§ Mr. BurstowTo ask the Secretary of State for Health, pursuant to his answer of 11 July 2001,Official Report, on anti-psychotic medication, what work his Department has undertaken to explain the trend in prescribing; what were the key findings; and if he will set out prescription numbers (a) by region and (b) by ages (i) under 16, (ii) 16 to 25, (iii) 26 to 35, (iv) 36 to 45, (v) 46 to 55, (vi) 56 to 65, (vii) 66 to 75 and (viii) over 75. [5292]
§ Jacqui SmithThe National Institute for Clinical Excellence (NICE) is expected to issue guidance on the use of these drugs in December.
443WThe two tables show:
- (a) The number of prescription items dispensed in the community in England by health authority for atypical anti-psychotic drugs, 1999 and 2000; and
- (b) The number of prescription items dispensed in the community in England for atypical anti-psychotic drugs by broad age group 1999 and 2000.
We do not hold prescribing information on the age breakdown asked for.
444W
Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000 Thousand Health authority 1999 2000 Avon 13.4 21.7 Barking and Havering 5.1 8.0 Barnet 6.9 10.1 Barnsley 2.6 4.1 Bedfordshire 4.7 10.3 Berkshire 11.2 16.2 Bexley and Greenwich 5.7 8.1 Birmingham 16.7 25.3 Bradford 6.8 10.5 Brent and Harrow 8.7 12.6 Bromley 4.8 6.6 Buckinghamshire 9.4 14.7 Bury and Rochdale 6.4 9.6 Calderdale and Kirklees 8.5 14.3 Cambridgeshire 8.6 13.2 Camden and Islington 8.2 11.4 Cornwall and Isles Of Scilly 6.2 8.5 County Durham and Darlington 8.5 13.7 Coventry 7.8 12.0 Croydon 7.5 10.9 Doncaster 4.0 5.0 Dorset 10.3 13.8 Dudley 3.1 4.3 Ealing, Hammersmith and Hounslow 10.7 15.6 East and North Hertfordshire 6.8 10.3 East Kent 12.0 16.5 East Lancashire 9.3 13.9 East London and The City 12.4 17.4 East Riding and Hull 10.1 14.5 East Surrey 5.8 7.3 East Sussex, Brighton and Hove 15.5 22.0 Enfield and Haringey 8.6 13.2 Gateshead and South Tyneside 6.5 8.9 Gloucestershire 5.4 8.3 Herefordshire 1.3 2.1 Hillingdon 2.5 3.5 Isle Of Wight 3.3 4.9 Kensington and Chelsea and Westminster 7.6 11.1 Kingston and Richmond 5.4 8.4 Lambeth, Southwark and Lewisham 15.7 22.8 Leeds 17.1 23.5 Leicestershire 11.6 16.8 Lincolnshire 6.5 10.2 Liverpool 12.8 18.1 Manchester 12.7 18.7 Merton, Sutton and Wandsworth 12.9 18.4 Morecambe Bay 6.2 9.1 Newcastle and North Tyneside 15.6 21.6 Norfolk 9.1 15.5 North and East Devon 9.1 12.8 North and Mid Hampshire 10.2 14.2 North Cheshire 3.8 5.6 North Cumbria 5.9 8.9 North Derbyshire 3.9 5.8 North Essex 12.9 19.0 North Nottinghamshire 4.2 5.6 North Staffordshire 5.2 7.9 North West Lancashire 7.5 14.5 North Yorkshire 7.8 12.6
Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000 Thousand Health authority 1999 2000 Northamptonshire 8.6 10.8 Northumberland 6.0 7.6 Nottingham 2.7 3.1 Oxfordshire 9.5 14.5 Portsmouth and South East Hampshire 8.6 12.7 Redbridge and Waltham Forest 8.1 11.7 Rotherham 5.1 7.1 Salford and Trafford 9.0 13.8 Sandwell 4.5 4.7 Sefton 6.0 10.5 Sheffield 5.5 7.1 Shropshire 6.3 9.2 Solihull 3.2 4.0 Somerset 4.5 8.3 South and West Devon 9.8 17.4 South Cheshire 11.3 17.9 South Essex 9.3 13.8 South Humber 4.5 5.9 South Lancashire 4.0 7.0 South Staffordshire 5.9 9.5 Southampton and South West Hampshire 9.7 17.2 Southern Derbyshire 4.1 6.1 St Helens and Knowsley 6.2 10.9 Stockport 5.8 8.9 Suffolk 6.7 11.4 Sunderland 5.2 6.7 Tees 7.8 12.6 Wakefield 6.1 9.1 Walsall 4.8 5.7 Warwickshire 8.1 11.8 West Hertfordshire 8.4 12.1 West Kent 12.8 21.4 West Pennine 6.9 8.8 West Surrey 8.0 13.1 West Sussex 11.2 16.6 Wigan and Bolton 10.2 16.0 Wiltshire 10.3 14.1 Wirral 9.2 13.6 Wolverhampton 5.1 5.5 Worcestershire 4.8 7.0 England 772.6 1,149.4 Notes:
1. The prescription information is from the Prescription Cost Analysis (PCA) system and is based on a full analysis of all prescriptions dispensed in the community, i.e. by community pharmacists and appliance contractors, dispensing doctors and prescriptions submitted by prescribing doctors for items personally administered in England. Also included are prescriptions written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The information shows the number of prescription items dispensed in each health authority. The data do not cover drugs dispensed in hospital or private prescriptions.
2. Atypical anti-psychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs, and cover the drugs Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine,
445W
Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs by broad age group 1999 and 2000 1999 2000 Prescription items dispensed by community pharmacists and appliance contractors only (thousands) Children aged 0–15 years 6.5 9.7 Elderly people aged 60 and over 252.7 428.8 Aged 16 to 59 years1 405.4 555.1 Aged 16 to 59 years2,3 81.5 117.4
Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs by broad age group 1999 and 2000 1999 2000 Prescription items dispensed by dispensing doctors and items personally administered (thousands) All ages 26.5 38.4 All prescription items dispensed in the community All ages 772.6 1,149.4 1 Exempt 2 Charged 3 Includes prepayments Notes:
1. The age related information is based on an analysis of those not required to pay a charge indicated by the categories completed on the back of the prescription form. This is based on a 1 in 20 sample of all prescription items submitted to the Prescription Pricing Authority by community pharmacists and appliance contractors only. Dispensing doctor prescriptions were not analysed into categories for 1999 and most of 2000. Personally administered items are free of charge.
2. Atypical anti-psychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs, and cover the drugs Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine.