Getting free prescriptions in England

A photo of my NHS Medical Exemption Certificate which entitles me to free prescriptions

As well as a free bus pass, one of the silver linings of being diagnosed with epilepsy is that I no longer have to pay for prescription medication. Epilepsy is one of several medical conditions which makes me eligible for a medical exemption certificate which you can get from the NHS Business Services Authority.

There are several other reasons why you may qualify for free prescriptions:

  1. You live in Scotland, Wales or Northern Ireland. The devolved administrations in these countries have abolished prescription charges, so all their residents get free prescriptions. Yorkshire hasn’t yet obtained sufficient devolution from the rest of England to roll this out, and we’re not in a position to move over the borders at the moment.
  2. You’re under 16, 16-18 and in full-time education, or over 60. Children don’t pay for prescriptions, nor do those receiving full-time further education, and once you turn 60, you don’t have to pay either.
  3. You’re in receipt of certain benefits. Some recipients of universal credit, pension credits or who are on low incomes can claim free prescriptions too.
  4. You have a medical condition that requires regular medication. This is the one I now fall into.

Asthma and free prescriptions

Now, I’ve been asthmatic since I was three, and have had to take prescription medication every day since then to literally help me breathe. However, asthma is not one of the medical conditions where you can claim a medical exemption certificate. This means that, since I turned 19, I have been paying for my asthma medication – until this summer, that is.

In recent years I have had an NHS Prescription Prepayment Certificate (PPC), which is like a season pass for prescriptions. I make 10 monthly payments by direct debit, and can then get as many medicines as I am prescribed without having to pay for them individually. If you need at least one item of medication each month, then a PPC will save you money.

How to apply for free prescriptions

Once it became clear that I would need to take Levetiracetam twice a day, every day, probably for the rest of my life, I filled out an exemption form. Most pharmacies should have a supply of these forms (which are on paper), and you’ll just need to take it along to your GP practice for it to be signed and stamped. Within a few weeks, I had received my medical exemption certificate – a credit-card sized piece of card which gives me free prescriptions for five years. Notably, my direct debit payments for my PPC were also automatically cancelled when this was issued, which was nice.

It would have been nice if my asthma would have been enough to get free prescriptions on its own. Over the years, I have literally spent thousands of pounds on medication just to ensure that I can breathe. But at least now I probably won’t have to pay any prescription charges again – unless we manage to somehow cure my epilepsy within the next five years.

My new glasses

A selfie photo of me wearing my new varifocal glasses at the Manchester Museum

I have new glasses now. These are my third pair since I started wearing glasses in 2021, and, for the first time, I have varifocal lenses in them.

My eye test was actually back in July, and I picked up the new pair in August, so I’ve had almost two months to get used to them. As with last time, I also picked up a new pair of sunglasses with the same prescription. I brought our ten-year-old with me, and they help me choose the style of frame. They’re actually very similar to my first pair, and not very different to my second pair either, but we agreed that they suited me and weren’t too expensive.

Varifocals

Varifocal lenses are quite common nowadays, but these were my first pair. Although I’ve primarily worn glasses for distance vision until now, since my last eye test in 2024, it seems like I also need the lenses to help me with near vision as well. In years gone by, this would have meant bifocal lenses, where there’s a clear line across the lenses with the top half for distance vision and the bottom half for near vision. I remember my parents wearing bifocals when I was younger.

Varifocal lenses are an improvement on this. Instead of a clear line, the shape of the lens varies from top to bottom. This makes it feel more natural; you still look out of the bottom part of the lens for near vision and the top part for distance, but there isn’t a defined line between the zones.

The bad news is that varifocal lenses are more expensive than standard lenses, and so buying two pairs of glasses (a regular pair and sunglasses) cost the best part of £400 from a well-known high street chain of optometrists. Potentially I could have saved money by taking my prescription to an online seller, but at least when you have them fitted in person, there’s a qualified dispensing optician there to make sure your glasses fit properly.

Getting used to my new glasses

Mine probably need some minor adjustments – they keep sliding down my nose, making it harder to see through the lower part of the lenses for near vision. But I’m happy with them on the whole. They’re still a relatively weak prescription, but not having my glasses on for long periods does tend to hurt my eyes after a while as I’m so used to wearing glasses now.

As an aside, if you’re a glasses wearer and need to keep the lenses clean, these cloths are excellent (sponsored link). I bought a pack of 30 back in April, and Christine and I have them on hand basically everywhere. Great value for £10.

A recovery update

A photo of a jar of calcium and vitamin D supplements, and a box of Levetiracetam tablets

It’s been four weeks since I last wrote about my recovery, following my seizure in May. Because August is my busiest month at work, most of this month’s blog posts were written in advance and so I haven’t talked about what has happened with my health since last month. Things have happened and so it’s about time for an update.

I had a third seizure

Earlier this month, I had seizure number three. Number one, as mentioned, was in May and resulted in me breaking both my arms; seizure number two was in June. I managed not to have a seizure in July, but then had a minor one earlier this month. Like the second time, I was already in bed, so I didn’t fall and my head was supported. And again, like last time, Christine was there and was able to time it. As per Epilepsy Action’s advice, it’s not really necessary to call for an ambulance for seizures lasting less than five minutes, and once I’d come round, we all went to bed. I even went off to work as normal the following morning, with only a sore tongue from when I’d bitten it to show for it.

I’ve been fine since, although my neurologist advised my GP to increase the dose of my anti-seizure medication, Levetiracetam (more commonly known by its brand name, Keppra). I’m still on a relatively low dose for now though. It also, unfortunately, resets the 12 month seizure free period that I need to have to get my driving licence back. So, I won’t be able to do any of the driving for next summer’s holiday either.

I have a formal epilepsy diagnosis

Speaking of my neurologist, I had a call with them at the end of last month, where they stated that I met the requirements for a formal diagnosis of epilepsy. This, incidentally, was before seizure number three.

We’re still trying to work out what is actually causing the seizures, as there doesn’t seem to be a specific trigger. I’ve had two electroencephalograms (commonly known as an EEG or ‘brain wave scan’):

  • a standard EEG test last month, which came back normal and included a strobe light test
  • a ‘sleep deprived’ EEG test last week, where I stayed up all night, and then had the test first thing in the morning. That meant that I fell asleep during the test, and so they could monitor my brain activity whilst asleep. I then spent the rest of the day in bed. I’m still waiting for the rest of this.

Meanwhile, my ENT surgeon is looking at booking me in for an ear procedure that may help, whilst I await the results of another CT scan.

I also have an osteopenia diagnosis

On top of all of this, last week my DEXA scan results came back, showing that I have low bone density for someone of my age. This would likely explain why I ended up fracturing both arms during my first seizure. The medical term for having low bone density is osteopenia, and people with osteopenia are at greater risk of developing osteoporosis if it’s not managed well. I’ve probably developed it partly as a side-effect from having been on steroid-based asthma medication for over 30 years, but being able to breathe is important to me so I’ll take the compromise.

The good news is that osteopenia doesn’t need to be managed with medication – regular vitamin D and calcium supplements are usually sufficient, as is regular exercise and avoiding smoking and excessive alcohol consumption.

I still have some further blood tests to do, just to make sure that there’s nothing else causing my osteopenia that needs flagging up.

My mobility is getting there

I’m starting to regain strength in my arms, and my dexterity and mobility is improved. There’s some way to go before things are back to normal – I still struggle with getting things over my head, and putting a backpack on and off is a bit of a challenge, especially when wearing a coat. But I can do almost everything on my own now, with Christine just helping a little bit with showering and sorting out my shirt collars, for example.

I’m also in significantly less pain – whilst I’m still taking paracetamol and/or ibuprofen most days, it’s more as a response to acute pain flare-ups, rather than keeping chronic pain at bay.

I’m back at work full-time

I’ve been back at work full-time this month, and worked the extra hours for Clearing as per usual. Whilst I have been a little more tired on an evening than I would have expected to have been before May, I feel I’m coping well.

So I’m getting there. There’s still more tests and procedures to come, but I reckon I’ll be closer to my pre-May normal by the end of the year. I’m already not far off.

OneLife ID emergency medical wristband

A photo of my OneLife ID emergency medical wristband

Seeing as how, at the time of writing, I’ve had two seizures in two months, I’ve decided that I needed an emergency medical wristband, just in case I have another seizure. After reviewing various options, I settled on one from OneLife ID, and you can see a photo of it above.

The most well-known provider of emergency medical identity accessories is MedicAlert. But with that recognition comes a cost – not only do you have to pay for the bracelet or necklace upfront, but they also want at least £3 a month to make your medical information available. OneLife ID, by contrast, doesn’t charge an ongoing membership fee.

I went for their Sports ID wristband, and specifically one that includes a QR code that quickly brings up a page with my name, photo and year of birth on it. It’s engraved metal, with a silicon strap that’s similar to most smartwatches. As well as the QR code, there’s my name, my medical conditions, my wife’s phone number, and the URL that the QR code points to. Obviously, I’ve blanked out the details in the photo above, and the QR code leads somewhere else.

Accessing emergency medical information

On the back of the engraved panel is a 4 digit PIN code, so once someone has scanned the QR code, they then need to enter the PIN to access my medical information. This provides more detail about my medical conditions, as well as what medication I take, my NHS number, details of my local GP surgery and my blood group.

Clearly, if I’m having a seizure, I’m not able to give this information verbally, and so having a wristband on will hopefully help any Good Samaritans and medical professionals access my medical information quickly. As such, I wear the wristband whenever I’m out of the house. Of course, I really hope I don’t get another seizure – not least because it’ll reset the 12 month period that I need to be seizure-free before I get my driving license back. But if I do, then hopefully it’ll give members of the public the confidence to help me.

Meanwhile, at work, I have a printed A4 poster from Epilepsy Action pinned by my desk about what to do if I have another seizure.

Setting up my OneLife ID

The OneLife ID web site is a little dated, but setting up your profile is relatively easy and can be done as soon as your wristband has been produced. You can include as much or as little information as you want – there is, of course, a balance between privacy and making sure that you receive fast and accurate care.

My only concern long-term is that the OneLife ID web site closes down, making the wristband less useful. As I’m not paying a monthly or annual fee, there’s a risk that the company could shut down in the future. Should that happen, then hopefully by then I won’t be at risk of seizures any more.

There are other alternatives, and Epilepsy Action has a list of several companies selling emergency medical ID products. OneLife ID seemed the best fit for me, but it’s worth looking at the others as well.

Changing Places Toilet Awareness Day

The logo for Changing Places Awareness Day on the 19th July

Today is Changing Places Toilet Awareness Day – an annual event to raise awareness of Changing Places Toilets which offer enhanced facilities for people with profound disabilities.

Those of you who read my days out posts will note that I usually include the availability of a Changing Places toilet in the accessibility section. Whilst I have had issues with my arms in recent months, I’ve been fortunate that I don’t need the extra support that a Changing Places toilet offers. However, I have friends and colleagues for whom such toilets are vitally important.

What makes a Changing Places toilet?

Changing Places toilets are a step up from what I suppose you could call a ‘standard’ disabled toilet. They’re usually larger, to accommodate a wheelchair and two carers, and include an adult-sized changing table and a hoist. They allow adults who are unable to get themselves out of a wheelchair themselves to use a toilet, and allow carers to change incontinence pads on a clean, flat surface.

It’s estimated that 250,000 people in the UK would benefit from the enhanced facilities that a Changing Places toilet offers. Without them, it’s very difficult for these people to attend school, college or university, work, or just have a nice day out.

How many Changing Places toilets are there?

The number of Changing Places toilets has grown quite quickly in recent years, and there are now over 2500 registered on this map. Where I live in Sowerby Bridge, there are two, with a further two in Halifax. There are four in Bradford city centre, and my workplace has one. Most big shopping centres now have them, as do many larger museums.

Registration is voluntary, and so there may be places that have such facilities that are not on the national map. It’s also worth noting that the map includes some toilets which don’t meet current standards – they may not offer the full range of enhanced facilities, but still offer more than a standard disabled toilet. You can follow the links to each venue’s page to find out exactly what’s available at each toilet, and there are usually photos as well.

Changing Places toilets are an important part of enabling disabled people to live their lives outside their homes, and be able to go to the toilet with the same dignity as able-bodied people. They allow disabled people to be more included and achieve equal access to opportunities. I think they’re really important, and whilst not every single public space needs to have one, having them available will make life so much easier for disabled people. I’m therefore happy to champion those places that provide them.

The four stages of getting better

I’m still getting on with my recovery, and I’m slowly regaining the ability to do tasks that I couldn’t do immediately after my fall. I’ve found that I go through four stages with tasks:

  1. I can’t do it myself
  2. I can’t quite do it myself
  3. I can just about do it myself
  4. I can do it myself confidently

I’m now eight and a half weeks post-fall, and most tasks are at stage 3 and 4 now. The things I can’t do myself involve stretching my arms up – namely, hanging washing outside. Indoors, I can use stepladders to help me reach things, but it’s more difficult outdoors.

There aren’t many things left in stage 2 – things I can’t quite do myself – but dressing myself was something I couldn’t do entirely myself until recently. My main issue was getting my head through t-shirts, and for this I needed assistance.

Stage 3 is when I can do something, but in a rather ungraceful way or with the help of additional tools. To take the example of dressing myself, I found that laying a t-shirt out on a bed, and then pushing my head through it like a cat going through a cat flap, seemed to work. Not graceful, but it gets the job done. Another example would be drying my back; I would lay the towel over the sink so that I could grab it with both arms.

It’s this third stage that has given me some insight into what it would be like to have a permanent mobility issue. I’m hopeful that I’ll make a full recovery, and regain all of my mobility (although it’s not guaranteed). But I appreciate for some, their limited mobility is the best that they can manage, and that’s where mobility aids and various life hacks come into play.

Back in hospital

I’m writing this from my hospital bed, having been re-admitted on Sunday. I had a seizure at home, and this time Christine and our ten-year-old were there to witness it.

Last month I had a fall at home, which I put down to feeling faint but a seizure hadn’t been ruled out. Now it seems like a seizure was the most likely explanation. This time, I was lying down, so no broken bones, but my first memory after coming around was when the paramedics had arrived. This resulted in my first ever trip in the back of an ambulance.

During this hospital stay, I’ve had another CT scan, and an MRI scan as well. I may have some kind of infection which hasn’t been cleared by the medication I was given last time, but we’ll see. I’m also now taking anti-seizure medication, and I cannot drive a car for at least another six months.

I’m hoping to be discharged today.

The injury explanation post

A photo of me wearing a sling

As it’s been almost five weeks since my fall, it’s probably about time that I explained what happened, and how I’m recovering.

How did I fall

I actually don’t remember the fall, or getting up from the fall. What I do know was that I had felt faint a couple of times earlier in the day, and had lunch much later than I would do normally. I was at home on my own, so there was no-one else there to see what happened, and no CCTV footage, so we don’t know for sure what happened. It’s likely that I fainted, which would explain why I didn’t stop the fall by putting my arms out. I also had a bruise on my nose, and I was treated for an infection in hospital, which may have been a contributory factor to me fainting.

What we can’t yet rule out is that it was a seizure instead of fainting. That’s more of a problem; if I’ve had one seizure then it’s possible that I may have others in future. As such, even once my arms are better, I can’t start driving again until I’ve been signed off by neurology, as having a seizure whilst driving would be dangerous. I have a phone call with them next month, but it may be some months before I’m seen in person.

What did I break

The specific injury I’ve sustained is a stable bilateral humeral fracture. Let’s, ahem, break that down (pun not intended):

  • Stable – though the bones are broken, they’ve not moved out of place. This is the ‘good’ kind of fracture to have, as it’s meant that I haven’t needed an operation to pin the bones back together, or a cast.
  • Bilateral – I fractured the same bone on both sides of my body.
  • Humeral – the fractures are in my humeri – better known as the funny bone. It’s the bone that makes up the top part of your arm and connects your shoulder to your elbow. Both breaks are at the top, by my shoulders.

For someone like me, who is relatively fit and healthy and in my forties, to sustain such an injury is unusual. As such, I’ve had a number of blood tests to check calcium levels, and I’m due to have more to check my liver and kidney functions.

The good news is that the fractures are healing well – I had follow-up X-rays last week which show significant improvement. However, I still have pain in my rotator cuffs, which are the muscles surrounding my funny bones at the top, and limited mobility in my arms.

I didn’t study Biology past GCSE, and so I have learned quite a bit about my anatomy in recent weeks.

Treatment

I spent six nights in hospital, which included treatment for the infection, investigations, and fitting with slings. Until last week, I had both arms in slings, but I have stopped wearing the one on my right arm now. I should be able to stop wearing the left sling next week. The fracture on my left arm was slightly more severe, but I’m also right-handed.

I’ve then had three and a half weeks of recovery at home. Yesterday, I started a phased return to work – 25% hours initially, and only working at home. By next month, provided I make good progress, I should be back up to full-time hours and also be able to go back into the office in person.

I’m receiving fortnightly physiotherapy sessions to work on regaining mobility in my arms. As it stands, I can mostly dress myself, but can’t put on t-shirts or jumpers without assistance. I also need assistance with washing myself on a morning, and I’m still not allowed to lift anything for at least another week. I’m still taking painkillers, although I only need prescription-strength medication (Codeine) at night now. The pain comes and goes, and depends on how active I have been.

A month on, and I still have a way to go before I’m mostly recovered. But I’m getting there.

New Bluetooth hearing aids

A photo of one of my new hearing aids

Back in autumn 2022, following a decline in my hearing, I started wearing hearing aids. Almost four years on, and following a new hearing test, I’ve got new, upgraded hearing aids – and these ones have Bluetooth.

Bluetooth hearing aids have been around for some time now, but were normally only available if you paid to have them fitted privately. And privately paid-for hearing aids are not cheap – Specsavers charge a minimum of £500 for a pair, and up to £3000 for top-of-the-range models. So I’ve gone with standard issue NHS hearing aids, which don’t cost me anything as long as I don’t lose them.

It’s only been recently that hearing aid manufacturers have started offering Bluetooth functionality in the cheapest models that they sell to the NHS. It offers some advantages to them – my old hearing aids had metal contacts on the bottom so that my hearing profile could be uploaded to them, but now this can be done wirelessly by Bluetooth. That, in turn, allows for a more streamlined casing for the hearing aids.

Phone connectivity

For me, the major advantage of Bluetooth is that I can connect my hearing aids to my phone. They support Apple’s Made for iPhone (MFi) standard, and so they work a bit like Bluetooth earbuds. Once paired, then you can route your phone’s audio to your hearing aids. However, unlike most Bluetooth audio devices, you can opt to not route system sounds and ringtones to your hearing aids, which is good. You also get to see the battery status of your hearing aids if you have the battery widget enabled on your home screen, and can use your phone to control the volume.

Another feature on iPhones is Live Listen. This allows you to use your phone’s microphone to route sound to your hearing aids. It’s useful for noisy environments, where people can talk into your phone’s microphone to help you hearing them better. Whilst you can buy microphones that also do this, it’s handy to be able to use a phone that you already own.

Other Apple devices linked to the same Apple account should be able to interact with your hearing aids when in Bluetooth range, even if not paired. I say should because my iPad says it can see my hearing aids, but I haven’t yet worked out how to route audio from my iPad to my hearing aids via my iPhone. I assume that if I buy a Mac in future, this will also work.

I’m sure Android phones also support these features, but I haven’t had any experience with them.

iPhone App

My hearing aids are manufactured by Oticon, and they also offer a companion app for your phone. This also allows you to control the volume (for both hearing aids together or individually), switch modes to enable Telecoil, and also mute the microphones. This latter option is useful for listening to music or podcasts over Bluetooth; by default, the hearing aids still listen for sound in your environment (albeit a slightly reduced volume) when Bluetooth audio is playing. If you just want to listen to audio and not your environment (essentially using your hearing aids as headphones), then the mute function is useful.

You can also enable a ‘SpeechBooster’ mode that amplifies speech in noisy environments. Being as I am mostly stuck at home at present, I haven’t tried this yet.

Not rechargeable

Whilst most paid-for hearing aids now come in a charger box, like Apple’s AirPods, these basic ones that I have still use disposable batteries. I don’t have to pay for these either – I get a supply of free batteries from the NHS. And thankfully they’re the same type as my previous models, so I can still use the spare ones I had left over. I expected the Bluetooth support to affect battery life, but they seem to last 8-10 days, which isn’t a major difference.

I’m really happy with my new hearing aids, as they negate the need to take them out to use earbuds or headphones to listen to music and podcasts. Whilst the sound quality isn’t as good as some earbuds, they’re a lot more convenient – especially when you can mute the microphones. Most of all, I’m glad Bluetooth hearing aids are now available on the NHS and that I haven’t needed to pay for them.

Hiatus

This is a short blog post that I am tapping out on my phone. Since Thursday last week, I have been in hospital, having had a fall at home which resulted in me fracturing bones in both my shoulders (specifically necks of humerus).

I’ve now exhausted the scheduled posts that I’d written before the fall, and both arms need to be non-load baring for another five weeks or so to allow them to heal, so I’m going to have to take a blogging hiatus for now. Which is a shame; I was working on my views of this year’s Eurovision entries when the fall happened.

See you all soon, hopefully when I no longer have T-rex arms.

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