Buckinghamshire

Reply from Meds Management:

Dear Nick,

Further to your letter, I can inform you that Freestyle Libre is currently amber on our Buckinghamshire formulary and can only be initiated by a specialist for new patients. The following five prescriptions will be supplied from primary care. Patients will then be reviewed at six months in an MDT meeting to discuss the effectiveness of Freestyle Libre. If there is no improvement in monitoring of the patient’s blood glucose then the use of Freestyle Libre will be discontinued. Prescriptions for patients will follow the NHS England guidance.

All patients must complete a locally approved patient/carer agreement document, have an agreed care plan and attend a diabetes training programme. They will also need to commit to regular follow ups and monitoring to ensure that we can help them to achieve maximum benefit by using the freestyle Libre and in turn receive great care.

For patients who are self-funding, their case will be discussed in an MDT with a diabetes consultant. They will be assessed as to whether they met the above criteria before using Freestyle Libre. Following on recommendation by the specialist, the patient’s GP can write the following prescriptions.

We were following the RMOC guidance up until April 2019, but we will now be following the NHS England guidance. Hope we have been able to assist in answering your questions.

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