Bedfordshire

First response from the diabetes lead

Dear Nick

Thank you for your email; I have forwarded to the CCG Medicines lead for a reply. We already have limited access to the Libre along RMOC lines and anticipate adopting the new guidance in full.

Yours

Final Response - Links have been changed - this works though: LINK

Comprehensive reply from Bedfordshire CCG (original letter) :

Dear Mr Cahm

FreeStyle Libre® Glucose Monitor

Thank you for your letter regarding the availability of the Freestyle Libre® Glucose Monitor on the NHS in Bedfordshire.

In June 2018, the Bedfordshire and Luton Joint Prescribing Committee (JPC) agreed to support the prescribing of Freestyle Libre® in adults and children in line with the recommendations produced by the East of England Prioritise Advisory Committee (EoEPAC). In addition Bedfordshire CCG agreed to fund Freestyle Libre® subject to minor amendments in line with the JPC recommendations and criteria outlined in the bulletins below:

· Bulletin 266: FreeStyle Libre ® (Flash Glucose Scanning {FGS}):- Locally agreed JPC recommendations and East of England Priorities Advisory Committee (EoEPAC) guidance for the use of FGS in adults with type 1 diabetes

Link no longer works...see above

· Bulletin 265: FreeStyle Libre ® (Flash Glucose Scanning {FGS}):- Locally agreed JPC recommendations and East of England Priorities Advisory Committee (EoEPAC) guidance for the use of FGS in children and young people with type 1 diabetes age 4 up to {i.e less than} age 19.

Link no longer works...see above

As per the bulletins above it was agreed that the supply of the devices/sensors would be through the Specialist Diabetes Teams at Bedford Hospital and the Luton and Dunstable Hospital with no GP prescribing. Consequently prescriptions for FreeStyle Libre ® would not appear on BCCG primary care prescribing data.

BCCG are implementing the National Criteria set out by NHS England with effect from the 1st April 2019 and at this point transfer the prescribing of FreeStyle Libre ® sensors to GPs within primary care. Currently BCCG does not operate a traffic light system for the availability of medications, however the initiation of FreeStyle Libre ® in line with the National Criteria will be through the Diabetes Specialist Teams. As you may be aware the guidance published on the 8^th March and we are currently working with the diabetes teams to implement, the paperwork will be available in due course, on public facing website.

I hope that we have been able to answer your questions relating to the availability of the FreeStyle Libre® in Bedfordshire. Please get in touch if I can be of further help.

Yours sincerely

Complaints, Enquiries and FOI Team

Bedfordshire Clinical Commissioning Group

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