In the UK, treatment is free at the point of delivery, although patients have to pay a basic fee (£8.60 per item) for each prescription. This chosen route has not been without controversy historically speaking. In 2010, Tom Dolphin, a leading member of the British Medical Association described homeopathy as ‘witchcraft.’
The NHS system is partly funded by a National Insurance scheme, which British citizens pay into through wages.
While it is of course possible to take out private health insurance, the NHS was founded in order to provide for everyone, including the poorest and most marginalized members of society. The system has been extended in recent years to include some alternative treatments. Over the last 5 years, the NHSE has spent over £600,000 on homeopathic treatments.
However, as noted, there has been dissent based on the assertion that homeopathic remedies are not evidence based. Now, the NHSE is saying that prescribing homeopathic and herbal remedies is a ‘misuse of scarce funds.’ NHSE chief Simon Stevens commented that “at best homeopathy is a placebo.” He said that “NHSE funds which could be better devoted to treatments that work.”
The NHSE includes 16 other treatments in the ban and is encouraging patients to buy over-the-counter remedies for complaints, such as indigestion and sore throats with the aim of saving approximately £250 million a year. The ban covers some 17 items, including herbal medicines, Omega-3 fatty acids, liniments, and travel vaccines.
Professor Helen Stokes-Lampard, the chair of the Royal College of GPs (general practitioners), said that reducing prescription costs was desirable, but warned that the more vulnerable members of society could be significantly affected.
Stokes-Lampard said, “If patients are in a position that they can afford to buy over the counter medicines and products, then we would encourage them to do so rather than request a prescription – but imposing blanket policies on GPs, that don’t take into account demographic differences across the country, or that don’t allow for flexibility for a patient’s individual circumstances, risks alienating the most vulnerable in society.”
Michael Marshall is the President of the Good Thinking Society, which has threatened to put the Department of Health up for a judicial review if it failed to blacklist homeopathic and herbal preparations. Marshall states:
This is very welcome news…Every credible medical body certainly knows that homeopathic remedies are just not effective for any conditions at all and it is great to see this strong statement from NHS England officially acknowledging the fact.
However, Cristal Sumner, chief executive of the British Homeopathic Association and the creator of the recent petition, says the NHS plans were “bad for its already overstretched budget and for patients.”
She has criticized the report used to draw up the new guidelines, commenting that, “This recommendation is not cost effective as patients will be prescribed more expensive conventional drugs in place of homeopathy, which defeats the object of the exercise.”
Don Redding, policy director at National Voices, an umbrella organization which covers 140 health care charities, including the British Heart Foundation, suggests that this is bringing charges in through the back door.
He believes that that those who are unable to pay will now be unable to obtain treatment. This, he says, violates the ‘free at the point of use’ principle which underpins the foundation of the NHS.
Alternative medicine is a topic of considerable interest within the Pagan community. However, Pagans appear to be divided on the issue.
Those who practice alternative forms of medicine are skeptical about the ban and have been publicizing the petition, while others have reservations about the evidence-basis of some alternative practices.
Concerns have also been raised about making rash and unsupported equivalences between different types of practices.
Helen Compton says, “My initial reaction to the ban, as a herbalist, is that they are incorrectly lumping us in with homeopaths, nothing wrong with homeopathy but herbalism is a very different healing modality. ”
“The intent behind this incorrect conflation seems generally malign, to show herbal medicine as an ineffective waste of time,” Compton explains.
“Also, seems that it doesn’t make clear that herbal medicine largely isn’t available on the NHS, the ban concerns things like senna etc. It is limiting patient choice of generally safe and cheap medicines, not logical and I sense the hand of large pharmaceutical companies somewhere behind this.”
However, not all Pagans are critical of the ban, with some calling for tighter controls on alternative medicine and more extensive use of peer review.
Herbalist Helen Maria says, “unless they’ve been properly trained doctors are not qualified to prescribe herbs. It is not symptomatic prescribing like pharmaceutical drugs.”
Maria goes on to further explain, “[Herbalism] is individualistic and looking at the root cause. It is not really possible to go nettle = eczema because the cause of everyone’s eczema is different. Therefore I’m sort of happy they’re not doing it. On the other hand this smacks of further marginalising, and discrediting other healing modalities.”
There is a general consensus, however, that the ban is part of a move to induce patients to pay for a greater range of over-the-counter remedies, which is in turn an aspect of the funding crisis currently experienced by the British National Health Service.
The online petition, which has now reached over 16,000 signatures, will be open to signatures through March 13, 2018.