Campaigners have called for the inclusion of Sickle Cell Disease (SCD) on the NHS prescription charge exemption list, highlighting the financial burden on patients. Despite a growing petition, the government has confirmed there are no current plans to add SCD to the list.
The debate over NHS prescription charges has intensified following a petition from campaigners demanding the inclusion of SCD on the exemption list. SCD, a group of lifelong and serious health conditions that impact red blood cells, is especially common among those of African or Caribbean descent. It causes painful “sickle cell crises” and increases the risk of infections and anaemia.
The call for a review is rooted in concerns that patients already face high costs for vital medication, which they struggle to afford, especially given the chronic nature of the disease.
Prescription Charges and Exemptions: An Overview
The NHS currently exempts several groups from prescription charges, including children, those over 60, and individuals on specific benefits. According to the Department of Health and Social Care, approximately 89% of prescription items are dispensed free of charge in England. However, patients with SCD, unlike those with conditions like epilepsy or cancer, do not benefit from this exemption.
Campaigners argue that this disparity is unfair. Many people with SCD are unable to work due to the debilitating symptoms of the disease, yet still face the financial strain of paying for necessary prescriptions. The petition calling for a review of the prescription exemption list has gained significant support, with over 25,700 signatures. However, the government’s response on August 11 clarified that there are no immediate plans to review the medical conditions eligible for exemption.
Available Support for Prescription Costs
While SCD is not yet included on the exemption list, the government has pointed out that there are existing measures to help those struggling with prescription charges. Those on low incomes or certain benefits may qualify for the NHS Low Income Scheme, which provides full or partial assistance with health costs.
Furthermore, individuals needing frequent prescriptions can benefit from the Prescription Prepayment Certificate (PPC). This allows users to pay a fixed price for multiple prescriptions, potentially saving money for those who require more than a few prescriptions a year.
A 12-month PPC costs £114.50, covering all prescriptions for the year, while a 3-month PPC is priced at £32.05. These options offer substantial savings for those who require several prescriptions, but campaigners argue that patients with chronic conditions like SCD deserve further consideration when it comes to exemption.








