|Social Audit Ltd|
|P O Box 111 London NW1 8XG|
|Telephone/Fax 44 (0)171 586 7771|
|The Rt. Hon. Frank Dobson PC MP|
|Secretary of State for Health|
|London SW1A 2NS||20 October 1998|
I am writing to suggest one way in which the Department might consolidate this initiative. Perhaps you could encourage the Prescription Pricing Authority to modify the PACT printouts it regularly sends to doctors, to advise about the numbers and cost of the 'less suitable' drugs they are prescribing, with an indication of how their performance compares with the average. The point about these products is not that they are always going to be wrong for every patient, but that doctors should be especially ready to justify such prescribing when there may well be better alternatives - and that the NHS should positively encourage this.
For your interest, I am enclosing copies of letters I have written to Professor Sir Charles George, and to the Select Committee on Health.
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