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Prof Hawthorne added: 'The most vulnerable in society are of course affected the most [by the cost-of-living crisis], and GPs witness how higher prices are affecting the health of our patients every day in our surgeries.

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The Sussexes could have easily joined them, remaining safe in their Montecito compound 90 miles away. Instead, they've been handing out food parcels at an evacuation centre, meeting rescue teams and visiting burnt-out houses, doing their best to comfort those who have lost their homes.
I may not be the couple's biggest fan, but even I cannot deny they have stepped up to the plate faster and more effectively than other A-listers, many of whom seem preoccupied with protecting their own patches and ensuring the luxury to which they have become accustomed is maintained.

Stories of stars holed up in £1,000-a-night hotels, sipping cocktails while Hollywood burns and summoning Pilates instructors and injectables - from Botox to Ozempic - to their suites contrast with the fate of ordinary Angelinos, casting Tinseltown's elite in a very unflattering light.

Of course it's not her fault. It's just events, dear boy, events. She couldn't have anticipated such a catastrophe. But surely there's no way the show can be broadcast while her neighbouring hillsides are still smouldering, and when its level of simpering smugness and general self-congratulatory superiority (if the trailer is anything to go by) is so acute.

In a funny kind of a way, though, this could be a PR blessing for the estranged royals. Because if I were advising Harry and Meghan how to rehabilitate their somewhat tarnished image, the last thing I would have advocated is a sycophantic smug-fest which, in essence, rubs everyone's noses in their lavish lifestyle.

Although official NHS guidance clearly states over-the-counter products like standard multivitamin tablets, non-medicated anti-dandruff shampoo and regular infant formula should not be prescribed, doctors can use their discretion to overrule this when they think it is necessary.

An NHS spokesperson said: 'GPs are expert medical professionals and use their knowledge to prescribe treatments that keep patients healthy and prevent further ill health. The NHS is one of the most efficient health services in the world and GPs are acutely aware of how much prescriptions cost the NHS, and will always encourage patients to buy 'over the counter' products.'

It is likely the steep rise has been driven by the soaring retail price of baby formula. Costs climbed by 25 per cent in the two years to late 2023, according to the Competition and Markets Authority (CMA) watchdog. Next month [FEB], it is expected to publish its report into whether there has been profiteering by the formula industry.

Quite tricky to be seen Marie-Antoinetting - putting frilly lids on jam jars and making ladybird petits-fours in a stunning mansion with a lush foliage backdrop - while, in real life, people pick over the molten debris of their lives.

Nine out of ten prescriptions dispensed in England are issued free of charge - although 40 per cent of the population are liable to pay for their prescriptions - Government figures show. Those who are exempt from paying include children under 16 (or under 18 in full-time education), adults over 60, and people receiving some benefits or tax credits, including those on Universal Credit whose incomes are below a certain threshold.

In 2021/22, doctors issued 201 prescriptions for standard formula - a small number which reflects how rare it was for normal infant formula to be prescribed as a medicine. But by 2023/34, the number of annual prescriptions had risen to 362.

There was a 16 per cent rise in two years in GP prescriptions for everyday adult multivitamin tablets from over-the-counter brands, including Boots, Superdrug and Tesco. The number of prescriptions issued rose from around 151,600 in 2021/22 to 175,000 in 2023/24.

NHS chiefs updated their prescribing guidance in November to reiterate that vitamins and toiletries should not be prescribed, except in circumstances where doctors felt 'the patient's ability to self-care is compromised because of medical, mental health or significant social vulnerability to the extent that their health and/or wellbeing could be adversely affected'.
Professor Kamila Hawthorne, chair of the Royal College of GPs, said that GPs would not prescribe items without 'a good reason' and that doctors took into account all aspects of a patient's health, including 'physical, psychological and social factors'.

These prescriptions were for everyday 'household and over the counter' items, including Colgate Total toothpaste, Ambre Solaire after-sun lotion and Neutrogena and Aveeno shampoos - not special medicated prescription products, which are recorded separately.

And the number prescriptions for standard brands of baby formula, including SMA Little Steps and Aptamil 1, jumped by 80 per cent in two years and a by a third in the last year alone - despite clear guidelines stating NHS chiefs do not 'approve' these prescriptions.
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