HL Deb 14 September 2001 vol 627 cc17-29WA
Baroness Barker

asked Her Majesty's Government:

What work has been undertaken to explain the trend in prescribing of anti-psychotic medication;

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group 1999 England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispensed by dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years All ages All ages
Exempt Charged (3)
Bedfordshire 0.1 16.0 13.5 4.2 3.2 37.0
North Essex 0.4 32.1 29.2 6.6 7.6 75.8
South Essex 0.9 23.9 20.3 4.9 0.3 50.3
North West Anglia 0.0 3.4 3.6 1.0 1.8 9.8
Suffolk 0.3 27.6 16.8 5.2 10.1 60.0
East and North Hertfordshire 0.1 18.1 13.6 4.2 1.4 37.4
West Hertfordshire 0.1 19.4 16.0 5.2 0.3 41.0
Cambridgeshire 0.3 20.0 17.0 5.5 10.7 53.5
Norfolk 0.2 30.1 34.6 7.9 14.7 87.5
Total Eastern Region 2.4 190.6 164.5 44.7 50.0 452.3
Hillingdon 0.0 5.8 6.9 2.0 0.0 14.7
Kensington and Chelsea and Westminster 0.1 7.0 14.4 2.5 0.0 24.0
Enfield and Haringey 0.1 16.3 22.7 3.8 0.0 42.8
Redbridge and Waltham Forest 0.3 16.9 15.7 3.4 0.0 36.3
Bexley and Greenwich 0.2 15.6 12.1 3.0 0.0 30.9
Bromley 0.1 11.9 8.0 2.4 0.0 22.4
Croydon 0.0 11.9 15.9 2.9 0.0 30.7
Kingston and Richmond 0.1 11.5 9.6 3.2 0.0 24.4
Lambeth, Southwark and Lewisham 0.2 25.5 32.2 4.0 0.0 61.9
Merton, Sutton and Wandsworth 0.1 21.8 22.8 4.7 0.0 49.3
Barking and Havering 0.2 14.0 12.8 3.4 0.0 30.4
Barnet 0.1 16.3 10.1 3.2 0.0 29.8
Brent and Harrow 0.1 12.7 17.5 3.5 0.0 33.9
Camden and Islington 0.0 9.5 26.3 2.8 0.0 38.6
Ealing, Hammersmith and Hounslow 0.2 20.2 29.6 5.2 0.0 55.1
East London and The City 0.5 13.5 33.8 3.2 0.0 51.1
Total London Region 2.0 230.4 290.4 53.3 0.0 576.2
South Lancashire 0.1 12.8 9.5 3.5 0.2 26.1
Liverpool 0.4 26.1 33.9 2.7 0.0 63.0
Manchester 0.1 22.8 39.8 3.7 0.0 66.4
Morecambe Bay 0.1 18.8 14.7 3.4 2.0 39.0
St Helens and Knowsley 0.1 17.5 23.6 2.9 0.0 44.1
Salford and Trafford 0.2 29.7 29.8 4.8 0.0 64.5
Sefton 0.1 17.9 23.7 2.7 0.0 44.4
Stockport 0.2 26.5 19.9 4.7 0.0 51.2

what are the key findings; and whether they will set out prescription numbers for such medication in each of the last five years for each region and health authority for each of the following age groups (i) 0 to 15 years, (ii) 16 to 59 years, and (in) 60 years and over. [HL671]

Lord Hunt of Kings Heath

No work has been done at this stage to explain the recent trends in prescribing of anti-psychotic medication although the figures are monitored. The National Institute for Clinical Excellence is expected to issue guidance on the use of atypical anti-psychotic drugs in December. The available information relates to anti-psychotic medicines dispensed in the community for 1999 and 2000 only; these are set out in the table and are estimates derived from a 1 in 20 sample of prescription items.

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group 1999 England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispensed by dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years All ages All ages
Exempt Charged (3)
West Pennine 0.1 19.8 22.5 3.9 0.0 46.4
Bury and Rochdale 0.3 21.1 23.7 4.2 0.0 49.3
North Cheshire 0.1 15.2 17.8 3.4 0.1 36.6
South Cheshire 0.2 32.7 22.9 5.6 2.5 63.8
East Lancashire 0.2 25.2 30.3 6.0 0.6 62.2
North West Lancashire 0.1 27.9 24.2 5.2 0.9 58.2
Wigan and Bolton 0.0 28.5 24.6 5.1 0.0 58.2
Wirral 0.0 17.9 25.1 3.8 0.0 46.8
Total North West Region 2.4 360.3 385.9 65.3 6.2 820.2
Bradford 0.2 21.7 26.9 4.0 0.8 53.7
County Durham and Darlington 0.3 28.7 27.4 6.4 5.1 67.8
East Riding and Hull 0.1 25.2 22.4 5.0 3.3 55.9
Gateshead and South Tyneside 0.3 19.4 18.5 3.4 0.2 41.8
Leeds 0.2 37.5 38.7 8.0 0.5 84.8
Newcastle and North Tyneside 0.2 28.5 29.0 4.4 0.0 62.1
North Cumbria 0.2 13.2 13.3 3.4 2.9 32.9
Northumberland 0.1 11.4 10.9 2.3 1.5 26.2
Sunderland 0.1 13.2 11.5 1.9 0.0 26.7
Tees 0.3 27.5 25.9 4.5 0.1 58.4
Wakefield 0.2 15.0 13.2 3.6 1.5 33.5
North Yorkshire 0.3 27.6 18.0 5.7 8.2 59.8
Calderdale and Kirklees 0.3 28.9 23.3 5.5 0.6 58.6
Total Northern & Yorkshire Region 2.8 297.9 278.9 58.0 24.6 662.3
Berkshire 0.2 24.1 20.8 7.2 2.4 54.8
Buckinghamshire 0.2 20.0 16.8 5.2 2.5 44.7
East Kent 0.4 27.9 24.5 4.2 3.5 60.5
West Kent 0.3 33.8 31.1 8.9 3.9 78.1
East Surrey 0.0 16.9 11.1 3.8 0.9 32.8
West Surrey 0.1 21.9 17.4 6.1 0.7 46.3
East Sussex, Brighton and Hove 0.2 38.1 35.5 6.8 2.1 82.7
West Sussex 0.2 40.3 19.9 7.8 3.4 71.6
Northamptonshire 0.3 19.7 19.9 5.2 3.2 48.2
Oxfordshire 0.1 14.8 14.3 4.9 6.6 40.7
North and Mid Hampshire 0.4 18.8 15.9 6.1 3.7 44.9
Portsmouth and South East Hampshire 0.3 26.3 19.6 4.1 0.4 50.7
Southampton and South West Hampshire 0.3 24.6 21.4 6.7 1.0 54.1
Isle Of Wight 0.1 7.5 5.5 0.9 0.4 14.4
Total South East Region 3.2 335.0 273.7 77.9 34.7 724.4
Somerset 0.4 18.5 13.8 3.3 3.4 39.4
South and West Devon 0.3 29.4 32.3 5.4 1.5 68.9
Wiltshire 0.2 23.3 19.5 5.5 2.8 51.3
Avon 0.5 41.6 38.4 8.3 1.8 90.6
Cornwall and Isles Of Scilly 0.6 19.9 19.6 3.5 8.2 51.7
Dorset 0.7 34.1 24.3 6.9 3.6 69.6
North and East Devon 0.5 20.3 19.5 4.2 4.8 49.3
Gloucestershire 0.5 19.5 15.2 5.4 4.7 45.4
Total South West Region 3.8 206.7 182.5 42.4 30.7 466.1
Barnsley 0.1 11.0 11.0 2.7 0.9 25.7
North Derbyshire 0.1 16.0 13.3 3.1 2.3 34.7
Southern Derbyshire 0.2 25.6 18.0 5.0 2.1 50.8
Doncaster 0.1 13.4 12.4 2.6 0.5 29.0
Leicestershire 0.4 30.6 33.2 7.1 2.7 74.0
Lincolnshire 0.3 27.5 18.5 5.6 14.6 66.5
North Nottinghamshire 0.2 20.9 10.2 3.2 1.1 35.6
Nottingham 0.1 27.2 19.2 5.9 1.5 54.0
Rotherham 0.2 17.3 9.9 2.2 0.3 29.9

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group 1999
England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispersed by dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years All ages All ages
Exempt Charged (3)
Sheffield 0.2 24.0 21.7 3.7 0.1 49.6
South Humber 0.1 13.0 12.3 3.0 4.4 32.8
Total Trent Region 2.0 226.5 179.6 44.2 30.5 482.7
Birmingham 1.1 42.1 56.4 7.4 0.0 107.0
Coventry 0.1 15.2 15.8 3.3 0.1 34.5
Dudley 0.2 13.0 12.7 3.8 0.0 29.6
Herefordshire 0.1 5.2 4.9 1.3 2.6 14.1
Sandwell 0.1 12.5 13.7 2.4 0.0 28.6
Shropshire 0.2 16.8 13.3 3.4 4.1 37.8
Solihull 0.0 5.3 7.6 2.0 0.0 14.9
North Staffordshire 0.1 24.0 18.0 5.3 1.1 48.5
South Staffordshire 0.4 22.2 15.1 5.1 4.3 47.1
Walsall 0.2 16.1 13.8 2.7 0.0 32.7
Warwickshire 0.2 19.3 15.1 4.7 4.5 43.8
Wolverhampton 0.1 10.5 11.2 2.0 0.0 23.8
Worcestershire 0.2 21.6 13.9 3.4 3.4 42.4
Total West Midlands Region 3.0 223.7 211.4 46.8 20.0 504.9
England 21.7 2,071.0 1,966.9 432.5 196.8 4,689.0

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. The estimates are 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 in 1999. Personally administered items are free of charge. Small numbers in the original sample may cause some variation in the estimates.

2. Antipsychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs.

3. Charged prescriptions also includes prescriptions obtained by patients with a pre-payment certificate.

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group 1999
England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispersed by dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years
Exempt Charged (3) All ages All ages
Bedfordshire 0.3 17.6 15.7 4.3 3.4 41.2
North Essex 0.3 35.1 29.6 6.5 7.9 79.5
South Essex 0.7 24.7 22.7 5.9 0.3 54.2
Suffolk 0.3 29.2 18.6 5.3 10.1 63.6
East and North Hertfordshire 0.1 18.4 14.8 4.7 1.5 39.5
West Hertfordshire 0.2 22.4 14.8 5.2 0.3 42.9
Cambridgeshire 0.4 24.1 19.7 7.1 11.4 62.8
Norfolk 0.2 33.6 40.6 8.4 15.6 98.3
Total Eastern Region 2.6 205.1 176.4 47.4 50.5 482.0
Hillingdon 0.1 7.2 5.9 2.3 0.0 15.7
Kensington and Chelsea And Westminster 0.0 7.4 15.7 3.3 0.0 26.3
Enfield and Haringey 0.1 16.2 24.8 3.9 0.0 44.9

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group, 2000
England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispensed by-dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority and region in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years
Exempt Charged (3) All ages All ages
Red bridge and Waltham Forest 0.3 18.7 14.8 4.0 0.0 37.7
Bexley and Greenwich 0.2 15.7 12.7 2.9 0.0 31.5
Bromley 0.0 12.5 7.8 2.7 0.0 22.9
Croydon 0.2 13.6 16.3 2.9 0.0 33.0
Kingston and Richmond 0.1 12.6 9.6 3.9 0.0 26.1
Lambeth, Southwark And Lewisham 0.2 27.6 35.1 4.5 0.0 67.3
Merton, Sutton and Wandsworth 0.3 25.2 23.1 5.3 0.0 53.9
Barking and Havering 0.1 15.3 12.8 3.7 0.0 31.9
Barnet 0.0 16.4 11.1 3.3 0.0 30.7
Brent and Harrow 0.0 13.1 18.5 4.2 0.0 35.7
Camden and Islington 0.1 9.6 26.5 3.1 0.0 39.4
Ealing, Hammersmith and Hounslow 0.2 20.2 31.8 5.8 0.0 58.0
East London and The City 0.2 14.7 36.0 3.6 0.0 54.5
Total London Region 2.1 245.9 302.3 59.2 0.0 609.6
South Lancashire 0.2 13.3 10.9 3.7 0.2 28.2
Liverpool 0.1 26.7 36.1 3.3 0.0 66.3
Manchester 0.3 23.8 43.5 3.9 0.0 71.5
Morecambe Bay 0.2 20.0 14.3 4.1 2.2 40.8
St Helens and Knowsley 0.2 19.4 24.7 3.6 0.0 47.9
Salford and Trafford 0.2 34.2 30.8 5.2 0.0 70.4
Sefton 0.1 20.9 23.3 3.7 0.0 48.0
Stockport 0.2 26.9 21.8 4.7 0.0 53.6
West Pennine 0.1 21.5 23.4 4.4 0.0 49.4
Bury and Rochdale 0.1 22.0 24.5 5.1 0.0 51.8
North Cheshire 0.2 15.1 18.2 3.7 0.1 37.4
South Cheshire 0.2 33.8 25.5 6.4 2.3 68.2
East Lancashire 0.3 27.1 32.5 5.9 0.6 66.3
North West Lancashire 0.3 29.1 27.5 5.5 0.8 63.2
Wigan and Bolton 0.2 31.1 26.9 5.4 0.0 63.6
Wirral 0.1 21.5 23.7 3.9 0.0 49.3
Total North West Region 2.8 386.5 407.7 72.7 6.2 876.0
Bradford 0.2 23.7 26.7 4.2 0.2 54.9
County Durham and Darlington 0.5 30.1 30.4 6.9 4.9 72.7
East Riding and Hull 0.1 26.0 23.4 5.4 3.7 58.6
Gateshead and South Tyneside 0.2 19.7 18.7 2.9 0.1 41.7
Leeds 0.3 38.8 42.1 8.1 0.5 89.8
Newcastle and North Tyneside 0.4 30.4 30.9 4.4 0.0 66.1
North Cumbria 0.3 14.7 12.6 3.7 3.1 34.4
Northumberland 0.3 11.8 11.8 2.6 1.6 28.2
Sunderland 0.2 12.7 11.3 2.4 0.0 26.6
Tees 0.5 28.9 27.4 4.3 0.2 61.3
Wakefield 0.1 16.2 13.7 3.7 1.5 35.1
North Yorkshire 0.2 28.9 17.5 6.0 8.5 61.1
Calderdale and Kirklees 0.3 31.1 25.3 5.8 0.6 63.2
Total Northern & Yorkshire Region 3.5 313.0 291.8 60.4 24.9 693.5
Berkshire 0.2 26.0 21.3 8.1 2.6 58.1
Buckinghamshire 0.2 23.1 16.9 6.5 2.3 49.0
East Kent 0.9 26.6 25.4 4.8 3.5 61.2
West Kent 0.6 35.2 32.7 9.1 4.0 81.6
East Surrey 0.2 17.3 10.2 3.6 0.9 32.2
West Surrey 0.2 22.9 18.2 6.5 0.7 48.5
East Sussex, Brighton And Hove 0.4 38.6 37.4 7.5 2.1 86.0
West Sussex 0.4 42.1 22.3 9.2 3.4 77.4
Northamptonshire 0.3 19.5 19.8 6.2 3.2 48.9
Oxfordshire 0.2 16.8 14.5 5.2 7.1 43.8
North and Mid Hampshire 0.6 19.1 16.7 6.0 3.6 46.0
Portsmouth and South East Hampshire 0.3 27.9 21.4 4.6 0.3 54.5

Estimated number of prescription items dispensed in the community for anti-psychotic drugs by broad age group, 2000
England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispensed by-dispensing doctors and items personally administered All prescription items dispensed in the community
(Thousands) (Thousands)
Health authority and region in which item was dispensed Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years
Exempt Charged (3) All ages All ages
Southampton and South West Hampshire 0.2 26.6 22.0 7.6 1.0 57.4
Isle of Wight 0.0 7.3 6.3 1.3 0.5 15.4
Toted South East Region 4.6 348.8 285.2 86.1 35.2 759.9
Somerset 0.3 20.2 15.0 3.1 3.1 41.7
South and West Devon 0.4 32.4 34.9 5.7 1.4 74.8
Wiltshire 0.1 25.1 19.9 5.9 2.8 53.8
Avon 0.4 43.7 43.0 8.6 1.8 97.5
Cornwall and Isles Of Scilly 0.6 19.0 21.8 3.1 8.0 52.6
Dorset 0.6 33.7 24.5 6.1 3.4 68.3
North and East Devon 0.5 21.1 19.9 4.3 4.8 50.5
Gloucestershire 0.4 21.2 15.9 5.4 4.7 47.6
Total South West Region 3.3 216.2 194.9 42.2 30.0 486.8
Barnsley 0.0 10.8 10.5 2.6 0.9 24.6
North Derbyshire 0.1 18.3 13.8 3.7 2.3 38.2
Southern Derbyshire 0.2 25.8 19.0 5.0 2.0 51.9
Doncaster 0.2 13.5 12.8 3.0 0.5 30.0
Leicestershire 0.4 32.3 35.2 8.2 2.7 78.8
Lincolnshire 0.4 27.7 19.7 5.8 14.9 68.5
North Nottinghamshire 0.2 21.0 10.3 3.5 1.2 36.3
Nottingham 0.2 29.1 19.7 5.8 1.5 56.4
Rotherham 0.1 23.5 11.2 1.9 0.2 36.9
Sheffield 0.2 23.7 20.4 4.1 0.1 48.5
South Humber 0.3 14.0 12.2 2.8 4.3 33.6
Total Trent Region 2.3 239.5 184.9 46.4 30.5 503.7
Birmingham 1.1 44.3 58.5 8.1 0.0 111.9
Coventry 0.2 14.5 17.9 3.4 0.1 36.2
Dudley 0.2 14.7 12.9 3.7 0.0 31.5
Herefordshire 0.1 5.8 5.0 1.1 2.6 14.6
Sandwell 0.1 13.5 12.1 2.6 0.0 28.3
Shropshire 0.2 16.8 14.6 3.8 4.2 39.6
Solihull 0.0 7.3 6.7 2.1 0.0 16.2
North Staffordshire 0.1 26.0 17.6 5.3 1.0 50.0
South Staffordshire 0.5 24.2 17.2 4.8 3.9 50.6
Walsall 0.1 16.4 13.4 2.9 0.0 32.7
Warwickshire 0.3 20.2 15.8 5.2 4.6 46.2
Wolverhampton 0.1 11.0 12.2 1.8 0.0 25.1
Worcestershire 0.4 23.6 14.5 3.7 3.1 45.3
Total West Midlands Region 3.6 238.2 218.3 48.6 19.5 528.2
England 24.8 2,193.2 2,061.6 463.1 197.0 4,939.7

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. The estimates are 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 most of 2000. Personally administered items are free of charge. Small numbers in the original sample may cause some variation in the estimates.

2. Antipsychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs.

3. Charged prescriptions also includes prescriptions obtained by patients with a pre-payment certificate.

Baroness Barker

asked Her Majesty's Government:

Whether they will indicate the cost to the National Health Service of prescriptions of anti-psychotic medication (a) in total and (b) for those aged 60 and over [HL672]

Lord Hunt of Kings Hezath

The available information relates to anti-psychotic medicines dispensed in the community; this is set out in the table. Reliable information is not available about the cost of anti-psychotic medication used by hospitals.

The estimated net ingredient cost of prescription items dispensed in the community for anti-psychotic drugs by broad age group 2000
England
Prescription items dispensed by community pharmacists and appliance contractors only Prescription items dispensed by dispensing doctors and items personally administered All prescription items dispensed in the community
(£ Thousands) (£ Thousands)
Children aged 0–15 years Elderly people aged 60 and over Aged 16 to 59 years
Exempt Charged (3) All ages All ages
554 24.007 54.332 12.755 2.893 94.540

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. The estimates are 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 most of 2000. Personally administered items are free of charge.

2. Anti-psychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs.

3. Charged prescriptions also includes the net ingredient cost of prescriptions obtained by patients with a pre-payment certificate.

4. The net ingredient cost (NIC) is the basic cost of a drug and does not take account of discounts, dispensing costs, fees or prescription charges income.

Baroness Barker

asked Her Majesty's Government:

Whether they will give the numbers of prescriptions dispensed for anti-psychotic medicine to hospital patients in each health authority in England for the following ages:

  1. (a) up to 16;
  2. (b) 16 to 59; and
  3. (c) 60 and over. [HL675]

Lord Hunt of Kings Heath

Data of prescriptions dispensed for anti-psychotic medicine in hospitals are not available centrally.

Baroness Barker

asked Her Majesty's Government:

Whether they will give the numbers of prescriptions dispensed for anti-psychotic medicine to non-hospital patients in each health authority in England for the following ages:

  1. (a) up to 16;
  2. (b) 16 to 59; and
  3. (c) 60 and over. [HL676]

Lord Hunt of Kings Heath

The number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000, are provided in the table. These are estimates derived from a one in 20 sample of prescription items.

Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000
England
Prescription items (thousands)
Health Authority in which item was dispsensed 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

Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000
England
Prescription items (thousands)
Health Authority in which item was dispsensed 1999 2000
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
Gloustershire 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

Number of prescription items dispensed in the community in England for atypical anti-psychotic drugs, 1999 and 2000
England
Prescription items (thousands)
Health Authority in which item was dispsensed 1999 2000
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 Anglia 0.8 0.0
North West Lancashire 8.7 14.5
North Yorkshire 8.8 12.6
Northamptonshire 8.6 10.8
Northumberland 5.1 7.6
Nottingham 2.1 3.1
Oxfordshire 9.8 14.5
Portsmouth and South East Hampshire 8.2 12.7
Red bridge and Waltham Forest 8.2 11.7
Rotherham 4.1 7.1
Salford and Trafford 8.3 13.8
Sandwell 3.6 4.7
Sefton 6.7 10.5
Sheffield 5.2 7.1
Shropshire 6.5 9.2
Solihull 2.5 4.0
Somerset 5.1 8.3
South and West Devon 10.9 17.4
South Cheshire 11.5 17.9
South Essex 8.7 13.8
South Humber 3.4 5.9
South Lancashire 4.2 7.0
South Staffordshire 6.5 9.5
Southampton and South West Hampshire 11.3 17.2
Southern Derbyshire 3.3 6.1
St Helens and Knowsley 7.1 10.9
Stockport 5.3 8.9
Suffolk 7.0 11.4
Sunderland 4.8 6.7
Tees 8.6 12.6
Wakefield 5.3 9.1
Walsall 5.0 5.7
Warwickshire 8.8 11.8
West Hertfordshire 8.2 12.1
West Kent 14.1 21.4
West Pennine 5.0 8.8
West Surrey 8.9 13.1
West Sussex 12.0 16.6
Wigan and Bolton 9.4 16.0
Wiltshire 10.4 14.1
Wirral 8.9 13.6
Wolverhampton 4.2 5.5
Worcestershire 3.9 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.

2. Atypical antipsychotics are defined within British National Formulary paragraph 4.2.1, antipsychotic drugs, and cover the drug Amisulpride, Clozapine, Olanzapine, Quetiapine, Risperidone and Zotepine.