Designed for Life

May 2005


Welsh assembly imperative

Welsh Assembly imperative

  • The volume of prescriptions dispensed is growing year on year

  • Self-treatable symptoms account for nearly 40% of GP time


Self care medicines purchased and the abolition of the prescription charge

disease

perception

access

advertising

habit

Dr Phobic

confidence

Determinants of self care ?

experience

professional support/chauvinism

skills

family

support

priority

status

resources

peer support

knowledge

&

awareness

want

want


Self care medicines purchased and the abolition of the prescription charge

What is self care ?

An acquired habit and skill that requires

individuals to have an appropriate

knowledge base and access to safe,

effective and affordable medicines


Self care medicines purchased and the abolition of the prescription charge

The UK self care market

UK OTC market

12 months to December 2005

£2074 million

Source: Information Resources, Inc 2006

NHS Wales primary care drug bill

12 months to March 2006

£563 million

Source: StatsWales 2006


Has the reduction of the prescription charge had any impact to date

Has the reduction of the prescription charge had any impact to date?

  • Work initiated in collaboration with Primary Care Division of the Assembly

  • Obtained OTC data for each LHB from IMS Health

  • Compared OTC “sales” between LHBs with two comparator areas in England


Self care medicines purchased and the abolition of the prescription charge

North East England

South East England

Darlington

Derwentside

Durham and Chester-le-Street

Durham Dales

Easington

Hartlepool

Langbaurgh

Middlesbrough

North Tees

Sedgefield

Gateshead

Newcastle

North Tyneside

Northumberland

South Tyneside

Sunderland Teaching

2,535,076

2,537,160


Implications of a reduction in the purchase of medicines

Implications of a reduction in the purchase of medicines

  • Increase GP workload

  • Increase cost to NHS

  • Habit is lost

  • Knowledge and skills of using OTC medicines are lost

  • Health resilience of communities declines


A solution

A solution?

  • National strategy to promote self care

    • Collaborate with major pharmacy chains, PAGB, CPW, local media

    • Target expert patient programmes, community groups, school curriculum etc

      ………but whatever we do we need to start doing it now!


Why should we promote self care

Why should we promote self care?

“We must view the population itself as the most

significant health resource, a co-producer of

health rather than a consumer of healthcare

services”

Antony Morgan

Erio Ziglio

2006


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