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Prescriptions: Fees and Charges

Asked by Daniel FrancisLabourDepartment of Health and Social CareTabled Answered 8 September 2025UIN 73733

The question

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of exempting people with sickle-cell anaemia from prescription charges.

Answered by Karin Smyth

There are no plans to amend the list of medical conditions that provide eligibility for free prescriptions to include sickle-cell anaemia.

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 sickle-cell anaemia 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. Prescription prepayment certificates (PPCs) are also available. PPCs allow people to claim as many prescriptions as they need for a set cost, with three-month and 12-month certificates available. The 12-month PPC can be paid for in instalments, allowing the holder of a 12-month certificate to get all the prescriptions they need for just over £2 per week.

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