Should prescriptions in England be free for everyone, as they are in the rest of the UK?
HealthEnded 29 Oct

Should prescriptions in England be free for everyone, as they are in the rest of the UK?

Yes 64%No 36%2,041 votes cast

England is the only UK nation that charges for NHS prescriptions: £9.90 per item in 2026/27, frozen for a second year. Wales abolished charges in 2007, Northern Ireland in 2010 and Scotland in 2011. About 89% of items are already dispensed free, because children, over-60s, those on certain benefits and people with listed conditions are exempt. In October 2026 pharmacy bodies and charities pressed the Chancellor to scrap the charge before the Budget. The National Pharmacy Association estimates the charges raised about £733 million in 2025/26.

Jump to opinions· 72

England voted comfortably to make prescriptions free, but the best-received argument came from the losing side, and it was oddly pitched: a No voter who wanted the other nations dragged into paying. “It's not fair that England is basically subsidising the other nations,” ran the most-respected No case, which kept existing exemptions and urged staff to point patients to cheaper shelf products.

The most-respected Yes case was angrier and more personal. It called the charge “an outrageous state of affairs”, arguing that working, taxed people are the ones who need keeping healthy. Others made the fairness point in different terms: one called the charge “horribly regressive”, another said it was “a financial penalty for something outside of their control”.

No voters mostly argued money and mechanics. “Free doesn’t exist, it’s just paid for by someone else,” said one, while another was weary of borrowing and interest costs. A well-respected No voice wanted the flat fee scrapped for tiered pricing, a point no Yes voter took up. Yes voters in turn conceded ground: several said paracetamol should be bought over the counter, not prescribed.

That shared ground is the story. Both camps worried about cheap items on prescription, and both pointed north and west, one side to Scotland and Wales as proof, another to the Barnett formula as the hidden bill.

In the end the argument was less about whether the charge is fair than about who ends up paying for free.

“It's shameful that taxpayers have to pay for prescriptions. It's not unknown for someone who is working to have to choose what medication they can afford, and these are people who are paying into the system and producing. This is an outrageous state of affairs. Savings can be made elsewhere in the NHS, but working, taxed people are the sector of society who need to be kept healthy, but they are th”

YES case · DarranClements · 4 respects

“NO.... BUT the rest of the UK should also pay for prescriptions. It's not fair that England is basically subsidising the other nations. There should obviously be exceptions (that are already legislated for & in place) to the rules. However medical staff should be saying to patients, you don't need a prescription for this product, you can buy it cheaper yourself on the supermarket shelf.”

NO case · Old_school_liberal · 9 respects

64%
Yes
majority
36% No
Votes2,041
Skipped20
You—

% voting yes, by leaning

92% yes among H. Left voters, 84 of them
80% yes among Left voters, 223 of them
71% yes among C. Left voters, 225 of them
61% yes among Centre voters, 278 of them
54% yes among C. Right voters, 279 of them
51% yes among Right voters, 725 of them
43% yes among H. Right voters, 246 of them
H. Left
Left
C. Left
Centre
C. Right
Right
H. Right
Cite this result

refnation referendum, closed 28 October 2026: “Should prescriptions in England be free for everyone, as they are in the rest of the UK?” — Yes 64%, weighted by political leaning (2,041 votes).

Free to quote with a link to this page — Copy includes it.

Download the counts (CSV) — the votes behind this result, by leaning, party, region and age.

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Debate

72 Opinions

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The Peacemaker
Voted noC. Left lean

NO.... BUT the rest of the UK should also pay for prescriptions. It's not fair that England is basically subsidising the other nations. There should obviously be exceptions (that are already legislated for & in place) to the rules. However medical staff should be saying to patients, you don't need a prescription for this product, you can buy it cheaper yourself on the supermarket shelf. Edited

The Naysayer
Voted noC. Right lean

But remove the flat fee. Being made to pay £9.90 for one or two emergency pills is ridiculous. I would be in favour of tiered fees for prescriptions so they are roughly in line with what you’re actually paying for while keeping current exemptions in place.

The Common-Ownership Liberationist
Voted yesH. Left lean

Yes, it should be free. For those with chronic ill health, having to pay for a prescription is a financial penalty for something outside of their control.

The Low-Tax Absolutist
Voted yesH. Right lean

It's shameful that taxpayers have to pay for prescriptions. It's not unknown for someone who is working to have to choose what medication they can afford, and these are people who are paying into the system and producing. This is an outrageous state of affairs. Savings can be made elsewhere in the NHS, but working, taxed people are the sector of society who need to be kept healthy, but they are the sector who really don't have treatment that's free at the point of care.

The Contrarian
Voted noC. Left lean

No. There are exemptions in place for: under 16s, 16–18s in education, or those 60+. Medical: Valid MedEx (specific conditions or severe physical disability). Income: Low income or qualifying state benefits. Maternity: Pregnant or gave birth in the past year. Rather than a blanket free-to-all, I'd rather see money invested into state-owned pharmacies, as it's become harder to collect medication as so many have closed their doors.

Glasses· 904
The Command-and-Control Right
Voted noRight lean

Under 16 free, everyone else £5 per prescription. Items cheaper than that ie aspirin,pain killers, cough medication, should be removed from prescription. Long term medication could purchase quarterly, yearly option at cheaper price.

The Early-Days Centre-Right
Voted yesRight lean

I get free prescriptions because I have a listed condition but the medication I need cost €2 over-the-counter in Europe… I also got fined when I forgot to renew . I expect the savings in administration would’ve would mitigate quite a lot of the extra cost. And also allowing more medication to be sold over-the-counter what would help.

Amy252· 310
The Ledger-Keeper
Voted yesRight lean

Yes prescriptions should be free within reason people should not be getting paracetamol on prescription when its 35p in the supermarket but inhalers, insulin etc should be free

effDorff· 121
The Unifier
Voted noH. Right lean

No, prescriptions should be paid for by everyone. The people that work for a living shouldn't be paying £11.40 for the NHS to give a grifter a 16p packet of aspirin.

The Polymath
Voted yesRight lean

Yes. And all purchasing centralised for bulk discounts.