Erratic Pricing Of Co-proxamol

James Kelly made this Rhyddid Gwybodaeth request to Awdurdod Gwasanaethau Busnes y GIG

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Roedd y cais yn llwyddiannus.

Dear NHS Business Services Authority,

If the NHS could have purchased in bulk quantities the remaining 60,000 named patients would have continued to benefit from suitable analgesia which had been guaranteed by June Raine (MHRA) and Caroline Flint (Minister for Public Health during 2007)!

FOI request:
1. Please supply the names of the licensed Importers and the Chemists who were reimbursed for the following:

a) South Kent CCG paid £0.46 per tablet during March 2019
b) South Kent CCG paid £3.26 per tablet during April 2019
c) NHS Enfield CCG paid £5.22 per tablet during July and December 2019

2. Please supply copies of all correspondence between NHSBSA, ‘Licensed Importers’, and the chemists who had been reimbursed for Co-proxamol prescriptions.

3. Please supply copies of all correspondence to any other department within DOHSC/NHS regarding the erratic pricing of Co-proxamol.

Yours faithfully,

James Kelly

Gadawodd James Kelly anodiad ()

My previous FOI request (FOI Ref: 8634 05th July 2019, Reviewed 01st August 2019) was refused on the grounds of:

“Please be aware that I have decided not to release the requested information as the requested information relates to one prescription item and would reveal the location of dispensing for that one item”.

This is because the patient could be identified, when combined with other information that may be in the public domain or reasonably available.

This information falls under the exemption in section 40 subsections 2 and 3A (a) of the Freedom of Information Act.

This is because it would breach the first data protection principle as:

a) It is not fair to disclose staff, patients, students. or pensions members’ personal details to the world and is likely to cause damage or distress.

b) These details are not of sufficient interest to the public to warrant an intrusion into the privacy of the staff/patients/students/pensions members.

‘During March 2019 Pharmacies were reimbursed between £93.00 and £677.00 for a box of 100 Co-proxamol tablets.

I would be grateful if you could let me know which pharmacy was reimbursed £6.77 per tablet.’

In my request for review I stated “I had no intention of gaining the name of the individual patient, my only concern is the scandalous overcharging the NHS is prepared to pay when the same drug is available to be purchased in bulk from the same suppliers in India who supplied the drug to the 'Named Patient' group from 2008 to the present time for a meagre five pence per tablet!

During 2005 1.75 million patients were enjoying a reasonable level of pain control with very few side effects; the cost to the NHS was approximately £2.70 per box of 100 tablets.

During March 2019 NHS Redditch and Bromsgrove CCG were charged £677.00 for a box of 100!

Prior to the GPhC inspection of chemist.net on 22/08/2018 Co-proxamol was being dispensed on private prescriptions for just £32.00 per box, Irrespective of quantity ordered!

One year on and NHSBA are continuing to allow Licensed Wholesalers/Chemists to swindle the NHS without challange!

HOW CAN THIS SITUATION NOT BE OF SUFFICIENT INTEREST TO THE PUBLIC?

FOIREQUESTS, Nhsbsa (NHS BUSINESS SERVICES AUTHORITY), Awdurdod Gwasanaethau Busnes y GIG

2 Atodiad

Dear Mr Kelly

 

Thank you for your request for information as outlined below:

 

Dear NHS Business Services Authority, If the NHS could have purchased in
bulk quantities the remaining 60,000 named patients would have continued
to benefit from suitable analgesia which had been guaranteed by June Raine
(MHRA) and Caroline Flint (Minister for Public Health during 2007)! FOI
request: 1. Please supply the names of the licensed Importers and the
Chemists who were reimbursed for the following: a) South Kent CCG paid
£0.46 per tablet during March 2019 b) South Kent CCG paid £3.26 per tablet
during April 2019 c) NHS Enfield CCG paid £5.22 per tablet during July and
December 2019 2. Please supply copies of all correspondence between
NHSBSA, ‘Licensed Importers’, and the chemists who had been reimbursed for
Co-proxamol prescriptions. 3. Please supply copies of all correspondence
to any other department within DOHSC/NHS regarding the erratic pricing of
Co-proxamol.

 

Your request was received on 7 July 2020 and I am dealing with it under
the terms of the Freedom of Information Act 2000.

 

I will process your request as soon as possible, and certainly within 20
working days of the day I received the request. You will hear back from me
by 4 August 2020 at the latest.

 

Please note that we may need to write to you should any aspect of your
request need clarification. In such cases, the 20 working day period will
start when we receive your clarification.

 

Details of how we will process your request are available on our website
at:

 

[1]https://www.nhsbsa.nhs.uk/sites/default/...

 

Details of how we use your information are available at the following
link:

[2]https://www.nhsbsa.nhs.uk/our-policies/p...

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of my decision,
please write within 40 working days of the date of this e-mail to:

Chris Gooday

Information Governance Manager

NHS Business Services Authority

Stella House

Goldcrest Way

Newburn Riverside Business Park

Newcastle upon Tyne

NE15 8NY

 

Details of how we will handle your review request are available on our
website at:

[3]https://bit.ly/2Sjdk2H

If you are not content with the outcome of your complaint, you may apply
directly to the

Information Commissioner’s Office (ICO) for a decision.  Please note that
generally, the ICO cannot make a decision unless you have exhausted the
NHS Business Services Authority’s complaints procedure.

The Information Commissioner can be contacted at:-

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Tel:  01625 545 745

Fax: 01625 524 510

Email: [4][email address]

 

 

If you have any queries about this email, please contact me via email.

 

Please quote the reference number above in any future communications to
make it easier for me to deal with your correspondence.

 

Regards

 

 

 

Adam Sharp

Information Governance Assistant

Security & Information Governance

Email: [5][email address]

[6]www.nhsbsa.nhs.uk

We are constantly looking at ways to
improve our services. You can give us
[7]Description: Description: feedback using the link below:
cid:image004.png@01D4178F.C585F600
[8]Information Governance

 

 

[9]Description: Description: cid:image007.png@01D4178F.C585F600
Stella House, Goldcrest Way, Newburn Riverside Business Park, Newcastle
upon Tyne NE15 8NY

H  Home Working until further notice.

Advance notice of Leave: 

 

   

 

 

dangos adrannau a ddyfynnir

FOIREQUESTS, Nhsbsa (NHS BUSINESS SERVICES AUTHORITY), Awdurdod Gwasanaethau Busnes y GIG

2 Atodiad

 

Dear Mr Kelly

                  

I am writing regarding your request for information, which I received on 7
July 2020.  In that request, you asked us for the following:

 

Dear NHS Business Services Authority, If the NHS could have purchased in
bulk quantities the remaining 60,000 named patients would have continued
to benefit from suitable analgesia which had been guaranteed by June Raine
(MHRA) and Caroline Flint (Minister for Public Health during 2007)! FOI
request:

1. Please supply the names of the licensed Importers and the Chemists who
were reimbursed for the following:

a) South Kent CCG paid £0.46 per tablet during March 2019

b) South Kent CCG paid £3.26 per tablet during April 2019

c) NHS Enfield CCG paid £5.22 per tablet during July and December 2019

2. Please supply copies of all correspondence between NHSBSA, ‘Licensed
Importers’, and the chemists who had been reimbursed for Co-proxamol
prescriptions.

3. Please supply copies of all correspondence to any other department
within DOHSC/NHS regarding the erratic pricing of Co-proxamol.

 

I am writing to ask you to clarify your request.  This is because we need
further details from you in order to answer your request as fully as
possible. Therefore I would be grateful if you would clarify the
following:

 

o Do you require data on all suitable analgesia? If so please can you
supply exact presentations or the BNF sections you require. The below
link will help you with this:

[1]https://www.nhsbsa.nhs.uk/prescription-d...

 

As with questions 2 and 3, you only require data on Co-Proxamol, please be
advised that we will not be able to provide any information on importer
reimbursement as the supplier is not captured as part of prescription
processing and the supplier will be reported as a Special Order.

 

We would however, be able to supply the items/ NIC (net ingredient cost)
and quantity of each presentation for the requested CCGs and the pharmacy
that was reimbursed. However if this resulted in low numbers then these
would be withheld under section 40 and section 41 of the Freedom of
Information act.

 

 

Please note that if I do not receive appropriate clarification of your
information requirements within two months from the date of this e-mail,
then I will consider your request closed.

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of my decision,
please write within 40 working days of the date of this response to:

 

Chris Gooday

Information Governance Manager

NHS Business Services Authority

1^st Floor

Stella House

Goldcrest Way

Newburn Riverside Business Park

Newcastle upon Tyne

NE15 8NY

 

Details of how we will handle your review request are available on our
website at:

 

[2]https://bit.ly/2Sjdk2H

 

If you are not content with the outcome of your complaint, you may apply
directly to the Information Commissioner’s Office (ICO) for a decision. 
Please note that generally, the ICO cannot make a decision unless you have
exhausted the NHS Business Services Authority’s complaints procedure.

 

The Information Commissioner can be contacted at:-

 

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Tel:  01625 545 745

Fax: 01625 524 510

Email: [3][email address]

 

If you have any queries about this letter, please contact me.  Please
quote the reference number in the subject line in any future
communications.

 

Regards

 

 

Adam Sharp

Information Governance Assistant

Security & Information Governance

Email: [4][email address]

[5]www.nhsbsa.nhs.uk

We are constantly looking at ways to
improve our services. You can give us
[6]Description: Description: feedback using the link below:
cid:image004.png@01D4178F.C585F600
[7]Information Governance

 

 

[8]Description: Description: cid:image007.png@01D4178F.C585F600
Stella House, Goldcrest Way, Newburn Riverside Business Park, Newcastle
upon Tyne NE15 8NY

H  Home Working until further notice.

Advance notice of Leave: 

 

   

 

 

dangos adrannau a ddyfynnir

Dear FOIREQUESTS, Nhsbsa (NHS BUSINESS SERVICES AUTHORITY),

Clarification Re:

1. Please supply the names of the licensed Importers and the Chemists who
were reimbursed for the following:
a) South Kent CCG paid £0.46 per tablet during March 2019
b) South Kent CCG paid £3.26 per tablet during April 2019
c) NHS Enfield CCG paid £5.22 per tablet during July and December 2019
2. Please supply copies of all correspondence between NHSBSA, ‘Licensed
Importers’, and the chemists who had been reimbursed for Co-proxamol
prescriptions.
3. Please supply copies of all correspondence to any other department
within DOHSC/NHS regarding the erratic pricing of Co-proxamol.

All questions relate to the erratic pricing of Co-proxamol, It’s obvious that some importers / Suppliers are overcharging NHS at an alarming level considering the fact that Co-proxamol had been available to all CCG’s for just £0.45 pence per prior to the GPhC inspection on 22nd August 2018!

Example: Figures For August 2018 From:
https://openprescribing.net/all-england/...

CCG / Price per tablet

NHS Barnet CCG £7.41

NHS Trafford CCG £5.90

NHS Northern, Eastern
and Western Devon CCG / £0.99

NHS Bradford Districts CCG / £0.96

NHS Mansfield and
Ashfield CCG / £0.90

NHS East Lancashire CCG / £0.87

N.B.
Barnet, Camden, Enfield, Haringey, and Islington Clinical Commissioning Groups (CCGs) have merged as of 1 April 2020 to form North Central London CCG

Yours sincerely,

James Kelly

FOIREQUESTS, Nhsbsa (NHS BUSINESS SERVICES AUTHORITY), Awdurdod Gwasanaethau Busnes y GIG

3 Atodiad

Dear Mr Kelly

 

Please find attached a final letter regarding your recent Freedom of
Information request.

 

We would also value your feedback regarding the way in which your request
was handled. You can provide us with direct feedback on our website at the
following web link:

 

[1]Information Governance Survey

 

Any feedback you provide will be strictly anonymous and much appreciated.

 

Regards

 

 

Chris Dunn

Information Governance Specialist

Security and Information Governance
[2]www.nhsbsa.nhs.uk

We are constantly looking at ways to
[3]Description: Description: improve our services. You can give us
Description: feedback using the link below:
cid:image004.png@01D4178F.C585F600
[4]Information Governance

 

[5]Description: Description: Description: Description: Description: NHSBSA
(NHS@70) Header 2
Stella House, Goldcrest Way, Newburn Riverside Business Park, Newcastle
upon Tyne NE15 8NY

 

 

 

dangos adrannau a ddyfynnir

Dear NHS Business Services Authority,

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of NHS Business Services Authority's handling of my FOI request 'Erratic Pricing Of Co-proxamol'.

I believe all my questions are valid and deserve an appropriate and full response and totally disagree with your defence of the despicable wholesaler / importers who you are enabling to make excessive profits from the NHS without question!

Throughout this period of excessive prices chemist.net supplied Co-proxamol on private prescriptions for just thirty two or forty five pence per tablet! Unfortunately following an inspection by GPhC in August 2018 they decided to stop dispensing. It would appear that every department in the NHS is determined to defend the MHRA at any cost!

India and Australia overturned the ridiculous ban on Co-proxamol which was based purely on misinformation and lies! These countries have supplied Co-proxamol to the UK’s ‘Named Patients’ from 2008 to the present time and Co-proxamol could be available for direct import today for approximately five pence per tablet! (I can supply a full list of the Indian and Australian manufacturers who supplied the ‘Named Patient’ facility)

Your actions have directly affected the sixty thousand ‘Named Patients’ and left them without any effective analgesia, horrendous side effects and in many cases addiction to the stronger opiates / opioids being prescribed!

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/e...

Yours faithfully,

James Kelly

GOODAY, Chris (NHS BUSINESS SERVICES AUTHORITY), Awdurdod Gwasanaethau Busnes y GIG

1 Atodiad

Dear Mr Kelly,

Please find attached the result of my review.

Regards

Chris Gooday

dangos adrannau a ddyfynnir

GOODAY, Chris (NHS BUSINESS SERVICES AUTHORITY), Awdurdod Gwasanaethau Busnes y GIG

2 Atodiad

Dear Mr Kelly,

 

Please find attached a revised response to your FOI request

 

Regards

 

Chris Gooday

Information Governance Manager

 

dangos adrannau a ddyfynnir