Skip to main content

Barnsley

Final Response (rather comprehensive).


Dear Nick

In response to your request for information I have received the following details:-

The Barnsley CCG has a Freestyle Libre within its Formulary and an initiation plan in place via protocols.

1) Current Barnsley protocols for adults and children – web links are provided below. These are currently being amended in line with national guidance ( Feb 19)  in respect of eligible patients. This amended draft guidance is currently being considered by the Local Medical Committee with the aim of being endorsed by the Barnsley Area Prescribing Committee at the beginning of May 2019.

http://best.barnsleyccg.nhs.uk/clinical-support/medicines/shared-care-guidelines/Freestyle_Libre_Protocol.pdf

http://best.barnsleyccg.nhs.uk/clinical-support/medicines/shared-care-guidelines/Freestyle_Libre_protocol_children.pdf

2) Its proposed that Freestyle Libre supply will remain Amber  - as currently with first six months prescribing through specialist nursing teams to support patients and then stable patients would be appropriately referred over to GP practice to manage supplies under the shared care protocol. 

Could I clarify that in Barnsley the Red, Amber, Green listing is not a restriction on supply.  It is a classification which denotes where prescription supplies would be obtained from/ where the responsibility for prescribing supply is  :-

Red –  only specialists would supply

Amber – Specialists only to initiate and primary care clinicians via shared care ( oversight with specialists)

Amber G – Specialist initiate but does not require ongoing specialist oversight

Green – hospital and primary care clinicians can prescribe

It is the Formulary which restricts supply and Freestyle Libre is included within the Formulary and available to be prescribed to patients overseen by the most appropriate clinicians.

The majority of prescribing is being made in Barnsley via specialist nursing teams who are supporting patients. It is for this reason that there is currently little supply through FP10 prescription. As more patients become stable and are handed over to GP practices via the protocol then the amount prescribed will increase.

Comments

Popular posts from this blog

Big Announcement - Libre Funding

NEWS RELEASE Embargoed 00:01 November 14 NHS TO PROVIDE LIFE CHANGING GLUCOSE MONITORS FOR TYPE 1 DIABETES PATIENTS Tens of thousands of people with Type 1 diabetes across the country will benefit from life changing glucose monitors on the NHS. To coincide with World Diabetes Day, Simon Stevens, Chief Executive of NHS England, is announcing action to end the current variation patients in some parts of the country are facing to access Freestyle Libre. The wearable sensor does away with the need for inconvenient and sometimes painful finger prick blood tests by relaying glucose levels to a smart phone or e-reader. NHS England will ensure the device, which is the size of a £2 coin and sits on the arm, is available on prescription for all patients who qualify for it in line with NHS clinical guidelines. From April 2019, these patients will be able to receive it on prescription from their local GP or diabetes team helping them to better manage their blood sugar levels. It comes as the NHS seeks t…

The CCG Project!

In order to find out the situation around the country for Libre prescribing now that the national policy has been published, I have made the decision to contact many of them to find out their plans.  I have arbitrarily chosen to contact all English CCGs that in December 2018 prescribed Libre via Primary Care to less than 5% of their population (and one specific request from a group member).  I had hoped this would be a small list, but there are 135 CCGs on the list.  I may have bitten off more than I can chew, but I'm committed to doing this and feeding back.  It worked before and hopefully this level of scrutiny will bring similar results.

Below is a screenshot of the base document I am sending to each of the CCGs - it has some fields that are merge fields, so don't worry about the brackets and codes in the document (I found a typo, which has now been corrected too)
The major piece of work with respect to this is finding the right person to contact.  However, I have some m…

NHS England Libre Policy

The NHS England policy for prescribing of Freestyle Libre has now been released.  There is a link to the document at the bottom of the page, but the key part of the policy can be viewed below.  Here is the Link to Policy