Tuesday 3rd September 2013

(11 years, 2 months ago)

Written Statements
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Norman Lamb Portrait The Minister of State, Department of Health (Norman Lamb)
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I regret that the written answer given to the right hon. Member for Mid Sussex (Nicholas Soames) on 27 June 2013, Official Report, column 344-45W, contained some incomplete figures in the table.

It has been brought to my attention that the information provided in the original answer did not contain secondary care figures for December 2012. The table below shows the correct figures. The revised answer is as follows:



Expenditure by national health service trusts in London, as defined by the former London Special Health Authority (SHA), is provided for both anti-retroviral HIV medicines and anti-cancer medicines.



London generally has a larger proportion of its medicines costs going through hospitals than other SHAs as patients from areas surrounding London are likely to travel to London hospitals for some treatments.

Primary care cost1Secondary care cost2

Drug type

Year

(£000s)

(£000s)

Anti-retroviral HIV3

2008

321.04

175,398.3

2009

502.4

191,720.7

2010

642.0

206,752.9

2011

555.5

214,542.6

2012

539.4

233,949.2

Anti-cancer5

2008

17,299.84

112,677.5

2009

23,486.3

131,052.7

2010

22,461.9

147,571.4

2011

20,958.7

157,944.3

2012

13,017.26

188,663.9

Sources

Prescribing Analysis and Cost tool (PACT) system. Copyright © 2013, the Health and Social Care Information Centre, Prescribing and Primary Care Services.

IMS data. Copyright © IMS HEALTH: Hospital Pharmacy Audit. Some supplies through homecare providers may not be capture,d therefore cost estimates may be under-stated.

Notes

1Net ingredient cost.

2Cost of medicines at NHS list price and not necessarily the price paid.

3As classified within British National Formulary (BNF) section 5.3.1 HIV infection.

4Information for 2008 primary care costs is only available for May to December 2008.

5As classified within British National Formulary (BNF) section 8.1 Cytotoxic drugs, paragraph 8.2.3 Anti-lymphocyte monoclonal antibodies, paragraph 8.2.4 Other immunomodulating drugs (Aldesleukin, Bacillus Calmette-Guerin (B.C.G.), Lenalidomide and Thalidomide (immunomodulating) only), section 8.3 Sex hormones and hormone antagonists in malignant disease.

6The main reason for the lower cost is the large reduction in the cost per item price for three drugs, as lower-cost generic formualions became available (Anastrozole, Exemestane and Letrozole). These are mainly used in primary care; therefore there was not the comparable reduction in secondary care costs.