by Chris Holmes
Primary Care Trusts are “failing in their duty of care” in blacklisting 19 drugs on the basis of cost alone, according to a report this week in the Metro newspaper (Thursday 24th November, page 8). Political Editor John Higginson reports that this “appears to go against the NHS constitution, which gives patients the right to receive any drug recommended by the National Institute for Health and Clinical Excellence if their doctor believes it is clinically appropriate.”
The list includes drugs with proven efficacy in the treatment of cancer and also epilepsy – but the PCTs concerned have decided that these drugs cost too much.
The very same Primary Care Trusts also decided it was perfectly okay to spend £84,000,000 in England alone last year (not the whole of the UK, that figure is even higher) on a treatment service which they know from their own research DOES NOT WORK any better than willpower alone when the results are assessed at one year. I’m talking about the NHS Stop Smoking Services and particularly the nicotine replacement products which we now know for sure have a 6% success rate at the 12 month stage – exactly the same as willpower.
My suggestion is simple: Take that vast amount of money and spend it on life-saving drug therapies that have been proven to be effective, and leave smoking cessation to experts like myself. I’m a hypnotherapist by the way, and nearly all my smoking clients have already tried willpower, nicotine gum, patches, lozenges, the little inhalator-thingy… some have tried Zyban and the latest (non) wonder drug Champix… then they come to me, convinced that they “have failed” repeatedly and that it is “really hard to stop smoking”! No, it’s really hard if you try to do it via the NHS. It’s really easy with hypnotherapy, provided it’s done well.
But I’m not suggesting the PCTs should fund that. They should be funding those life-saving drugs, not wasting tens of millions every single year on a service that clearly doesn’t work at all.