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 This amended draft guidance is currently being considered by the Local Medical Committee with the aim of being endorsed by the Barnsley Area Prescribing Committee at the beginning of May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.

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