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AIBU to think this is a silly waste of NHS money...

(53 Posts)
LoopyLou1981 Thu 23-Nov-17 17:09:41

Before I start, I’d like to say I love the NHS and this isn’t having a go at the Drs, nurses etc (it’s more of an admin thing).
My lb has been prescribed amoxicillin. The dose is 3 x 5ml per day for 7 days (so 105ml for the full prescription). In order for the pharmacy to fulfil this they have to give my 2 100ml bottles so I’m wasting most of the 2nd bottle. Now I understand that the dose for this medicine will be different for older children but this seems like a ridiculous waste.
Wibu to think it wouldn’t be that hard to make a 105ml bottle (or other convenient bottle sizes for other common doses)?!x

Ttbb Thu 23-Nov-17 17:18:13

This would be a supply issue. The NHS doesn't make drugs. Either there isn't enough of an issue surrounding wastage for the NHS to complain to the supplier or the supplier has refused to provide different sizes for obvious reasons. If it bothers you then write to the supplier.

nocake Thu 23-Nov-17 17:30:11

Taking a guess here but it's probably more cost effective to only stock one size of bottle and allow for the waste than to stock different sizes.

minniemummy0 Thu 23-Nov-17 17:32:18

Whenever I’ve got a prescription like that I’ve been given the exact amount, with the pharmacist taking some from another packet. They keep the rest and I presume either dispose of it or keep it for someone else who has a prescription that doesn’t match the packet size?? They shouldn’t really be giving you all those extra antibiotics really!!

BikeRunSki Thu 23-Nov-17 17:33:01

That’s the dosage for your child though OP. Other children, other conditions have different dosages. DS once had a 3 week prescription!

KimmySchmidt1 Thu 23-Nov-17 17:33:21

every dosage will be different. It would not be cost efective to pay the supplier to have a bespoke dosage for every case - that would be insane.

amoxicillin is very cheap as medicines go anyway.

Generally, the NHS is much more efficient than most in terms of buying power because it has a massive monopoly, orders massive amounts, and so has huge power.

TDHManchester Thu 23-Nov-17 17:36:15

The NHS is brilliant at wasting public money. Its one of the big things it does. Procurement and supply contracts are well known for costing fortunes more than you can get elsewhere.

Llanali Thu 23-Nov-17 17:39:23

I’m surprised at this. Most pharmacies make amoxicillin suspension up for the scripts, they may use 100ml bottles but the second one isn’t full.

Either way, as above, one size fits all is more appropriate; a key issue in pharmacy is stocking space. Not enough shelves!!

AmySueGina Thu 23-Nov-17 17:40:17

Wibu to think it wouldn’t be that hard to make a 105ml bottle

Yes, it would be really hard actually. The NHS doesn't make drugs (well they make some but not everyday drugs like this). They come from companies already supplied and of course companies aren't going to make bottles in multiples of 5ml or whatever.

Reminds me of the Ali G sketch when he's asking why money comes in set amounts like £1, £2, 5p, 10p etc and there isn't a £2.98 coin or a £6.47 coin or a £2.14 coin.

Ellisandra Thu 23-Nov-17 17:47:54

From a supplier's point of view... (I don't make plastic bottles, but I am in manufacturing)

I can make a 100ml empty bottle.
I can run the production line to make it (and the drug company can run their line to fill it) 24/7.

Or I can stop my line, change over my equipment, and switch to making 105ml bottles every other Tuesday. Don't forget the drug company has to stop their line and reset their dosing machine to add 105ml of drug now.

I need to change my outer packaging too - those 105ml bottle don't go in the same cardboard box as the 100ml. How about one size box? Well, that's going to create waste too - unnecessary space left, for every X number of boxes that aren't quite full, I need to run a whole extra truck to deliver them.

I need to use some employee time to manage the mix of orders between 105ml and 100ml bottles.

Etc etc.

Sometimes, you don't see where the cost saving is. Maybe £1m of drug suspension is wasted this way. But maybe £2m was saved by using a single size bottle.

You have to look at the total supply chain to understand where the best cost saving is.

LoopyLou1981 Thu 23-Nov-17 17:50:58

The bottles would easily fit another 25mls in so your argument has fallen on its arse there really.

LemonShark Thu 23-Nov-17 17:52:57

That is... odd, to say the least. Chemists have to give you what you've been prescribed, no more. It could be very dangerous to give someone more than they've been prescribed for various reasons (someone might be confused and just keep taking it or take too much and overdose). When I've been prescribed 300ml of something and they only have a 500ml bottle they simply pour out 200ml (and I assume keep it for another prescription) and hand me a bottle 3/5ths full. They don't just saw screw it and give me prescription only medication a doctor hadn't prescribed me.

If your story is exactly as you've laid out here, they've made a mistake. Are you sure your gp didn't prescribe 200ml on the prescription? Are you maybe adding up the doses and getting the sum wrong? Or did the gp prescribe extra in case 105ml isn't enough?

I assure you this isn't one of the ways the NHS wastes money as this just wouldn't happen without an error

Sirzy Thu 23-Nov-17 17:53:28

For most antibtitics they come in to the chemist with the right amount of medicine in powder form and then it is made up in the chemist with sterile water isn’t it?

So making an extra 5ml sadly isn’t that simple!

MaidOfStars Thu 23-Nov-17 17:54:25

The bottles would easily fit another 25mls in so your argument has fallen on its arse there really
Says someone with no idea of pharma manufacturing.

The effort that goes into even the simplest label checks when a line starts a different run is an admin nightmare.

LoopyLou1981 Thu 23-Nov-17 17:56:11

Also, I never suggested making dozens of different sizes. This is a children’s medicine for common complaints. I would imagine that 105ml is a pretty common dose.

LoopyLou1981 Thu 23-Nov-17 17:57:51

No. The prescription is as states. He’s had it 3 times in his life and every time I have been given 2 100ml bottles but thank you for suggesting that I can’t care for my own children.

AmySueGina Thu 23-Nov-17 18:01:43

The bottles would easily fit another 25mls in so your argument has fallen on its arse there really

grin LOL @ the complete ignorance of how drug manufacturing and supply works.

LoopyLou1981 Thu 23-Nov-17 18:07:26

It’s been ages since I’ve posted on here. I forgot how cruel people can be.
Thank you for putting me in my place and reducing a frazzled Mum with two poorly babies to tears.
I’ve never understood why people would only comment on something to put someone down. You must all be amazing human beings x

Mulberry72 Thu 23-Nov-17 18:09:31

I experienced a (what I believe) crazy waste of NHS money, although someone may be able to explain why this was done.

I had an outpatients appointment on a Friday morning, I had a taxi driver banging on my front door at 8am on the Thursday morning to hand me a letter to say that my appointment on the Friday morning was cancelled!

Why not phone or text? I enquirer with a local Taxi firm to find out the cost of travelling to my home from the hospital and they quoted £12-£15! I get it’s not much in the grand scheme of things but it really struck my as ludicrous!!

LemonShark Thu 23-Nov-17 18:10:27

"thank you for suggesting that I can’t care for my own children."... because I queried if you were sure about the doses? hmm are you setting out looking to be offended or upset? Cos you asked a question and people have responded trying to help, while your responses have been twattish to say the least "your argument has fallen on its arse there really" and what you've just said to me.

Perhaps you need to look in the mirror and think about how you're coming across to people trying to help you instead of going for the sympathy vote and acting like you've been piled onto when you really haven't. hmm

LoopyLou1981 Thu 23-Nov-17 18:12:01

You really are awful aren’t you. Do you speak to people in real life like this?x

Sirzy Thu 23-Nov-17 18:12:35

I think you are very much misreading people’s posts here! Or you are looking for reason to be offended?

LoopyLou1981 Thu 23-Nov-17 18:13:47

Wow Mulberry! That really is quite incredible! 😂 x

LemonShark Thu 23-Nov-17 18:16:00

If you're gonna get your knickers in a twist and wilfully misread people's posts and use them as fuel to pretend to be offended there's not really anything anyone can actually say go you, is there? I'm sorry you feel this is a good use of your time
😂

LoopyLou1981 Thu 23-Nov-17 18:18:22

You didn’t answer my question...do you speak to people like this in real life?x

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