New Year - same Price Concessions issues…
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Everyone at the Bennett Institute wishes you a very Happy New Year!
Unfortunately, the NHS is still having the same problems in sourcing generics. The PSNC have just announced the latest list of price concessions for December 2017. The list was slightly smaller than November’s, with 86 lines,but we are still estimating an monthly impact for the NHS in December of £27 million. This brings the total excess cost for the nine months to December to £285 million:
As always, we have used the latest available month’s prescribing data (in this case October 2017) to estimate the impact for November and December, and have now updated our calculations for October as an actual cost. (Nerdy calculation issue: we use an average of 7.41% discount, as per the NHSBSA website, to calculate the actual cost. It’s never going to be 100% accurate, as a) it’s only and average, and b) there are other things included in the actual cost calculation - but for this purpose it’s not far off).
CCG impacts for December and total to year so far
You can find all the data for each month for each CCG on a Google Sheet here. Below shows the “highlights” for December and the total so far this financial year.
| Excess Actual Cost: Dec 2017 (estimated) | Excess Actual Cost: Financial YTD (estimated) | |
|---|---|---|
| NHS NORTHERN, EASTERN AND WESTERN DEVON CCG | £473,525 | £4,963,500 |
| NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG | £370,506 | £4,027,033 |
| NHS DORSET CCG | £365,691 | £3,954,643 |
| NHS LIVERPOOL CCG | £378,108 | £3,876,664 |
| NHS NENE CCG | £343,057 | £3,647,783 |
| NHS BIRMINGHAM CROSSCITY CCG | £346,881 | £3,571,649 |
| NHS MANCHESTER CCG | £304,133 | £3,373,884 |
| NHS GLOUCESTERSHIRE CCG | £321,733 | £3,221,937 |
| NHS OXFORDSHIRE CCG | £271,005 | £2,990,322 |
| NHS NEWCASTLE GATESHEAD CCG | £292,028 | £2,921,922 |
| NHS SANDWELL AND WEST BIRMINGHAM CCG | £275,828 | £2,818,831 |
| NHS KERNOW CCG | £269,317 | £2,811,283 |
| NHS SHEFFIELD CCG | £255,214 | £2,768,527 |
| NHS SOMERSET CCG | £263,130 | £2,730,529 |
| NHS SOUTHERN DERBYSHIRE CCG | £249,142 | £2,726,230 |
| NHS COASTAL WEST SUSSEX CCG | £236,007 | £2,695,366 |
| NHS WEST HAMPSHIRE CCG | £247,540 | £2,631,875 |
| NHS HERTS VALLEYS CCG | £245,536 | £2,602,319 |
| NHS COVENTRY AND RUGBY CCG | £246,358 | £2,531,763 |
| NHS EAST AND NORTH HERTFORDSHIRE CCG | £245,393 | £2,517,020 |
| NHS WILTSHIRE CCG | £229,325 | £2,415,986 |
| NHS BEDFORDSHIRE CCG | £215,292 | £2,315,988 |
| NHS WEST KENT CCG | £249,499 | £2,216,915 |
| NHS EAST LANCASHIRE CCG | £200,430 | £2,157,719 |
| NHS BRISTOL CCG | £202,718 | £2,103,663 |
| NHS WIGAN BOROUGH CCG | £197,537 | £2,094,874 |
| NHS NORTH EAST ESSEX CCG | £213,887 | £2,083,016 |
| NHS IPSWICH AND EAST SUFFOLK CCG | £204,829 | £2,021,703 |
| NHS MID ESSEX CCG | £200,963 | £1,945,692 |
| NHS SOUTH TEES CCG | £192,518 | £1,927,763 |
| NHS WAKEFIELD CCG | £192,412 | £1,907,832 |
| NHS MORECAMBE BAY CCG | £170,768 | £1,879,717 |
| NHS BRIGHTON AND HOVE CCG | £165,139 | £1,839,329 |
| NHS DURHAM DALES, EASINGTON AND SEDGEFIELD CCG | £188,179 | £1,830,319 |
| NHS NORTHUMBERLAND CCG | £178,686 | £1,818,313 |
| NHS WIRRAL CCG | £157,610 | £1,812,729 |
| NHS WEST LEICESTERSHIRE CCG | £185,922 | £1,793,807 |
| NHS LEICESTER CITY CCG | £167,637 | £1,727,681 |
| NHS EALING CCG | £164,464 | £1,726,090 |
| NHS SUNDERLAND CCG | £187,599 | £1,699,172 |
| NHS NORTH CUMBRIA CCG | £153,734 | £1,690,779 |
| NHS STOKE ON TRENT CCG | £158,517 | £1,661,649 |
| NHS HULL CCG | £170,471 | £1,658,494 |
| NHS BRADFORD DISTRICTS CCG | £163,905 | £1,645,656 |
| NHS BARNET CCG | £158,591 | £1,640,274 |
| NHS NOTTINGHAM CITY CCG | £157,521 | £1,632,762 |
| NHS BIRMINGHAM SOUTH AND CENTRAL CCG | £157,296 | £1,629,261 |
| NHS HARTLEPOOL AND STOCKTON-ON-TEES CCG | £162,965 | £1,606,409 |
| NHS STOCKPORT CCG | £164,477 | £1,602,903 |
| NHS CROYDON CCG | £147,752 | £1,601,148 |
| NHS SHROPSHIRE CCG | £157,176 | £1,587,210 |
| NHS NORTH DERBYSHIRE CCG | £141,347 | £1,575,990 |
| NHS SOUTH WORCESTERSHIRE CCG | £162,480 | £1,574,283 |
| NHS SOUTH DEVON AND TORBAY CCG | £141,374 | £1,555,186 |
| NHS TAMESIDE AND GLOSSOP CCG | £154,958 | £1,530,438 |
| NHS HASTINGS AND ROTHER CCG | £161,995 | £1,528,912 |
| NHS SOUTHAMPTON CCG | £131,432 | £1,525,087 |
| NHS DUDLEY CCG | £162,796 | £1,522,784 |
| NHS LEEDS WEST CCG | £154,518 | £1,516,973 |
| NHS LINCOLNSHIRE EAST CCG | £154,670 | £1,516,249 |
| NHS DONCASTER CCG | £155,652 | £1,503,075 |
| NHS OLDHAM CCG | £148,627 | £1,499,042 |
| NHS SALFORD CCG | £143,146 | £1,489,412 |
| NHS WALSALL CCG | £141,349 | £1,488,421 |
| NHS HEYWOOD, MIDDLETON AND ROCHDALE CCG | £154,485 | £1,486,995 |
| NHS BOLTON CCG | £146,159 | £1,485,941 |
| NHS GREAT YARMOUTH AND WAVENEY CCG | £131,225 | £1,483,079 |
| NHS BROMLEY CCG | £147,530 | £1,478,018 |
| NHS NORTH WEST SURREY CCG | £153,843 | £1,458,646 |
| NHS ENFIELD CCG | £130,188 | £1,448,981 |
| NHS EAST RIDING OF YORKSHIRE CCG | £162,505 | £1,446,543 |
| NHS TOWER HAMLETS CCG | £116,243 | £1,441,414 |
| NHS MEDWAY CCG | £147,946 | £1,430,095 |
| NHS LAMBETH CCG | £128,935 | £1,422,846 |
| NHS NEWHAM CCG | £129,040 | £1,418,383 |
| NHS BRENT CCG | £140,103 | £1,410,461 |
| NHS VALE OF YORK CCG | £129,629 | £1,404,740 |
| NHS WEST CHESHIRE CCG | £126,497 | £1,395,226 |
| NHS WANDSWORTH CCG | £124,535 | £1,370,992 |
| NHS BARNSLEY CCG | £134,510 | £1,369,512 |
| NHS ST HELENS CCG | £138,316 | £1,358,408 |
| NHS EAST LEICESTERSHIRE AND RUTLAND CCG | £136,160 | £1,356,749 |
| NHS SOUTH WARWICKSHIRE CCG | £133,315 | £1,327,119 |
| NHS GREENWICH CCG | £116,702 | £1,319,211 |
| NHS BASILDON AND BRENTWOOD CCG | £135,879 | £1,316,968 |
| NHS NORTH DURHAM CCG | £127,156 | £1,310,982 |
| NHS LEEDS SOUTH AND EAST CCG | £133,427 | £1,310,328 |
| NHS LINCOLNSHIRE WEST CCG | £132,131 | £1,309,594 |
| NHS ROTHERHAM CCG | £129,780 | £1,302,114 |
| NHS CHILTERN CCG | £128,742 | £1,301,037 |
| NHS GREATER PRESTON CCG | £131,236 | £1,298,486 |
| NHS WOLVERHAMPTON CCG | £130,441 | £1,297,451 |
| NHS HARINGEY CCG | £110,379 | £1,294,155 |
| NHS EASTBOURNE, HAILSHAM AND SEAFORD CCG | £120,879 | £1,280,963 |
| NHS LEWISHAM CCG | £113,148 | £1,272,602 |
| NHS KNOWSLEY CCG | £132,382 | £1,251,424 |
| NHS WEST ESSEX CCG | £125,285 | £1,246,580 |
| NHS BLACKPOOL CCG | £126,501 | £1,245,648 |
| NHS WEST SUFFOLK CCG | £128,024 | £1,229,135 |
| NHS SOUTH SEFTON CCG | £130,092 | £1,222,798 |
| NHS SURREY DOWNS CCG | £118,052 | £1,222,220 |
| NHS SOUTH KENT COAST CCG | £130,795 | £1,216,881 |
| NHS WALTHAM FOREST CCG | £104,925 | £1,207,076 |
| NHS TRAFFORD CCG | £116,688 | £1,198,645 |
| NHS NORWICH CCG | £126,124 | £1,189,380 |
| NHS CANTERBURY AND COASTAL CCG | £121,233 | £1,188,665 |
| NHS CITY AND HACKNEY CCG | £103,560 | £1,182,366 |
| NHS NORTH TYNESIDE CCG | £127,545 | £1,179,151 |
| NHS HILLINGDON CCG | £112,255 | £1,172,547 |
| NHS NORTH STAFFORDSHIRE CCG | £109,379 | £1,157,658 |
| NHS SWINDON CCG | £115,206 | £1,149,565 |
| NHS SOLIHULL CCG | £116,446 | £1,148,182 |
| NHS SOUTH NORFOLK CCG | £133,564 | £1,147,716 |
| NHS NORTH HAMPSHIRE CCG | £106,387 | £1,146,785 |
| NHS SOUTHWARK CCG | £104,079 | £1,145,847 |
| NHS GREATER HUDDERSFIELD CCG | £108,110 | £1,143,372 |
| NHS SOUTH GLOUCESTERSHIRE CCG | £123,904 | £1,134,392 |
| NHS BURY CCG | £115,607 | £1,133,060 |
| NHS HOUNSLOW CCG | £108,323 | £1,132,939 |
| NHS NORTH SOMERSET CCG | £107,710 | £1,123,779 |
| NHS MANSFIELD AND ASHFIELD CCG | £108,254 | £1,119,508 |
| NHS FAREHAM AND GOSPORT CCG | £106,985 | £1,112,981 |
| NHS SOUTH EASTERN HAMPSHIRE CCG | £104,974 | £1,109,672 |
| NHS ISLINGTON CCG | £94,529 | £1,099,655 |
| NHS MILTON KEYNES CCG | £99,198 | £1,093,069 |
| NHS PORTSMOUTH CCG | £103,470 | £1,091,529 |
| NHS DARTFORD, GRAVESHAM AND SWANLEY CCG | £107,461 | £1,084,112 |
| NHS HAVERING CCG | £107,189 | £1,079,302 |
| NHS HORSHAM AND MID SUSSEX CCG | £101,586 | £1,077,671 |
| NHS CALDERDALE CCG | £104,918 | £1,071,093 |
| NHS WARWICKSHIRE NORTH CCG | £111,641 | £1,061,931 |
| NHS REDBRIDGE CCG | £98,139 | £1,061,187 |
| NHS NORTH NORFOLK CCG | £125,905 | £1,053,630 |
| NHS SOUTH EAST STAFFORDSHIRE AND SEISDON PENINSULA CCG | £107,155 | £1,052,999 |
| NHS SOUTHEND CCG | £120,361 | £1,045,743 |
| NHS EASTERN CHESHIRE CCG | £98,839 | £1,041,629 |
| NHS WARRINGTON CCG | £106,006 | £1,036,318 |
| NHS TELFORD AND WREKIN CCG | £90,360 | £1,016,211 |
| NHS CHORLEY AND SOUTH RIBBLE CCG | £103,429 | £1,015,410 |
| NHS THANET CCG | £104,885 | £1,008,883 |
| NHS CAMDEN CCG | £89,260 | £997,741 |
| NHS HIGH WEALD LEWES HAVENS CCG | £106,485 | £996,490 |
| NHS BEXLEY CCG | £98,027 | £995,350 |
| NHS WEST NORFOLK CCG | £106,086 | £989,401 |
| NHS FYLDE AND WYRE CCG | £102,357 | £989,272 |
| NHS NORTH EAST HAMPSHIRE AND FARNHAM CCG | £106,115 | £975,781 |
| NHS WEST LONDON CCG | £86,524 | £967,151 |
| NHS HARROW CCG | £95,154 | £966,064 |
| NHS BLACKBURN WITH DARWEN CCG | £88,335 | £965,052 |
| NHS LUTON CCG | £92,087 | £950,659 |
| NHS SOUTH CHESHIRE CCG | £93,422 | £947,441 |
| NHS GUILDFORD AND WAVERLEY CCG | £104,320 | £926,106 |
| NHS NORTH KIRKLEES CCG | £93,551 | £925,242 |
| NHS CASTLE POINT AND ROCHFORD CCG | £112,656 | £909,561 |
| NHS ISLE OF WIGHT CCG | £83,868 | £886,266 |
| NHS NORTH EAST LINCOLNSHIRE CCG | £86,533 | £873,841 |
| NHS BATH AND NORTH EAST SOMERSET CCG | £83,554 | £872,294 |
| NHS BARKING AND DAGENHAM CCG | £81,876 | £871,653 |
| NHS HEREFORDSHIRE CCG | £82,417 | £866,268 |
| NHS LEEDS NORTH CCG | £87,232 | £860,688 |
| NHS SOUTH TYNESIDE CCG | £83,147 | £857,977 |
| NHS AYLESBURY VALE CCG | £76,103 | £847,936 |
| NHS SUTTON CCG | £73,507 | £835,958 |
| NHS CENTRAL LONDON (WESTMINSTER) CCG | £71,519 | £822,524 |
| NHS NORTH LINCOLNSHIRE CCG | £88,399 | £818,888 |
| NHS SOUTHPORT AND FORMBY CCG | £93,052 | £812,455 |
| NHS REDDITCH AND BROMSGROVE CCG | £80,665 | £805,980 |
| NHS EAST SURREY CCG | £77,086 | £802,300 |
| NHS HAMMERSMITH AND FULHAM CCG | £72,724 | £785,000 |
| NHS AIREDALE, WHARFEDALE AND CRAVEN CCG | £73,911 | £779,370 |
| NHS RICHMOND CCG | £70,702 | £769,822 |
| NHS MERTON CCG | £68,800 | £764,507 |
| NHS STAFFORD AND SURROUNDS CCG | £73,619 | £753,196 |
| NHS NOTTINGHAM NORTH AND EAST CCG | £75,885 | £748,521 |
| NHS THURROCK CCG | £77,704 | £735,295 |
| NHS KINGSTON CCG | £68,179 | £733,055 |
| NHS SOUTH LINCOLNSHIRE CCG | £69,670 | £724,098 |
| NHS HARROGATE AND RURAL DISTRICT CCG | £71,375 | £713,025 |
| NHS HAMBLETON, RICHMONDSHIRE AND WHITBY CCG | £74,080 | £699,403 |
| NHS NEWARK AND SHERWOOD CCG | £67,564 | £686,915 |
| NHS SLOUGH CCG | £69,985 | £676,698 |
| NHS CANNOCK CHASE CCG | £68,080 | £664,243 |
| NHS WOKINGHAM CCG | £64,442 | £661,640 |
| NHS ASHFORD CCG | £65,143 | £637,069 |
| NHS WYRE FOREST CCG | £61,381 | £635,955 |
| NHS HALTON CCG | £66,439 | £628,109 |
| NHS SOUTH WEST LINCOLNSHIRE CCG | £62,339 | £624,878 |
| NHS HARDWICK CCG | £56,032 | £619,418 |
| NHS SWALE CCG | £63,688 | £609,206 |
| NHS DARLINGTON CCG | £59,772 | £609,008 |
| NHS WINDSOR, ASCOT AND MAIDENHEAD CCG | £69,233 | £605,583 |
| NHS EAST STAFFORDSHIRE CCG | £59,399 | £604,297 |
| NHS SCARBOROUGH AND RYEDALE CCG | £55,584 | £601,984 |
| NHS BASSETLAW CCG | £54,476 | £593,035 |
| NHS WEST LANCASHIRE CCG | £60,159 | £583,099 |
| NHS SOUTH READING CCG | £57,797 | £580,245 |
| NHS VALE ROYAL CCG | £56,913 | £572,213 |
| NHS BRACKNELL AND ASCOT CCG | £57,798 | £550,686 |
| NHS BRADFORD CITY CCG | £54,162 | £541,962 |
| NHS CRAWLEY CCG | £49,406 | £536,657 |
| NHS NEWBURY AND DISTRICT CCG | £49,178 | £532,308 |
| NHS EREWASH CCG | £51,053 | £529,105 |
| NHS NORTH AND WEST READING CCG | £49,915 | £519,660 |
| NHS RUSHCLIFFE CCG | £52,013 | £507,259 |
| NHS NOTTINGHAM WEST CCG | £47,225 | £452,567 |
| NHS CORBY CCG | £44,627 | £450,469 |
| NHS SURREY HEATH CCG | £50,175 | £432,763 |
| Non-CCG FP10 | £25,321 | £353,613 |
| Grand Total | £27,720,101 | £284,082,452 |
What drugs caused the greatest impact in December?
Here are the formulations sorted by the greatest estimated impact:
| Drug Name | Excess Actual Cost (Dec 2017) |
|---|---|
| Levetiracetam 500mg tablets | £2,006,083 |
| Amlodipine 5mg tablets | £1,912,458 |
| Duloxetine 60mg gastro-resistant capsules | £1,432,726 |
| Amlodipine 10mg tablets | £1,289,454 |
| Perindopril erbumine 8mg tablets | £1,076,290 |
| Eplerenone 25mg tablets | £1,061,732 |
| Citalopram 20mg tablets | £1,051,558 |
| Mefenamic acid 500mg tablets | £1,011,318 |
| Gabapentin 300mg capsules | £947,366 |
| Terbinafine 250mg tablets | £832,962 |
| Levetiracetam 1g tablets | £798,662 |
| Quetiapine 25mg tablets | £797,530 |
| Quetiapine 100mg tablets | £785,571 |
| Vitamin B compound strong tablets | £735,430 |
| Perindopril erbumine 2mg tablets | £716,713 |
| Perindopril erbumine 4mg tablets | £707,991 |
| Levetiracetam 750mg tablets | £557,412 |
| Quetiapine 300mg tablets | £521,587 |
| Chlorpromazine 25mg tablets | £521,236 |
| Duloxetine 30mg gastro-resistant capsules | £513,097 |
Don’t forget that our Drug Tariff and Price Concessions viewer is freely available here, and is updated on a daily basis!
As always, let us know your thoughts via email at feedback@openprescribing.net, on Twitter or on our Facebook page.