Co-proxamol Prescribed During June 2019

James Kelly made this Freedom of Information request to NHS Blackpool Clinical Commissioning Group

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Response to this request is long overdue. By law, under all circumstances, NHS Blackpool Clinical Commissioning Group should have responded by now (details). You can complain by requesting an internal review.

Dear NHS Blackpool Clinical Commissioning Group,

Re - Blackpool CCG spending on Co-proxamol, June 2018 £890.00, July £723.00, August 2018 Zero, October 2018 £83.00, December 2018 £72.00, June 2019 £167.00.

Please can you supply the following information: -
1) Have Blackpool CCG issued any IFR’s for prescribing Co-proxamol?
2) Please name the surgery dispensing Co-proxamol during June 2019?
3) Does the CCG intend to pose any sanctions on the GP prescribing Co-proxamol

Yours faithfully,

James Kelly

HALSHAW, Jodie (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT), NHS Blackpool Clinical Commissioning Group

PLEASE DO NOT MAKE ANY AMENDMENTS TO THE SUBJECT LINE

Thank you for your request for information. Your request was received on
Monday 02 September 2019 and I am dealing with it under the terms of the
Freedom of Information Act 2000.

Your request was received for the following CCGs:

CAS-04689-S6V0M5-BP Blackpool CCG

 
In some circumstances a fee may be payable and if that is the case, I will
let you know. A fees notice will be issued to you, and you will be
required to pay before we proceed to deal with your request.
 
If you have any queries about this letter, please contact me. Please
remember to quote the reference number above in any future correspondence.
 
Yours sincerely
 
Freedom of Information Officer
01772 214 227
[1][NHS Blackpool CCG request email]

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OWEN, Sophie (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT), NHS Blackpool Clinical Commissioning Group

1 Attachment

Re: Request for information under the Freedom of Information Act 2000

Ref: CAS-04689-S6V0M5-BP

Please find attached response to your freedom of information request, for
NHS Blackpool CCG

Yours sincerely            

Freedom of Information Officer

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Dear NHS Blackpool Clinical Commissioning Group,

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

I am writing to request an internal review of NHS Blackpool Clinical Commissioning Group's handling of my FOI request 'Co-proxamol Prescribed During June 2019'.

Re: - Your response to Q 3. Does the CCG intend to pose any sanctions on the GP prescribing Co-proxamol?

All practices are discontinuing prescribing co-proxamol in patients still taking this unlicensed medicine. This supports the implementation of the NHS England items which should not routinely be prescribed in primary care guidance. It can take time to assess individual’s pain management and switch them to an alternative pain management regime hence why there is still limited prescribing present. This prescribing is monitored and discussed with the practices in question on a regular basis.

This answer does not answer my question!

[Attachment Page 5 Para 3] My response from Lord O’Shaughnessy states as fact “However, although this guidance recommends all CCG’s to deprescribe co-proxamol for patients, under their terms of service, GP’s may prescribe any product, including any unlicensed product that they consider to be a medicine necessary for the treatment of their patients under the NHS.” This information was reiterated by Baroness Blackwood in her reply [Attachment Page 3 Para 3].

During May 2018 I made my GP aware of my continued deteriorating state of health since he cancelled my prescription for co-proxamol during November 2015. He explained due to the high cost of co-proxamol he would need to have permission to prescribe from the CCG and subsequently issued an IFR request to my CCG (Blackpool).

This request and appeal was refused resulting in my GP being unable to prescribe co-proxamol even though he was fully prepared to prescribe if the IFR had been accepted. THIS IS CONTRARY TO LORD O’SHAUGHNESSY’S REPLY ABOVE!

My previous Email 17/05/2019 (Co-proxamol IFR Complaint): - Clearly contested your decision making regarding Appropriateness, Effectiveness, Ethics, Cost Effectiveness, Affordability, and Ethics. Therefore your decision making must have been made on costs alone!

Subject: Co-proxamol IFR Complaint
Date: Fri, 17 May 2019 10:34
From: [email address]
To [email address]

ICO Decision Notice.jpg

___________________________________

[Attachment Pages 6 & 7]The cause of the high prices for Co-proxamol is the absolutely ridiculous way that NHS/MHRA states that individual CCG’s have to purchase the drug!

Latest Figures High to Lowest.
Top saving opportunities for NHS England in July 2019

https://openprescribing.net/all-england/...

CCG Possible
Savings
In month PPU Target PPU Quantity

NHS Enfield CCG £462 £5.22 £0.60 100 -
NHS Greater
Huddersfield CCG £404 £0.81 £0.60 1,929 -

NHS Enfield CCG Paid £5.22 per tablet = to £522.00 for 100 tablets, while NHS Greater
Huddersfield CCG paid just £81.00 for 100 tablets.

As the 'Named Patient' facility had been guaranteed by Under Secretary of State Caroline Flint there was absolutely no need for the 60,000 ‘Named Patients’ to be refused co-proxamol as the drug could have been imported in bulk quantities for as little as £5.00 per 100 tablets from any of the Indian companies who previously supplied the ‘Named Patients’ facility from 2008 to the present time!

[Attachment Pages 7 & 8] I repeat my question; Has Blackpool CCG imposed any sanctions on the GP's who continue to prescribe Co-proxamol within Blackpool CCG?

I look forward to receiving your response regarding this request for review.
(Request & Attachment sent by email see annotation for the attachment)

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

Yours faithfully,

James Kelly

James Kelly left an annotation ()

Attachment Sent With Request For review: -
Pages 1 & 2 My MP's Letter To Baroness Blackwood
Page 3 Resoonse From Baroness Blackwood.
Pages 4 5 6 Response From Lord O'Shaughnessy
Page 61253 co-proxamol prescriptions dispenced in England during July 2019
Page 7 Co-proxamol prescriptions issued by Bloomfield Medical Centre Blackpool June 2018, October 2018, December 2018, and June 2019.
If you add the 1,253 patients currently being prescribed co-proxamol to the 60,000 Named Patients who should never have lost their right to their prescriptions the drug could be imported at a very competitive price!

There was absolutely no need for the 60,000 ‘Named Patients’ to be refused co-proxamol as the drug could have been imported in bulk quantities for as little as £5.00 per 100 tablets from the Indian companies who had previously supplied the ‘Named Patients’ facility from 2008 to the present time!

FOITEAM (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT), NHS Blackpool Clinical Commissioning Group

Dear Mr Kelly

Thank you for your request for an FOI review of your response from NHS Blackpool CCG, I have now forwarded to the relevant person to conduct the review and we will provide you with a response in due course.

If you have any questions regarding your review then please don't hesitate to contact us via this email address. Please quote the following reference in all correspondence CAS-04689-S6V0M5-BP this will ensure we are able to assist you quicker.

Kind regards

Louise Booker
Access to Information Co-Ordinator

Information Governance Service
Contact: (01782) 872648
[email address]

Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk

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FOITEAM (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT), NHS Blackpool Clinical Commissioning Group

Dear Mr Kelly

I have been asked to contact you to establish what information you are requesting a review of. Is it the handling of the FOI itself or is it the actual response given by NHS Blackpool CCG in relation to CAS-04689-S6V0M5-BP.

I look forward to hearing from you.

Kind regards

Louise Booker
Access to Information Co-Ordinator

Information Governance Service
Contact: (01782) 872648
[email address]

Midlands and Lancashire CSU
www.midlandsandlancashirecsu.nhs.uk

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Dear FOITEAM (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT),

It is the handling of the FOI request itself.

Yours sincerely,

James Kelly

Dear FOITEAM (NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT),

The original clarification was sent on 04th October 2019 (“It is the handling of the FOI request itself”).

Yours sincerely,

James Kelly