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Payment for prescriptions

(262 Posts)
maddyone Tue 26-Jul-22 10:36:25

A former NHS chairman, Professor Stephen Smith, has said that people over the age of 60 should pay for their prescriptions. He has also said that a small charge should be levied on patients in hospital, something between £4 and £8 per night, to pay for their food, similar to such a system in Germany. This would be limited to 28 nights. He also says the charges would be means tested, so the poor would not pay.
What do you think?

volver Tue 26-Jul-22 12:48:03

If you have a State pension and in Hospital for more that 4 weeks you are supposed to declare it, as you not "entitled" to it.

Incorrect.

"Like a workplace pension, the State Pension isn’t affected by your state of health and should continue to pay out if you’re in hospital."

"However, the government does ask hospital patients receiving a State Pension to get in touch with the Pension Service helpline to clarify their benefit entitlements."

www.pensionbee.com/pensions-explained/pension-rules/what-happens-to-your-pension-when-in-hospital

It's an ongoing mystery to me that people make definitive statements about things when 2 minutes of googling would prove the statements inaccurate.

volver Tue 26-Jul-22 12:48:55

Baggytrazzas

?

Baggytrazzas Tue 26-Jul-22 12:51:50

wink

Nanawind Tue 26-Jul-22 12:58:29

I believe prescriptions are free in Wales and Scotland. I don't know about Northern Ireland.
So if we go with this suggestion does it mean that only those in England pay.

nexus63 Tue 26-Jul-22 13:12:42

not sure i would want to pay for some of the food in hospitals, but if the extra money meant better food then it might be worth it.

growstuff Tue 26-Jul-22 13:12:53

kittylester

The NHS can't carry on as it is. We have pay for it somehow.

What is your solution?

How much would actually be saved, when admin costs are factored in? How long would it be before the charges would go up because the charges don't cover the costs?

How many hospital stays take place in a year? How about multiplying the number of night stays x £8 and then adding a little extra to everybody's tax? The systems are already in place for tax and wouldn't involve extra admin.

How would it be decided who is "poor"? We all know that there are people who are a few pounds over the threshold for any state benefits and this would exacerbate the problem.

Grantanow Tue 26-Jul-22 13:15:40

It's just the kind of mean thing the Tories might do. Means testing would imply a whole lot of expensive officials to carry it out (or the Tories would contract it out to their friends) thus adding to costs and there would be lots of marginal cases needing an appeals apparatus, also at cost. We've seen what happens when private companies assess people for disability benefits. This idea is tinkering. The NHS should remain free at delivery.

Riverwalk Tue 26-Jul-22 13:18:25

Introducing charges here and there will be wasteful and probably cost more to collect. All very well for countries that have such systems but this is the UK.

How many BILLIONS were wasted on the failed IT system which never materialised? I can't find any reliable figure but it was said to be TEN BILLION POUNDS, wasted, down the drain, gone!

No heads rolled.

BlueBelle Tue 26-Jul-22 13:22:05

But don’t get any have higher pensions ?

BlueBelle Tue 26-Jul-22 13:24:19

It would seem fair enough for those with money and those on pension credit would still get it free but it’s those just over the line that would suffer
More Tory stealth at privatising our NHS

Doodledog Tue 26-Jul-22 13:30:40

How would it be decided who is "poor"? We all know that there are people who are a few pounds over the threshold for any state benefits and this would exacerbate the problem.
Which is what I have been saying for years on here, and you have always countered it by saying that means-testing was my 'hobby-horse' and that defending pensioners didn't take account of the fact that working people were also poor. What has changed?

Whitewavemark2 Tue 26-Jul-22 13:31:07

We need a national conversation and a democratic way forward.

For my part I would stick to the principle “free at the point of delivery”

I would ensure a dedicated tax that was written into the constitution, and I would set a a charitable trust to run it OUT OF GOVERNMENTS HANDS.

Doodledog Tue 26-Jul-22 13:33:09

I would vote for that, WWM. I would really like to see a social contract that could not be broken, so that we all know what we are paying for when we pay in and what we can expect to get at point of need. Oh, and how 'need' is going to be defined.

Whitewavemark2 Tue 26-Jul-22 13:36:25

Need? Same as now I think.

Doodledog Tue 26-Jul-22 13:42:49

How is it defined now? It seems to fluctuate depending on who uses it, and which group is being discussed.

NotSpaghetti Tue 26-Jul-22 13:44:44

This is what I found re benefits and hospitalisation:

Payments you get of Disability Living Allowance (DLA), Personal Independence Payment (PIP), Adult Disability Payment Scotland and Attendance Allowance (AA) will stop after you have been in hospital for 28 days. If you are under 18 on the day you enter hospital, your DLA, Adult Disability Payment Scotland or PIP payments will not stop.

It's all explained more fully on Turn2Us website (where I found this).

nanna8 Tue 26-Jul-22 13:48:37

You lot don’t know you’re born! I would say the UK is the best country in the world for cheap/free medical treatment.

Jackie7698 Tue 26-Jul-22 13:50:25

If we didn't refer to the state pension as a "benefit" it would be much clearer which benefits are not paid when you are in hospital etc. Nobody would think it appropriate if someone suggested any other pension should not be paid in these circumstances.

growstuff Tue 26-Jul-22 13:55:27

Doodledog

*How would it be decided who is "poor"? We all know that there are people who are a few pounds over the threshold for any state benefits and this would exacerbate the problem.*
Which is what I have been saying for years on here, and you have always countered it by saying that means-testing was my 'hobby-horse' and that defending pensioners didn't take account of the fact that working people were also poor. What has changed?

Nothing has changed! I actually agree with you in principle, but there would still be anomalies and I don't know how they could be sorted out. There also has to be a recognition that many people have not "paid into the system" for a variety of reasons - and, as a society, we can't leave those people to rot in the gutter.

Doodledog Tue 26-Jul-22 13:56:58

There also has to be a recognition that many people have not "paid into the system" for a variety of reasons - and, as a society, we can't leave those people to rot in the gutter.
And I have never failed to recognise that.

growstuff Tue 26-Jul-22 13:58:06

Doodledog

How is it defined now? It seems to fluctuate depending on who uses it, and which group is being discussed.

Exactly! There's a "delightful" character on one of my local Facebook groups, who thinks that the NHS shouldn't pay for mental health care. His definition of "need" isn't the same as mine!

growstuff Tue 26-Jul-22 13:59:11

Doodledog

*There also has to be a recognition that many people have not "paid into the system" for a variety of reasons - and, as a society, we can't leave those people to rot in the gutter.*
And I have never failed to recognise that.

We agree much more than you think! smile

You shouldn't take my attempts to play devil's advocate too seriously!

Luckygirl3 Tue 26-Jul-22 14:07:48

Means testing always sounds logical until you work out the cost of administering such a scheme. Forms to be filled in, claims to be checked, details to be verified to avoid fraud - and so it goes on.

Callistemon21 Tue 26-Jul-22 14:08:20

Aveline

My Dad, a GP, always felt that there should be a small charge for appointments. Really just to reduce the numbers of failed appointments. People with long term conditions need not pay. I used to be appalled at the number of DNAs at GP surgeries when I used to have to book clinics there.
Changed days now of course when you have to beg and plead for an appointment.
We are reaping the whirlwind of reduced places on nursing courses and prioritising lucrative foreign students on medical courses.

There have, apparently, been many DNAs at a local hospital because people were sent their appointment texts/emails and letters after the appointment time.
DH was one of them. When he did get another appointment, the Consultant said they wondered why so many were failing to keep their appointments.

There is a lot of inefficiency and waste in the system.

Means testing penalises those whom Theresa May called Just About Managing and in itself costs money.

Whitewavemark2 Tue 26-Jul-22 14:08:46

I think one way is to look at how other countries provide health care and try to take the best.

I did look at the various health care systems at one time, and was impressed.