Skip to main content

East and North Herts

FOI Reply (full text):

Our current guidance is available here:

On 7th March, NHS England issued further guidance regarding the funding of Freestyle Libre, which the CCG is in the process of reviewing within its accepted governance processes regarding prescribing decisions. The process will allow appropriate specialist review and consultation to decide how the NHS England guidance might be implemented across Hertfordshire.

The website says:

Update 24/05 - still waiting!

Dear Mr Cahm

Thank you for your email dated 19th May 2019 regarding your enquiry into the prescribing policy for FreeStyle Libre for East and North Hertfordshire patients.

Please be assured you r email has been shared with me in the Nursing and Quality team and I have logged this enquiry.  I have shared with our Medicines Optimisation team and hope to provide you with a response shortly.

If there is anything I can assist with please do not hesitate to contact me.

Update 30/05 - hardly worth the wait!!

Following on from my email dated 24th May 2019 I am now in a position to respond regarding your enquiry about the prescribing of FreeStyle Libre.

East and North Hertfordshire Clinical Commissioning Group (ENHCCG are aware of the announcements in November 2018 by NHS England regarding the availability of FreeStyle Libre® for certain people with type 1 diabetes.  Whilst awaiting further guidance from NHS England, ENHCCG have been implementing local recommendations for FreeStyle Libre® and recommending prescribing for appropriate patients since October 2018. To date our current records show that approximately 60 ENHCCG patients are being prescribed FreeStyle Libre®.

Further details regarding the current local recommendations can be found on the ENHCCG website at http://www.enhertsccg.nhs.uk/endocrine-system
A Frequently asked Questions document for patients is also available at this link; the documents provide full information on current patient groups, agreed criteria, supply and funding recommendations.

Following the March 2019 publication of the NHS England funding arrangements for FreeStyle Libre®, I can confirm that ENHCCG’s stance remains the same until revised guidance is agreed and ratified. This means that GP prescribing is currently not recommended.  FreeStyle Libre® is to be initiated, managed and supplied by a hospital Trust consultant led specialist diabetes team only.

I would however, like to assure you that ENHCCG is in the process of urgently reviewing and updating their current guidance and prescribing recommendations for FreeStyle Libre®. 

In line with the CCG’s accepted and required governance processes for local prescribing decisions, revised guidance requires review and ratification by the Hertfordshire Medicines Management Committee and the respective Hertfordshire CCG Governing Bodies.  ENHCCG intends to complete this process as a priority by the end of June 2019. Once the implementation process is complete the revised patient groups and criteria will be published on the ENHCCG website at the following link. https://www.enhertsccg.nhs.uk/endocrine-system

Comments

Popular posts from this blog

Abbott dX 2022 Barcelona - "Make it Count"

For the past four years I've been invited by Abbott to a conference bringing together people with diabetes from across Europe to discuss various topics.  The first year I was meant to attend, it was my 'man v horse' year (the horse won!), so was unable to attend and then the pandemic hit so two further dX's were held virtually.  I was fortunate to be asked to present at last year's session.  This year's event was back in-person and held in Barcelona, coinciding with the latter part of the ATTD conference.   At this point, I must make it very clear - Abbott invited me to the 2022 European Diabetes Exchange forum (dX), that took place in Barcelona.  I attended this two-day event to connect and interact with inspirational and influential people in the diabetes community.  Abbott paid for my ticket and accommodation. #InvitedbyAbbott.  This is formal and it needs to be - I have not been required to do anything by Abbott as a result of my attendance and I hope that m

4.0!

Took my levels this morning and they were at the magic 4.0mmol/l level (72 in US units)! Had a biscuit in celebration! Latest graph above. Seems less predictable than I thought, but at least I am now generally below 10 most of the time. I believe I am however in the 'Honeymoon Period'. This is the time when the body is still producing a little insulin and therefore your levels are easier to control. I don't think that it lasts long. A thick blanket of snow has fallen during the night. I was meant to be going to London today, but I think I'll give it a miss. My daughter (2) saw the snow and got very excited. She had not been out in snow before. We had an excellent half hour out the front of the house making tracks and getting cold! In my nice warm office now drinking a big mug of tea and looking at the snow continuing to fall. Won't be late home tonight.

Freestyle Liberating

So,what's all the fuss about? Today's graph with two Nutella-covered wraps - no Low Carb here! The Abbott Freestyle Libre is a paradigm-changing piece of medical equipment.  It has been warmly embraced by many of the diabetic community since its launch almost three years ago (its birthday is on 16th October).  So what's all the fuss about and is it justified? In my opinion, yes , but with some important caveats, especially with how you use it and interpret the results.  These are my tips for getting the most out of it: Use it for trends - stop thinking you need to compare it to other meters.  The only reason you should continue to test traditionally is to meet requirements of DVLA.  OK, if you are hypo-unaware, I can see logic in checking.  Yes, it can be 'inaccurate' but that's hard to quantify.  If you're far enough into your journey with diabetes, you should have a fair idea of what the scan is going to show.  If it doesn't match