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    Table 1: Estimated costs from each sector in 2013-14. All gures are in mill

    Primary care prescribing [2]

    Cost % of total Cost % of total

    2013/14 5,77!7 40!1 ",45!0 5"!"

    2012/13 5,020!5 37!5 ",200!7 1!2

    15!1 3!2

    [1] #ata ta$en from atabase last &pate 'it( )*+ ata release for &ne 2014- may in

    [2] et )ngreient Cost, from + Prescription +er.ices ePC system, incl&es prescri

    [3] et )ngreient Cost, from + Prescription +er.ices ata on P10P6 prescriptions

    )ss&es by (ospital p(armacy[1]

    % c(ange 2012/13 to

    2013/14

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an Primary Care Ser!ic

    This work remains the sole and exclusive property of The Health & Social Care Information Centre and mayHealth & Social Care Information Centre! further information on our re"use policies and procedures can be fo

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    ion.

    otal

    Cost % of total

    158! 1!1 14,401!4

    18!0 1!3 13,380!1

    95!5 7!

    l&e some ispensing for pri.ate patients

    ing '(ere t(e prescriber is &nientie

    prescribe in nglan, incl&es prescribing '(ere t(e prescriber is &nientie

    ospital prescribing ispensein t(e comm&nity [3]

    s" #ll rights reser!e"

    nly be reproduced where there is explicit reference to the ownership of The Health & Social Care Informund at the followin web address# http#$$www.hscic.ov.uk$terms"and"conditions

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    tion Centre. Permission for reproducin this material must be souht in advance from The

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    igure 1: Estimated net ingredient cost! 2010-11 to 2013-14"4#. All gures

    ospital Primary Care :P10P: otal

    2010911 4,173!8 ",4"!3 17"!4 13,000!

    2011912 4,487! ",535!3 1"0!" 13,213!7

    2012913 5,020!5 ",200!7 18!0 13,380!1

    2013914 5,77!7 ",45!0 158! 14,401!4

    [4] P10P6 refers to meicines 'ritten by (ospital prescribers an ispense in t(e

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an Primary Care Ser!

    This work remains the sole and exclusive property of The Health & Social Care Information Centre and mamust be souht in advance from The Health & Social Care Information Centre! further information on our r

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    re in million.

    comm&nity

    ices" #ll rights reser!e"

    y only be reproduced where there is explicit reference to the ownership of The Health & Social Care Informati"use policies and procedures can be found at the followin web address# http#$$www.hscic.ov.uk$terms"and"

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    ion Centre. Permission for reproducin this materialconditions

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    %'"'' %''"'% %'%"'( %'("')

    '*

    %*

    (*

    )*

    +*

    ,*

    -*

    *

    /*

    '*

    Hospital

    PrimaryCare

    $ %illion

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    igure 2: Annual estimated $ercentage cost gro%th! 2011-12 to 2013-14

    ;ear ospital Primary Care :P10P: otal

    2011912 7!" 91!3 1!4 1!

    2012913 11! 93!8 9! 1!3

    2013914 15!1 3!2 95!5 7!

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an Primary Care Ser

    This work remains the sole and exclusive property of The Health & Social Care Information Centre and mmaterial must be souht in advance from The Health & Social Care Information Centre! further information

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    ices" #ll rights reser!e"

    y only be reproduced where there is explicit reference to the ownership of The Health & Social Care Informaton our re"use policies and procedures can be found at the followin web address# http#$$www.hscic.ov.uk$te

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    ion Centre. Permission for reproducin thisrms"and"conditions

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    %''"'% %'%"'( %'("')

    "'

    "+

    +

    '

    '+

    % Hospital

    Primary

    Care

    01P'HP0

    Total

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    Table 2: Estimated cost of $rescribing in 2013-14 b& Area Team. All gu

    rea eam

    o

    Cost

    ?44 C+)@, A@@)B D A)@@E @ * 117!"

    ?45 #F@*, #@E)B # + @ * 102!3

    ?4 B@@ *C+@ @ * 334!?47 EC+)@ @ * 102!8

    ?4" *@+;+)# @ * 13"!

    ?48 CF*G@),@F*G,; D A@ @ * 20!4

    ?50 @ ;@H+)@ # F*G@ @ * 147!5

    ?51 +F ;@H+)@ # G++EA @ * 150!1

    ?52 A+ ;@H+)@ @ * 23!7

    ?53 @#,@@#+ D A@C+@ @ * 122!4

    ?54 G)@*)B* D GECH CF@; @ * 270!3

    ?55 #@G;+)@ # )B*+)@ @ * 174!8

    ?5 + BE) @ * 241!2?57 ++I @ * 128!8

    ?5" @@#+)@ D +F *)#E#+ @ * 1"!3

    ?58 E)C+@+)@ D E)CE+)@ @ * 122!3

    ?0 +@P+)@ # +@#+)@ @ * 11"!0

    ?4 G,BE+,+A)# D A)E+)@ @ * 122!7

    ?5 G@)+E, +*, +* D + BE+ @ * 121!4

    ? #J,C@AEED)+E+ +C)EE; @ * 1"1!8

    ?7 H # *#A; @ * 132!8

    ?" +F@@; # +F++I @ * 24"!1

    ?8 *+ JEE; @ * 151!5?70 A++I @ * 22"!4

    ?71 E# @ * 1,331!1

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an Primary Care

    This work remains the sole and exclusive property of The Health & Social Care Information Centre aSocial Care Information Centre! further information on our re"use policies and procedures can be fou

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    es are in million

    pital )ss&es Primary Care

    Cost Cost

    2!4 208!3 2!0 1!7 92!5

    12!1 222!0 4!7 2!8 90!7

    13!8 482!8 2!1 3!" 94!810!1 25!8 1!" 1!3 917!3

    15!5 235!7 2!7 1!5 12!8

    1"!5 350! 3!8 !4 91!0

    15!3 2"3! 90!" 3!0 93!7

    14!8 21!1 4!0 2!7 97!4

    14!7 381!1 4!" 2!7 !2

    13!4 25"!0 2!0 !1 7!0

    13!5 41"!5 2!" 10!4 9!"

    17!8 284!8 2!5 7!5 3!1

    1! 387!1 4!7 "!2 922!414!2 278!5 2!8 3!0 "!1

    15!0 375! 1!4 "!5 93!1

    23!4 280!" 3!1 14!1 5!0

    13!7 270!0 2!7 2!5 93!2

    17! 220!2 3!2 8!5 95!"

    20!3 20"!3 4!0 10!2 4!7

    15!1 2"7!1 3!4 4!2 9"!8

    24!5 280!8 3!3 "!2 910!1

    23!3 42"!3 1!5 "!1 917!3

    25!2 255!" 3!1 2!4 9!518!1 413!5 5! 8!7 11!

    12!1 1,01"!0 1!" 20!" 917!1

    ospital prescribingespense in t(e comm&nity

    % Bro't( since2012/13

    % Bro't( since2012/13

    % Bro't( since2012/13

    Ser!ices" #ll rights reser!e"

    d may only be reproduced where there is explicit reference to the ownership of The Health & Social Care Infornd at the followin web address# http#$$www.hscic.ov.uk$terms"and"conditions

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    otal

    32"!7

    327!1

    "31!2370!1

    375!8

    17!4

    434!1

    413!8

    57!5

    3"!5

    88!2

    477!3

    4!5412!4

    552!4

    427!2

    380!4

    352!3

    338!8

    473!2

    432!0

    "4!5

    408!751!

    2,38!8

    ation Centre. Permission for reproducin this material must be souht in advance from The Health &

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    Table 3: Estimated cost $er $erson for 2013-14 b& Area Team

    ?44 C+)@, A@@)B D A)@@E @ *

    ?45 #F@*, #@E)B # + @ *

    ?4 B@@ *C+@ @ *

    ?47 EC+)@ @ *

    ?4" *@+;+)# @ *

    ?48 CF*G@),@F*G,; D A@ @ *

    ?50 @ ;@H+)@ # F*G@ @ *

    ?51 +F ;@H+)@ # G++EA @ *

    ?52 A+ ;@H+)@ @ *

    ?53 @#,@@#+ D A@C+@ @ *

    ?54 G)@*)B* D GECH CF@; @ *

    ?55 #@G;+)@ # )B*+)@ @ *

    ?5 + BE) @ *

    ?57 ++I @ *

    ?5" @@#+)@ D +F *)#E#+ @ *

    ?58 E)C+@+)@ D E)CE+)@ @ *

    ?0 +@P+)@ # +@#+)@ @ *

    ?4 G,BE+,+A)# D A)E+)@ @ *

    ?5 G@)+E, +*, +* D + BE+ @ *

    ? #J,C@AEED)+E+ +C)EE; @ *

    ?7 H # *#A; @ *

    ?" +F@@; # +F++I @ *

    ?8 *+ JEE; @ *

    ?70 A++I @ *

    ?71 E# @ *

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an

    This work remains the sole and exclusive property of The Health & Social Care Inforadvance from The Health & Social Care Information Centre! further information on ou

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    ' $er $erson(

    ospital iss&es Primary Care otal

    8!04 170! 1!3 2"!07

    "!"2 1""!42 2!43 277!

    122!32 1"0!1" 1!37 303!""

    70!17 1"1!43 0!81 252!51

    11!3 187!80 1!28 315!55

    134!8" 1"1!70 3!32 320!00

    ""!41 170!00 1!"0 20!21

    102!42 17"!21 1!"1 2"2!44

    115!17 170!7" 1!1 2"7!11

    75!35 15"!75 3!74 237!"3

    110!"0 171!5 4!25 2"!1

    ""!48 148!20 3!77 241!4

    8"!0 12!28 3!34 24!23

    74!1 10!54 1!75 23!80

    2!"3 140!23 3!1" 20!24

    70!13 1!73 "!0" 244!84

    74!75 171!11 1!55 247!42

    "3!22 148!42 !43 238!0

    "4!42 144!"7 7!10 23!38

    10"!08 170!0 2!50 2"1!1"

    7!00 1!37 4!71 247!0"

    81!4" 157!82 3!00 252!40

    74!1 125!1" 1!17 200!50

    "4!35 152!71 3!57 240!2

    10!21 122!53 2!50 2"5!24

    ospital prescribingispense in t(e

    comm&nity

    Primary Care Ser!ices" #ll rights reser!e"

    ation Centre and may only be reproduced where there is explicit reference to the ownership of The Healthre"use policies and procedures can be found at the followin web address# http#$$www.hscic.ov.uk$terms"

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    & Social Care Information Centre. Permission for reproducin this material must be souht inand"conditions

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    Table 4: )ercentage of the total estimated cost b& Area Team

    ?44 C+)@, A@@)B D A)@@E @ *

    ?45 #F@*, #@E)B # + @ *

    ?4 B@@ *C+@ @ *

    ?47 EC+)@ @ *

    ?4" *@+;+)# @ *

    ?48 CF*G@),@F*G,; D A@ @ *

    ?50 @ ;@H+)@ # F*G@ @ *

    ?51 +F ;@H+)@ # G++EA @ *

    ?52 A+ ;@H+)@ @ *

    ?53 @#,@@#+ D A@C+@ @ *

    ?54 G)@*)B* D GECH CF@; @ *

    ?55 #@G;+)@ # )B*+)@ @ *

    ?5 + BE) @ *

    ?57 ++I @ *

    ?5" @@#+)@ D +F *)#E#+ @ *

    ?58 E)C+@+)@ D E)CE+)@ @ *

    ?0 +@P+)@ # +@#+)@ @ *

    ?4 G,BE+,+A)# D A)E+)@ @ *

    ?5 G@)+E, +*, +* D + BE+ @ *

    ? #J,C@AEED)+E+ +C)EE; @ *

    ?7 H # *#A; @ *

    ?" +F@@; # +F++I @ *

    ?8 *+ JEE; @ *

    ?70 A++I @ *

    ?71 E# @ *

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an

    This work remains the sole and exclusive property of The Health & Social Care Inforin advance from The Health & Social Care Information Centre! further information on

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    for 2013-14! b& sector

    ospital iss&es Primary Care

    35!" 3!7 0!5

    31!3 7!8 0!8

    40!3 58!3 0!5

    27!" 71!8 0!4

    3!8 2!7 0!4

    42!2 5!" 1!0

    34!0 5!3 0!7

    3!3 3!1 0!

    40!1 58!5 0!4

    31!7 !7 1!

    3"!7 58!8 1!5

    3! 1!" 1!

    37!3 1!4 1!3

    31!5 7!" 0!7

    30!5 "!0 1!5

    2"! "!1 3!3

    30!2 8!2 0!

    34!" 2!5 2!7

    35!7 1!3 3!0

    3"!4 0!7 0!8

    30!" 7!3 1!8

    3!2 2! 1!2

    37!0 2!4 0!

    35!1 3!5 1!5

    5!2 43!0 0!8

    ospital prescribingispense in t(e

    comm&nity

    Primary Care Ser!ices" #ll rights reser!e"

    ation Centre and may only be reproduced where there is explicit reference to the ownership of Theur re"use policies and procedures can be found at the followin web address# http#$$www.hscic.o

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    Health & Social Care Information Centre. Permission for reproducin this material must be souht.uk$terms"and"conditions

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    Table *: To$ 10 medicines b& cost for medicines $ositi+el& a$$raised b&

    ospital iss&es Cost

    alim&mab 284,10!1

    @anibiK&mab 243,81"!3

    tanercept 221,02"!1

    )nLiMimab 142,158!0

    @it&Mimab 135,57!2

    rast&K&mab 123,470!

    Eenaliomie 103,57"!2

    biraterone "",""!4

    )matinib 5,88"!3

    #ocetaMel 2,3"8!7

    Copyright 2014, The Health & Social Care Information Centre, Prescribing an Primary Care

    This work remains the sole and exclusive property of The Health & Social Care Information Centre ansouht in advance from The Health & Social Care Information Centre! further information on our re"us

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    E issued in hos$ital in 2013-14

    er!ices" #ll rights reser!e"

    may only be reproduced where there is explicit reference to the ownership of The Health & Social Care Infopolicies and procedures can be found at the followin web address# http#$$www.hscic.ov.uk$terms"and"con

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    mation Centre. Permission for reproducin this material must beitions

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    Table /: To$ 10 medicines b& cost for medicines $ositi+el& a$$raised b& ,

    Primary Care Cost

    )ns&lin glargine 7",324!4

    G&prenorp(ine

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    $rescribed in $rimar& care in 2013-14

    es" #ll rights reser!e"

    only be reproduced where there is explicit reference to the ownership of The Health & Social Care Informaticic.ov.uk$terms"and"conditions

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    n Centre. Permission for reproducin this material must be souht in advance from The Health & Social Car

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    Information Centre! further

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    Table : To$ 10 medicines b& cost for medicines $ositi+el& a$$raised b& ,E

    ospital prescribing ispense in t(e comm&nity Cost

    )nterferon beta 1,57!7

    alim&mab 15,85!5

    tanercept 11,3"7!

    )matinib ,82!3

    *et(ylp(eniate 5,423!"

    *et(aone 4,34"!7

    *emantine 4,017!

    ripipraKole 3,785!0

    acrolim&s 3,114!0

    G&prenorp(ine

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    $rescribed in hos$ital but dis$ensed in the communit& ')10)( in 2013-14

    s" #ll rights reser!e"

    nly be reproduced where there is explicit reference to the ownership of The Health & Social Care Informatioic.ov.uk$terms"and"conditions

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    Centre. Permission for reproducin this material must be souht in advance from The Health & Social Care

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    Information Centre! further

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    Table : +erall to$ 20 medicines b& cost for medicines $ositi+el& a$$raised

    .erall Cost

    alim&mab 311,0"4!2

    @anibiK&mab 243,818!"

    tanercept 233,415!

    )nLiMimab 142,12!"

    @it&Mimab 135,0!1

    rast&K&mab 123,471!"

    Eenaliomie 104,182!8

    biraterone "",817!"

    )ns&lin glargine "0,14!2

    )matinib 73,18!3

    G&prenorp(ine

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    b& ,E $rescribed or issued in all sectors in 2013-14

    ces" #ll rights reser!e"

    only be reproduced where there is explicit reference to the ownership of The Health & Social Care Informaticic.ov.uk$terms"and"conditions

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    on Centre. Permission for reproducin this material must be souht in advance from The Health & Social Car

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    e Information Centre! further