The (further) decline of homeopathy on the NHS

As yet another World Homeopathy Awareness Week starts, we should be aware that it appears to be in terminal decline in the English NHS

A year ago, we reported on the decline in the number of English NHS prescriptions for homeopathy that were fulfilled in community pharmacies. This showed a steady decline over the previous 17 years, down to just 7.5% of the number in 1996, with each year fewer than the previous.

These data come from the Prescription Cost Analysis data for England provided by the Health and Social Care Information Centre (HSCIC), the official source of data on the NHS.

My blog post, An idiot’s guide to understanding NHS homeopathy prescription data, gave the details of where these data came from and how to extract them so anyone could check for themselves.

The information is published annually and the data for 2014 have just been published.

So, has the decline of the previous 17 years been halted?

I've updated my charts to include the new data from 2014.

The decline of homeopathy in the NHS number of prescription items 2014

The decline of homeopathy on the NHS prescription costs 2014

The rising cost of homeopathy in the NHS 2014

The complete data for these charts are (all these figures can be verified from the original HSCIC data):

Year	Prescription Items	Net Ingredient Cost	Cost/item
1995	164,207	£816,798	£4.97
1996	172,013	£914,983	£5.32
1997	162,421	£937,311	£5.77
1998	157,063	£927,633	£5.91
1999	147,769	£888,274	£6.01
2000	134,164	£831,130	£6.19
2001	127,333	£807,125	£6.34
2002	117,989	£778,749	£6.60
2003	103,940	£714,938	£6.88
2004	94,501	£661,469	£7.00
2005	82,960	£593,316	£7.15
2006	62,679	£442,769	£7.06
2007	49,316	£321,418	£6.52
2008	26,337	£152,300	£5.78
2009	19,005	£100,486	£5.29
2010	16,359	£121,449	£7.42
2011	15,501	£130,601	£8.43
2012	15,262	£143,068	£9.37
2013	13,001	£137,298	£10.56
2014	10,238	£110,438	£10.79

So, what does this show?

In 2014, the number of prescriptions for homeopathy fell for the eighteenth consecutive year, this time by over 21% — the fourth largest percentage fall since 1995 — continuing the downward spiral.

The number of prescriptions are now just 6% of what they were at their peak in 1996 — a fall of over 94%.

The total cost of these prescriptions also fell by 20% to a new low.

The cost per prescription has risen again, this time by 2%, compared to an increase of 13% in 2012/2013.

It's clear that doctors are writing fewer homeopathy prescriptions, but because these figures are for England only, the decisions by NHS Tayside and NHS Lothian in the past few years (and the recent decision by NHS Lanarkshire) to cease funding homeopathy referrals cannot explain this continued decline.

At the start of World Homeopathy Awareness Week, perhaps doctors are now more aware than ever that prescribing 'medicines' for which there is no good evidence can no longer be justified either on medical¹ or ethical² grounds.

References

1 “NHMRC Statement on Homeopathy and NHMRC Information Paper - Evidence on the Effectiveness of Homeopathy for Treating Health Conditions | National Health and Medical Research Council.” Accessed March 11, 2015. http://www.nhmrc.gov.au/guidelines-publications/cam02.

2 Shaw, David M. “Homeopathy Is Where the Harm Is: Five Unethical Effects of Funding Unscientific ‘remedies.’” Journal of Medical Ethics 36, no. 3 (March 1, 2010): 130–31. doi:10.1136/jme.2009.034959.

10 April 2015

Challenging misleading healthcare claims.