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.

Comments

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 s

Finally an Update!

So, I have finally got the motivation to update my blog. There's probably nobody reading it anymore, but just in case...here goes. What has been happening? Well, I am still honeymooning in terms of my diabetes, so need less insulin than previously. It is proving a bit difficult to judge and I had a bad hypo last week. Basically, I was almost unconscious and Claire had gone out for the evening! Luckily I found some wine gums and came out of it eventually. Last weekend was Josh's thanksgiving. Our church doesn't really approve of christenings of babies whose parents are not both confirmed. As neither of us are, then a thanksgiving was the choice. It turned out to be a lovely service and the small group of people that we had meant that it was a great day. The sun even shone for most of it. This weekend is the Open Day at work. I have helped organise it, including getting a person to create a special newspaper for the day and be there to add pictures and make a live n

August Libre Update - Data, data and more data!

This month's update will be dealt with in two parts, both focusing on data; the first part summarising some data about the prescribing policies across England, the second my usual update on prescriptions fulfilled across the UK. Libre Prescribing Policies and Implementation in England There didn't seem to be an easy way to compile this. I used the Diabetes UK Map to link to the policies and then I cross-checked this with a Google search to see whether there was any more information. I had to do this line by line for each of the 195 CCGs in England - quite a lengthy and tedious process. However, I am pleased with the information arising from the data. Firstly, the headline figures - how many CCGs were funding Libre, how many had denied funding and who were still undecided? There are differences of opinion about these figures as some CCGs have not been clear (Staffordshire CCGs), and some have agreed to fund, but are yet to actually fund due to implementation difficulti

T1 Tenor

Search This Blog