Are prescription charges in England fair?

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Should English MP's be only allowed to vote on English
matters?

Patients on the NHS in Scotland, Wales and Northern Ireland do not have to pay for their medicines. However, NHS patients in England will still have to pay for their medicines, unless they are officially exempt. And with prescription charges per item rising to £7.85 this month, many people south of the border are still questioning why the levy still exists and whether it should go.

Earlier today, I tried to obtain statistics online to find out how many patients in England are exempt from the levy for prescriptions. But sadly the publications hosted by the Health and Social Care Information Centre with those details were unavailable.

However, to illustrate the overall situation regarding prescriptions in England, the Pharmaceutical Services Negotiating Committee have a graph titled "12 Month Rolling Items Dispensed" which shows that at around November 2011, the number of prescription items dispensed broke through the 900 million item mark. And that figure is slowly escalating to a billion. And in my experience working in England last year, the majority of patients do not pay for their prescriptions.

If this is generally the case across England, then I suppose one can be forgiven for questioning the justification for a prescription charge. With the prescription item fee rise this month, it is very clear that the coalition at Westminster has no intention to review the levy. But, politically, you cannot blame some people for raising another issue of whether English MP's should only be allowed to vote on issues affecting England.

And I don't blame them for that. I think it is a major pity and, frankly, astonishing that politicians at Westminster have never considered raising the idea of installing a mechanism to ensure that England has the ability to fully decide on what policies they want implemented, without MP's from other parts of the United Kingdom voting also on those issues despite the fact it will have absolutely no relevance to their constituents.

The Royal Pharmaceutical Society's Neal Patel voiced his opposition to the 20p increase in prescription charges on behalf of the society. I can understand his comments and he is certainly not wrong to give the impression that the exemption system needs to be reviewed.

But in an age of austerity and cuts in public spending, rising costs for medicines and lower employment prospects for pharmacists, are free prescriptions across the whole of the UK really affordable?