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Independent analysis of NHS open data
PharmaInsight

NHS Herefordshire and Worcestershire Integrated Care Board

QGH · 32 dispensing practices
Data updated April 2026

Herefordshire and Worcestershire was ranked 30th of 36 integrated care boards in England by prescribing volume in April 2026, with 1,408,997 items dispensed, up 4.2% on a year earlier.

1,408,997items

Dispensed in April 2026

NHSBSA Prescription Cost Analysis

£24,859,745

Net ingredient cost, April 2026

NHSBSA PCA

Figure 1. Herefordshire and Worcestershire: national prescribing items by month

0 1.5m 3m May 2022 Dec 2022 Jul 2023 Feb 2024 Sep 2024 Apr 2025 Apr 2026 avg ICB 1,408,997 May 2022: 1.3m Jun 2022: 1.3m Jul 2022: 1.3m Aug 2022: 1.3m Sep 2022: 1.3m Oct 2022: 1.4m Nov 2022: 1.4m Dec 2022: 1.4m Jan 2023: 1.4m Feb 2023: 1.2m Mar 2023: 1.4m Apr 2023: 1.2m May 2023: 1.3m Jun 2023: 1.4m Jul 2023: 1.3m Aug 2023: 1.4m Sep 2023: 1.4m Oct 2023: 1.4m Nov 2023: 1.4m Dec 2023: 1.4m Jan 2024: 1.4m Feb 2024: 1.3m Mar 2024: 1.3m Apr 2024: 1.4m May 2024: 1.4m Jun 2024: 1.3m Jul 2024: 1.4m Aug 2024: 1.4m Sep 2024: 1.3m Oct 2024: 1.5m Nov 2024: 1.4m Dec 2024: 1.4m Jan 2025: 1.4m Feb 2025: 1.3m Mar 2025: 1.3m Apr 2025: 1.4m May 2025: 1.4m Jun 2025: 1.4m Jul 2025: 1.5m Aug 2025: 1.3m Sep 2025: 1.4m Oct 2025: 1.6m Nov 2025: 1.4m Dec 2025: 1.5m Jan 2026: 1.4m Feb 2026: 1.3m Mar 2026: 1.4m Apr 2026: 1.4m

Source: NHSBSA Prescription Cost Analysis, to April 2026

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Most-prescribed medicines in Herefordshire and Worcestershire, April 2026

By items dispensed in this ICB.

Top medicines in Herefordshire and Worcestershire, April 2026
Medicine Items Net ingredient cost
Atorvastatin 78,173 £78,913
Omeprazole 42,284 £106,377
Ramipril 40,849 £92,747
Amlodipine 40,598 £36,550
Levothyroxine sodium 38,016 £59,058
Bisoprolol fumarate 32,057 £100,450
Lansoprazole 29,835 £41,006
Sertraline hydrochloride 27,166 £53,190
Colecalciferol 25,834 £119,873
Metformin hydrochloride 23,267 £59,279
Aspirin 19,302 £67,355
Amitriptyline hydrochloride 19,109 £22,982
Co-codamol (Codeine phosphate/paracetamol) 16,425 £110,044
Paracetamol 15,910 £74,365
Apixaban 14,540 £77,063

Compare Herefordshire and Worcestershire with

Similarly-sized integrated care boards, by prescribing volume.

Dispensing practices

GP practices that dispense in Herefordshire and Worcestershire (32 total).

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