​Have your say: changes to prescribing in Lewisham

Proposed changes to NHS prescriptions in Lewisham

Date: 29 August 2017

We are seeking your views on our proposals to make some changes to prescribing guidance around over the counter medicines and malaria prevention medicines in Lewisham. Our consultation with local people starts on 29 August and ends on 24 October. On this page you can find our consultation leaflet and complete our online survey

What are the proposed changes?

We are proposing to no longer support the routine prescribing of self-care medications and health supplements for short term minor illnesses and injuries that will get better over time. 

We are also proposing to stop prescribing malaria prevention medicines for use in travel on an NHS prescription to bring Lewisham in line with national guidance.

Why we are proposing these changes? 

To promote self-care of minor conditions

We want to help people lead longer, healthier and happier lives.   Self-care is about avoiding becoming ill, treating common illnesses at home and seeking help when needed.  It is also about managing any conditions you have in a way that puts you in control and improves your quality of life.

The self-care medicines covered in this proposal can be purchased from your pharmacy and many of them are available in supermarkets. National NHS guidance recommends everyone keeps a well-stocked medicine cabinet with self-care medicines.

To free up doctors' and nurses' time for those most in need

The proposals for over the counter medicines support our plans to promote self-care and the self-management of minor and short term conditions, and to reduce unnecessary demand on GP time, including out of hours services. This will free up clinical time for people who have more complex healthcare needs and who need more active support in managing their health.

To get the best value from the funding we have available

We have an older and growing population and demand for health services is increasing.  We spend around £35 million on prescribing each year and believe we could save the local NHS up to £900,000 each year with these proposals.

Similar discussions are taking place in each borough within south east London, as well as in many other areas of the country.

Malaria prevention medicines for travel

Stopping prescribing malaria prevention medicines for use in travel on an NHS prescription would bring the borough in line with national policy. Lewisham is one of only three clinical commissioning groups in England offering malaria prevention medicines through the NHS.

NHS patients are entitled to receive free advice about travel. GP practices will be able to issue private prescriptions that people pay for, for malaria prevention medicines and continue to offer travel advice, or patients can seek advice from private travel clinics or pharmacies.

NHS England are currently consulting nationally about routine prescribing of items of low priority for NHS funding including several travel vaccines. Details are on NHS England website

Have your say

We are keen to hear from you if you live in Lewisham, and/or are registered with a Lewisham GP, especially if our proposals might affect you. 

We would like to know:

  • How much you agree or disagree with our proposal to:
  • Stop supporting the routine prescribing of self-care medicines for conditions that get better with time?
  • Stop prescribing malaria prevention medicines for use in travel on an NHS prescription to bring the borough in line with national guidance.
  • Reduce the time that GPs spend treating people who could manage their own minor ailments and injuries?
  • Any specific concerns you have about our proposals?
  • How we can promote self-care and support people to help them better manage minor illnesses?
  • Is there anything else that you think we have not considered?

Please share your views by reading our proposals and completing our short survey  or

Email us at lccg.engagement@nhs.net

  • Write to us or send a copy of the paper survey to Lewisham CCG, Cantilever House, Eltham Road, London SE12 8RN
  • Discuss at your practice's Patient Participation Group meeting in your GP practice and send your views into us.
  • Come along to our Annual General Meeting on 20 September 2017 from 12.30pm at King's Church, Osborn Terrace, London SE3 9DW and speak to one of our team.
  • If you are part of a local group and want us to come and talk to you about
  • our proposals please email us at lccg.engagement@nhs.net
  • Phone us on 020 3049 3208

When will we decide?

After our consultation process finishes, we will consider all the views we have heard.  We expect to reach a decision about our proposals at our Governing Body meeting on 9 November 2017. This meeting takes place in public and you are welcome to attend to hear our discussions.

Downloads

·         Proposed changes to prescribing in Lewisham - August 2017