NHS faces spiralling diabetes prescription costs

THE NHS in York and North Yorkshire faces a spiralling number of future diabetes prescriptions experts have warned.

The figures from the Health and Social Care Information Centre (HSCIC) show the number of prescriptions attributed to diabetes during 2011/2012 reached 40 million, up 50 per cent on six years ago.

The report also shows four per cent of residents in the NHS North Yorkshire and York PCT region have diabetes, while in East Yorkshire, the number is 4.9 per cent for 2011/2012.

Dr Shaun O'Connell, from NHS Vale of York Clinical Commissioning Group, said the NHS and PCT are working hard to ensure patients receive the highest standards of care as soon as they are diagnosed.

He said: “These figures represent the rising cost of care for patients with diabetes and are a good indication of the major challenge the NHS faces at a local level.

“GPs and hospital colleagues are reviewing the way local diabetes services work to try and make sure all patients get the highest standards of care and can cope with the new cases of diabetes being diagnosed. As the population grows and people live longer, inevitably there will be more people with long term conditions like diabetes.”

Spending on diabetes and the aging population have been identified as major challenges facing the new clinical commissioning group which will take over responsibility from NHS North Yorkshire and York PCT, for spending NHS money next year. Type 2 diabetes, the most common, occurs when the body does not produce enough insulin to function properly, or the body's cells do not react to insulin. This is known as insulin resistance and can be treated with pills or, in some cases, diet alone.

Type 1 diabetes is when the body produces no insulin at all, leaving sufferers dependent on regular injections for the rest of the life.

Dr O’Connell said: “New drugs to treat diabetes reduce the risk of complications like heart attacks and poor circulation, but they come at a cost to us all. A cheap, potentially free way of improving diabetes is to undertake daily exercise and keep your weight in check. “Simply losing weight improves diabetes and can dramatically reduce the number of drugs patients with diabetes need to take. Some patients, on their doctor's advice, may even be able to come off their diabetes medication altogether.”

Tim Straughan, HSCIC chief executive, said: “Our figures show diabetes is having a growing impact on prescribing in a very obvious way – from the amount of prescriptions dispensed to patients in primary care to the annual drugs bill costs to the NHS.”

 

Comments(9)

Older Sometimes Wiser says...
10:45am Wed 15 Aug 12

There is strong relationship between diabetes and obesity, and one only has to stroll through York to see that this is a problem for many people of all ages who are overweight.
This can create multiple health problems including lack of mobility , heart problems as well as diabetes, so a vicious circle is set up.
Hopefully the new Medical Officer of Health who starts this month puts this high in his priorities.

yorkshirelad says...
12:20pm Wed 15 Aug 12

Absolutely...however difficult it is we need to all strive for a normal body weight...both for personal health but also to stop all the complications and costs.

We need to do everything possible to encourage exercise...and in particular walking and cycling need to have absolute priority in transport planning....this hasn't been happening in reality for a while.

Not-Dotty says...
1:17pm Wed 15 Aug 12

yorkshirelad wrote:
Absolutely...however difficult it is we need to all strive for a normal body weight...both for personal health but also to stop all the complications and costs. We need to do everything possible to encourage exercise...and in particular walking and cycling need to have absolute priority in transport planning....this hasn't been happening in reality for a while.
Thank you so much for your uneducated and therefore sweeping statements.
For the record, the term 'diabetes' is used to cover all the diabetes conditions (there are many nuances). The two most prominent are Type 1 -a genetically triggered auto-immune condition for which the sufferer has absolutely no way of preventing developing; and Type 2 – a condition for which sufferers (may) have a hereditary predisposition towards.
Symptoms for Type 2 can be reduced/retarded by life-style management.
Type 1 Diabetes is NOT a lifestyle choice, those of us with Type 1 can’t suddenly make our pancreases produce insulin. Your comments insult all of us with an incurable condition we didn’t sign up for.

It’s worth mentioning that had I been diagnosed with Type 1 Diabetes 100 years ago, rather than 10 years ago, I would have been dead within months as injectable insulin didn’t exist.

Digeorge says...
6:13pm Wed 15 Aug 12

It is also worth noting that a normal weight is not possible by people who are borne that way i.e. is congenital and help for these people and support vital.

Type 1 and Type II Diabetes can be genetically triggered and not because of over-eating..

However, one does have to just walk around York to realise that there are some jolly obese people in their early teens/twenties/thirt
ies who are obese and probably never did exercise at school or take part in school sport.

Digeorge says...
6:15pm Wed 15 Aug 12

Forgot to say both Type I and Type II diabetes are available on the NHS as free prescriptions if you are either using Metformin or insulin injection.

Once one medication is free, the rest of your medication is also free.

Sillybillies says...
10:06am Thu 16 Aug 12

Forgot to say both Type I and Type II diabetes are available on the NHS as free prescriptions if you are either using Metformin or insulin injection.

Once one medication is free, the rest of your medication is also free.

Never knew you could get diabetes on prescription!

alfie says...
1:48pm Thu 16 Aug 12

I don't see why the prescriptions are free for diabetics, my sister has a heart condition which means if she doesnt take meds then she will just end up in AE everyday, she has to pay for her prescriptions.

Also I know not all diabetics have it because they are obese but the majority are and still continue to stuff there faces with sweets and burger kings.

R'Marcus says...
3:19pm Thu 16 Aug 12

Older Sometimes Wiser wrote:
There is strong relationship between diabetes and obesity, and one only has to stroll through York to see that this is a problem for many people of all ages who are overweight.
This can create multiple health problems including lack of mobility , heart problems as well as diabetes, so a vicious circle is set up.
Hopefully the new Medical Officer of Health who starts this month puts this high in his priorities.
Diabetes is a link to obesity, but only a link.
There are many links to diabetes which are not mentioned. Obviously, obesity is a easy prey for the ignorant.

Yorkmc123 says...
5:50pm Thu 16 Aug 12

Not-Dotty wrote:
yorkshirelad wrote:
Absolutely...however difficult it is we need to all strive for a normal body weight...both for personal health but also to stop all the complications and costs. We need to do everything possible to encourage exercise...and in particular walking and cycling need to have absolute priority in transport planning....this hasn't been happening in reality for a while.
Thank you so much for your uneducated and therefore sweeping statements.
For the record, the term 'diabetes' is used to cover all the diabetes conditions (there are many nuances). The two most prominent are Type 1 -a genetically triggered auto-immune condition for which the sufferer has absolutely no way of preventing developing; and Type 2 – a condition for which sufferers (may) have a hereditary predisposition towards.
Symptoms for Type 2 can be reduced/retarded by life-style management.
Type 1 Diabetes is NOT a lifestyle choice, those of us with Type 1 can’t suddenly make our pancreases produce insulin. Your comments insult all of us with an incurable condition we didn’t sign up for.

It’s worth mentioning that had I been diagnosed with Type 1 Diabetes 100 years ago, rather than 10 years ago, I would have been dead within months as injectable insulin didn’t exist.
Ere ere!, Im glad you pointed out the type1 type2 difference because it really riles me that people just assume that my son has diabetes due to his weight.he is type 1 and has to inject 4 times a day unfortunately no amount of diet or weight loss will help him,also unfortunately due to the large insulin dose he has that contributes to his weight.As for the person who is surprised that diabetics get their treatment free,I personally am thankful for that as without it my son would not be around to live the life he leads

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