Prescription charges in the context of "National Health Service"

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⭐ Core Definition: Prescription charges

In the United Kingdom most medicines are supplied via the National Health Service at either no charge, or for a fixed charge for up to three months' worth of any medicine. Charges for prescriptions for medicines and some medical appliances are payable by adults in England under the age of 60, but not by older people or children. However, people may be exempt from charges in various exemption categories. Charges were abolished by NHS Wales in 2007, Health and Social Care in Northern Ireland in 2010 and by NHS Scotland in 2011. In 2010/11, in England, £450 million was raised through these charges, some 0.5% of the total NHS budget. As of 2025 the prescription charge is £9.90 per item.

Ireland also has a system of fixed charges rather than individually priced medicines, but the details are totally different.

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👉 Prescription charges in the context of National Health Service

The National Health Service (NHS) is the collective term for the four separate publicly funded healthcare systems of the United Kingdom: the National Health Service (England), NHS Scotland, NHS Wales, and Health and Social Care (Northern Ireland) which was created separately and is often referred to locally as "the NHS". The original systems were established in 1948 (NHS Wales/GIG Cymru was founded in 1969) as part of major social reforms following the Second World War, and officially launched at Park Hospital in Davyhulme, near Manchester, England (now known as Trafford General Hospital). The founding principles were that services should be comprehensive, universal and free at the point of delivery. Each system provides a comprehensive range of health services, provided without charge for residents of the United Kingdom apart from dental treatment and optical care, though NHS patients in England who are not exempt have to pay prescription charges.

Taken together, the four systems in 2015–16 employed around 1.6 million people with a combined budget of £136.7 billion. In 2024, the total health sector workforce across the United Kingdom was 1,499,368.

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Prescription charges in the context of National Health Service (England)

The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from taxation and National Insurance contributions, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal UK residents, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).

A founding principle of the NHS was providing free healthcare at the point of use. The 1942 cross-party Beveridge Report established the principles of the NHS which was implemented by the government, whilst under Labour control in 1948 and the NHS was officially launched at Park Hospital in Davyhulme, near Manchester, England (now known as Trafford General Hospital). Labour's Minister for Health Aneurin Bevan is popularly considered the NHS's founder, despite never formally being referred to as such. In practice, "free at the point of use" normally means that anyone legitimately registered with the system (i.e. in possession of an NHS number), that is a UK resident in clinical need of treatment, can access medical care, without payment. The exceptions include NHS services such as eye tests, dental care, prescriptions and aspects of long-term care. These charges are usually lower than equivalent services offered privately and many are free to vulnerable or low-income patients.

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