Prescription Charges Coalition

PSC Support has joined together with 29 other organisations to campaign for an end to unfair prescription charges for people with long-term medical conditions. Prescription charges are now £8.05 per item in England, and free in Scotland, Wales and Northern Ireland. Some medical conditions in England qualify for exemption, meaning that people with such medical conditions get free NHS prescriptions. PSC Support believes that this system is unfair for people living with Primary Sclerosing Cholangitis and other long-term health conditions.

People with Primary Sclerosing Cholangitis (PSC) suffer from a rare, long-term, incurable liver condition. Furthermore, over 70% of people with PSC also suffer from Inflammatory Bowel Disease (IBD) and/or another immune-medicated disease. Like others with long-term conditions, PSCers must pay for their prescriptions, often needing multiple medications at once. Prescription charges impose costs on people with chronic conditions for the medicine that keeps them well or even alive, not to mention the additional costs if their illnesses flare-up.

PSC Support has joined the Prescription Charges Coalition to campaign to end unfair prescription charges for people with long-term medical conditions. There should be a fair and consistent system for prescription charges.



In May 2009, the then Government commissioned an independent review of prescription charges by Professor Sir Ian Gilmore, former President of the Royal College of Physicians. He recommended that all those with long-term conditions should be exempt from prescription charges and outlined how this policy could be introduced. However, later that year it was announced that this would not go ahead.

In October 2010, the incoming Coalition Government confirmed that it would not introduce free prescriptions for people with long-term conditions at this stage, but will ‘explore options for creating a fairer system of prescription charges and exemptions’.

Over the last decade, research by the Prescription Charges Coalition, Citizens Advice, Asthma UK, Rethink Mental Illness and Parkinson's UK, amongst others, has demonstrated time and again the impact of prescription charges on people with long-term conditions.

The Prescription Charges Coalition's report ‘Paying the Price: Prescription Charges and Employment', released in February 2014, examines the impact of prescription charges on the working lives of people with long-term conditions in England. Surveying over 5,000 people, the Precsription Charges Coalition found that for nearly 4 in 10 respondents, the cost of medication was prohibiting them from taking their medication as prescribed. Of these, three quarters reported that this had impacted on their ability to work in some way. Prescription charges are a major barrier to people taking their medicines effectively, leading them to severely compromise their health. This results in poorer quality of life, worse health outcomes, additional treatment, unplanned hospital admissions, decreased productivity and increased reliance on benefits. Prescription charges are detrimental to the working lives of people with long-term conditions at all income levels and of all ages. While those on the lowest incomes are most affected, the survey shows that there is also an impact for those on higher household incomes.  Younger people are also more likely not to take their medication due to the cost. 


Recommendations from ‘Paying the Price: Prescription Charges and Employment'

  • Extend prescription charge exemption to all those with long-term conditions.
  • The frequency and duration of prescriptions for people with stable, long-term conditions on long-term maintenance medication should be agreed between the prescriber and patient and allow for greater flexibility to prescribe for more than 28 days.
  • Information about prescription charge entitlements should be provided to people with long-term conditions at diagnosis.
  • Any further changes to welfare benefits, for example, the introduction of Universal Credit, should take into account the ability of people with long-term conditions to afford their medication, as long as prescription charges remain in place for this section of the population.


Making the System Fairer - What PSCers Say

“I would have had to let some of my conditions go untreated if I had had to pay each prescription...”

“I have to take immunosuppressants for the rest of my life to stop my body rejecting the transplanted liver, so no, I don't think its fair. This should be classed under the other illnesses where patients have to take lifelong medication.”

“I have several immune diseases none of which are considered for free meds. Although currently I am able to work 'normally', I am still on nine different prescription meds which is huge spend without my pre-payment card.”

“I just think that it's an unfair system and it should be the same for all… And I do agree that in reality people who have life long and incurable illnesses should receive medication free. People with thyroid problems and other conditions are entitled to free medication so it should be the same for everyone in my opinion.”

“No I don't think it's fair! I definitely agree that we are very lucky to have the NHS and with the amount of procedures and tests we undergo we definitely get our tax money’s worth but I don't really understand how the prescription charges work. Some patients get free prescriptions because of their condition (thyroid problems etc) yet others have to pay when their medication is just as essential. I don't understand the reasons behind this and definitely think it needs reviewing.”

“Like everything, there needs to be rules to make it fair for all.”

“I agree it's ridiculous we are have to pay for medication that's potentially keeping us alive I think it's fair we pay in some respect but not as much as they are charging; I paid £15.70 for two prescriptions and they only lasted 3 weeks.”

“I pay for mine monthly and it is a lot cheaper but if I was unable to pay for it and not take the meds I would cost the NHS more.”

 “There should be clearer guidelines on who should get free prescriptions and a review on what health conditions should be eligible.”


What you can do

If you live in England, please email your MP today, asking them to call for an end to prescription charges for people with long term conditions. It only takes two minutes using the Prescription Charges Coalition template. With your help we can show politicians that there is widespread support for ending this injustice.

We’re expecting the Government to announce a further increase in the price of prescriptions in England any day now. That’s why PSC Support, as a member of the Prescription Charges Coalition, is launching an online petition, calling on the Government to end unfair, outdated and arbitrary prescription charges for everyone with a long-term condition. Thanks to the British Heart Foundation for designing the embedded petition, which is quick and easy to fill in. Add your support then please forward to family, friends and colleagues.

More information on prescriptions and living with PSC.


PSC Support believes that patients with Primary Sclerosing Cholangitis should have fair access to medications to help with the debilitating symptoms of this rare and incurable condition.  We support the need for free access to prescriptions for patients with a long-term health condition throughout the UK and will work with the Prescription Charges Coalition to bring about a fair and consistent system.