Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department has made an estimate of the cost to the public purse of making prescriptions free for people with chronic, long-term conditions.

The Department has made no estimate. There are extensive arrangements currently in place in England to ensure that prescriptions are affordable for everyone, including for those with chronic, long-term conditions.

Approximately 89% of prescription items are dispensed free of charge in the community in England, and there are a wide range of exemptions from prescription charges already in place, for which those with heart disease may be eligible. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, or whether they are in receipt of certain benefits or a war pension.

People on low incomes can apply for help with their health costs through the NHS Low Income Scheme. The scheme provides income related help to people who are not automatically exempt from charges but who may be entitled to full or partial help if they have a low income and savings below a defined limit.

To support those with greatest need who do not qualify for an exemption or the NHS Low Income Scheme, prescription prepayment certificates (PPCs) are available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three month and 12 month certificates available, which can be paid for in instalments.