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Prescription Drugs: North Yorkshire

Volume 498: debated on Monday 26 October 2009

To ask the Secretary of State for Health what the cost of (a) all medicines dispensed and (b) medicines dispensed to patients aged 60 years and over by the NHS in North Yorkshire and York was in each year since 1996-97. (295228)

The information is not available in the format requested. Information showing the net ingredient cost of medicines dispensed via an FP10 prescription in primary care within the North Yorkshire and York primary care trust for the period September 2004 to August 2009 is shown in the following table.

The cost of medicines dispensed for patients aged 60 years and over is not available.

Information showing the net ingredient cost of medicines dispensed via an FPI0 prescription in primary care within the North Yorkshire and York Primary Care Trust for the period September 2004 to August 2009

Number of items (Thousand)

Net ingredient cost (£000)

Average net ingredient cost per item (£)

September 2004

914

9,942

10.88

October 2004

947

9,976

10.54

November 2004

942

10,067

10.69

December 2004

976

10,577

10.83

January 2005

871

9,496

10.90

February 2005

824

8,586

10.42

March 2005

925

9,647

10.44

September 2004 to March 2005

6,398

68,291

10.67

April 2005

940

9,522

10.13

May 2005

911

9,223

10.12

June 2005

968

9,798

10.12

July 2005

925

9,227

9.97

August 2005

942

9,452

10.03

September 2005

967

9,811

10.15

October 2005

1,020

10,099

9.90

November 2005

1,004

10,096

10.06

December 2005

993

10,242

10.31

January-2006

935

9,652

10.32

February 2006

881

9,096

10.32

March 2006

1,011

10,273

10.16

Total for year 2005-06

11,498

116,492

10.13

April 2006

892

9,087

10.19

May 2006

972

9,901

10.19

June 2006

999

10,092

10.11

July 2006

945

9,723

10.29

August 2006

977

10,103

10.34

September 2006

955

9,884

10.35

October 2006

1,018

9,707

9.53

November 2006

1,064

10,067

9.46

December 2006

998

9,686

9.70

January 2007

1,023

10,135

9.91

February 2007

916

9,088

9.93

March 2007

1,022

10,200

9.98

Total for year 2006-07

11,780

117,674

9.99

April 2007

961

9,777

10.18

May 2007

1,033

10,498

10.16

June 2007

1,006

10,280

10.22

July 2007

1,027

10,184

9.92

August 2007

1,046

10,395

9.94

September 2007

963

9,615

9.98

October 2007

1,145

10,350

9.04

November 2007

1,091

9,966

9.13

December 2007

1,025

9,540

9.31

January 2008

1,060

9,857

9.30

February 2008

996

9,369

9.41

March 2008

989

9,238

9.34

Total for year 2007-08

12,341

119,069

9.65

April 2008

1,074

10,045

9.35

May 2008

1,065

9,942

9.34

June 2008

1,035

9,671

9.35

July 2008

1,114

10,414

9.35

August 2008

1,030

9,699

9.42

September 2008

1,066

10,034

9.42

October 2008

1,231

11,269

9.16

November 2008

1,057

9,768

9.24

December 2008

1,175

10,990

9.35

January 2009

1,082

10,136

9.37

February 2009

1,005

9,517

9.47

March 2009

1,109

10,124

9.13

Total for year 2008-09

13,041

121,608

9.32

April 2009

1,113

10,150

9.12

May 2009

1,087

10,044

9.24

June 2009

1,142

10,520

9.21

July 2009

1,184

11,088

9.37

August 2009

1,064

9,930

9.33

April 2009 to August 2009

5,590

51,732

9.25

Total September 2004 to August 2009

60,649

594,866

9.81

Notes:

1. Data have been supplied by financial year 2005-06 to 2008-09. Only the last 60 months data are available; therefore data prior to September 2004 are not available. September to December data are available for 2004. March to August data are available for 2009-10.

2. NHS Prescription Services (RxS) is responsible for the reimbursement and remuneration of dispensing contractors in England on behalf of the Department of Health. NHS RxS captures prescription items submitted by dispensing contractors for reimbursement and remuneration purposes.

3. North Yorkshire and York has been defined as the North Yorkshire and York Primary Care Trust (PCT).

4. On 1 October 2006 four PCTs, Hambelton and Richmondshire PCT, Craven Harrogate and Rural District PCT, Scarborough, Whitby and Rydale PCT and Selby and York PCT merged to form North Yorkshire and York PCT. The data provided prior to October 2006 have been collated from these PCTs and have been structured in line with current PCT arrangements.

5. The data are based on England community dispensing (not prescribing) data only. These may include items prescribed in Wales, Scotland, Northern Ireland and the Isle of Man which have been dispensed in England. The data exclude items prescribed in England but dispensed in Wales, Scotland, Northern Ireland and Isle of Man.

6. The data do not cover drugs dispensed in prisons, hospitals, including mental health trusts, walk-in centres or private prescriptions but do include prison and hospital prescriptions which are dispensed in the community.

7. Prescriptions are written/printed on a prescription form. Each single item written on the form is counted as a prescription item.

8. The net ingredient cost is the basic price of a drug prior to discount being deducted (where applicable) as stated in Part II Clause 8 of the Drug Tariff for England and Wales (www.ppa.org.uk/ppa/edt_intro.htm). It excludes dispensing fees, container allowances and other fees paid to contractors.

9. The average net ingredient cost per item for North Yorkshire and York Primary Care Trust has fallen significantly between September 2004 and August 2009. This follows the downward trend in the national average net ingredient cost over the same period. Prescription exemption data.

10. When determining payment to contractors, it is only necessary for NHS RxS to determine whether:

a prescription charge has been collected; or

a patient has completed a declaration of exemption, when a declaration is required.

Up until November 2007, NHS RxS determined and recorded the exemption category on every 20th form that is exempt from the prescription charge. The data were recorded from the tick-box shown on the reverse of FP10 prescription forms, and where appropriate from the age or date of birth printed on the front of the form. This relied on the form to be clear and completed correctly which may not have always been the case.

11. The information from the sample of prescription forms informed the Department of Health of the frequency of claims for exemption from prescription charges in each exemption category.

12. Due to the method applied when sampling exemption data, this information can only be viewed as an estimate of the number of products issued for patients within an exemption category and is not statistically valid when applied to individual PCT's.

13. From December 2007 NHS RxS changed the processes for pricing prescriptions and for capturing prescription charge exemption status. Therefore NHS RxS cannot reliably estimate the data for each exemption category relating to the age of the patient from this date.

14. The processes for capturing information during the reimbursement and remuneration processes undertaken formerly by the Prescription Pricing Authority, and latterly by NHS RxS, were designed to allow an analysis of trends in prescribing and dispensing patterns. However, tighter statistical governance requirements and greater scrutiny of the level of accuracy and precision of data within the NHS suggest that it would be inappropriate to provide exemption category data in detail.

Source:

National Health Service RxS Information System.