People are increasingly avoiding NHS appointments and prescriptions due to cost of living, Healthwatch warns

The number of people avoiding an NHS appointment because they can’t afford travel almost doubled between October and December as the cost of living crisis is forcing many to change how they use health and care services.
A woman with a blanket around her drinking a hot drink

With spiralling costs of living, Healthwatch is warning people are making changes to how they use health and social care services, which can have an adverse impact on their health and wellbeing.

The impact the cost-of-living crisis is having on many people’s ability to heat their homes and eat well has been widely reported. However, new Healthwatch data suggests people are increasingly avoiding prescriptions, out-of-pocket costs for carers and attending NHS appointments due to the costs involved.

National body Healthwatch England conducted a tracker poll with 2,000 adults in England between October and December to assess the impact of the cost of living on their health and wellbeing and whether it has affected how they use health and social care services. It it found that more people avoided getting prescription medicines, and booking NHS appointments, including dental treatment, due to the fear of extra costs in December than in October.

People are avoiding vital care due to the fear of extra costs

The number of people who avoided an NHS appointment due to the cost of travel doubled to almost one in 10, 11%, in December, up from 6% in October. 

The poll also found that in December: 

  • Over one in ten (11%) have avoided booking an NHS appointment because they couldn’t afford the associated costs, such as accessing the Internet or the cost of a phone call; up from 7% in October;
  • 15% of respondents avoided going to a dentist because of the cost of checks ups or treatment, an up from 12% in October;
  • And one in ten (10%) people have also avoided taking up one or more NHS prescriptions because of the cost, up from 6% in October;
  • One in ten (10%) avoided buying over the counter medication they normally rely on, up from 7% in October.

More than a third of the respondents, 39%, said that the changes they have made to keep up with the rising cost of living have negatively affected their mental health, while 35% said their physical health had got worse in the last two months.

The findings also suggest women are disproportionally affected by spiralling costs compared to men and more have taken action to cut back on:

  • heating, which 42% of women have not turned on when they usually would, compared to 33% of men;
  • food, which 27% of women say they have bought less of, because of the increased cost, compared to 20% of men; and
  • energy costs in general, with 33% of women saying they have turned off or avoided using essential appliances to save energy costs, compared to 25% of men.

The steps people are taking to cope with the cost of living can have serious implications on their physical and mental health.

Louise Ansari, National Director of Healthwatch England

Louise Ansari, National Director of Healthwatch England said: "It is clear that the impact of the cost of living crisis on people’s health and wellbeing is beginning to hit home.

"We are very worried that people are increasingly avoiding getting prescription medicines, booking NHS appointments and travelling to their appointments because of the extra costs. The steps people are taking to cope with the cost of living can have serious implications on their physical and mental health. This is likely to place a further burden on the already stretched NHS."

Sarah Sweeney, Interim Chief Executive of National Voices said: "People living with ill health and disability are much more likely than others to be pulled into poverty because of the cost of living crisis. Healthwatch England’s research echoes with insights we hear from our members – that many people are being forced to make impossible decisions between heating, eating, medications and keeping medical devices running. We support Healthwatch England’s recommendations and urge the government and health and care services to ensure people with ill health can stay afloat during these challenging times."

Recommendations

Healthwatch England set out immediate actions the government working with health and care services can take to support people in the cost-of-living crisis and save money:

Prescriptions:

  • GP should offer people over the counter medications on prescription based on socio-economic grounds;
  • Primary care staff should make sure patients on lots of medication are aware of the annual prescription option.

Travel:

  • NHS England should ensure people are aware of access to patient transport services or travel reimbursement schemes

Dental care:

  • Dentists should follow NICE guidance to offer dental check-ups based on the patient’s individual risk factors. This will help free up NHS slots for more people who currently can’t find an NHS dentist and are forced to go private.

Remote bookings and appointments:

  • NHS England should work with Ofcom and telecommunications companies to ensure that hospital and GP phone numbers are part of freephone service, so cost is never a barrier to phoning a health service.

Tell us whether you've changed how you use health and social care services as a result of the cost of living crisis by clicking the pink 'Talk to us' button below and completing our feedback form.