Prescription payments

Increase Prescription payments from £3.85 to £4.50 per item.There has been no increase for many years and would still be half of what England pays.Also make clearer the categories that are exempt as a lot of money is lost when people say they are exempt but are vague about why.Pharmacy staff cannot refuse to provide medicine if someone insists they don't pay but can't prove it and there is no'evidence not seen' area on Manx prescriptions as there is on English ones.

Also,Doctors on the Island are still too fond of writing prescriptions for large amounts of painkillers and other medicines that are new to the patient without reviewing first to see if they are tolerated so a surprising amount are returned to Pharmacies after only a few have been taken as they did not suit.Maybe a maximum of two weeks supply initially,then review?

Why the contribution is important

My idea is important because increased revenue would give more to the Islands ailing NHS and cut waste from expensive medicines being returned that cannot by law be reused even if still sealed.

It would increase Doctors responsibility for careful prescribing and review and also help prevent polypharmacy,which is often as a result of a new medication added to counteract the side effects of a current medication.A lot of medications are actually ineffective after a period of time so this may help int the long term health of patients and lead to fewer admissions to hospital for things such as falls and build up of side effects especially in the elderly.All this adds to money saving.

The increase in prescription payments is overdue and the impact individually is less than a cup of coffee.

by ninjadispenser on April 08, 2017 at 01:31PM

Current Rating

Average rating: 4.2
Based on: 5 votes


  • Posted by Walkerannie April 09, 2017 at 19:18

    I agree. By paying just £4.50 or even £5 per item we would still be paying much less than in the U.K. I wouldn't begrudge it as I really appreciate the NHS here. Those on benefits etc or who have repeat prescription prepayment certificates wouldn't be affected.
  • Posted by Remember196 April 10, 2017 at 13:31

    Try thinking about this the other ways round and decrease prescription charges to £1 and remove all the exemptions, this would still raise more money.
  • Posted by ninjadispenser April 16, 2017 at 13:17

    Last comment about£1 charge.Is that per item? If so,then the elderly would be losing badly yet again as they tend to be on polypharmacy and may end up paying for 10 items! Would also encourage those who only go to Docs for bottle of Calpol to do it even more as it would be cheaper to get script by far than pay for it.Increase is the only way I reckon and review who is exempt and for what condition.
    We have enjoyed low script charges for a long tome and would still be half of what England pays!
    Some English visitors actually save their script and bring it with them to cash it as they know it will be half price here!
  • Posted by madeleine April 16, 2017 at 20:29

    We permit many items on prescription which are freely available over the counter, often very much cheaper in generic form. All such items should be removed from the free prescription list. This includes most common painkillers for instance. Prescription only items should remain free for those so entitled for items such as antibiotics and other condition related medicines. The remainder pay £5 per item up to a maximum monthly/annual charge. All those exempt should be provided with an up to date exemption certificate and anyone without one pays. The present system is open to abuse!
  • Posted by ninjadispenser April 25, 2017 at 15:41

    Unfortunately it's true that the system gets abused as Pharmacies cannot refuse to supply medications if someone says they are exempt but has no proof and there is no 'evidence not seen' box on Manx prescriptions as there is on English ones.Pharmacy staff are not the Prescription Police and the Government needs a serious review of the system which is archaic, wasteful and wide open to abuse.Such a review MUST include people who actually know what they are talking about,not some nameless drone who has never worked in health care or Pharmacy,but the ' people on the ground' who see daily the waste and abuse that drains thousands out of our health service because of apathy on the Governments part.
Log in or register to add comments and rate ideas

Idea topics