All CCGs in England purchase medicines which are made available for GPs to prescribe and community pharmacies to dispense. The prescribing of medicines and ensuring the right medicines are available at the right time for patient populations is very important for CCGs.
As medicine evolves, safer, more effective and better value medicines become available which reduce harm, can improve patient outcomes and help deliver value for money which helps towards managing finite NHS resources.
NHSCC is working in collaboration with NHS England to reduce ineffective medicines prescribing in primary care, an area of work known as low priority prescribing (LPP). The aim of the LPP working group is to have a national, evidence-based approach to reducing prescription rates for certain medicines in primary care.
These medicines fall into three categories:
The first ‘wave’ of products was put forward in 2017 after careful consideration and consultation with policy makers; clinicians; GP; members of the public; patients and their representative groups; NHS staff and various medical Royal Colleges. This resulted in national guidance for CCGs to support them to fulfil their duties as responsible commissioners and guide them to use their resources in order to gain maximum value for the health of their local population. This guidance has since been updated to include further products this year and the full guidance can be found on the NHS England website.
The second ‘wave’ of medicine products focussed on over the counter medicines (OTC). In the year prior to June 2017, the NHS spent approximately £569 million on prescriptions for medicines which can be purchased over the counter from a pharmacy and other places such as supermarkets. A further consultation was launched to look at how CCGs, therefore the NHS, could make savings on OTC products using the below two criteria:
Following consultation in 2018, guidance for CCGs was published setting out when OTC medicines should not routinely be prescribed in primary care. This can be found here on the NHS England website.