Skip to main content

East Surrey

Information from Meds Management:

Dear Nick Cahm,

Thank you for your  enquiry on ESCCG’s Freestyle Libre policy.

The CCG's  current decision remains the same until the 1st April 2019 (see ESCCG updated position statement from November 2018: https://surreyccg.res-systems.net/pad/Search/DrugConditionProfile/5674).

East Surrey CCG are in the process of implementing the national arrangements as described by NHS England, in readiness for the 1st April 2019. An update to the position statement and prescribing information will be made available on the Surrey PAD from this date.

I hope this helps with your query.

Here is the information from the Surrey PAD (plenty of additional information on the website linked above):

INTERIM HOLDING STATEMENT:

The APC has recommended prescribing of flash glucose monitoring system (FGS) in line with guidance from NHS England

It was given a BLUE traffic light status.

Commencement must be within a diabetes specialist led clinic.  At least 1 month supply of sensors must be provided  (current exception is a local agreement with Frimley Healthcare NHS Foundation Trust which is a minimum of 2 weeks supply) by diabetes specialist teams before the patients primary care prescriber is asked to accept clinical responsibility for prescribing flash glucose sensors for individual patients.

Patients should not be referred specifically for the initiation of FGS. Eligibility is expected to be assessed during routine consultations with specialist as part of the patient's annual diabetes review or a review that takes place as a result of other changes in their diabetic needs

The APC policy statement is being written but this interim statement will provide some clarity for patients and prescribers whilst the details are being finalised


New patients

Will be treated as per the NHS England guidance issued on 7th March 2019. The Diabetes specialist service will consider treatment initiation at the patient’s next scheduled diabetes appointment. Patients should not be referred into NHS services just for consideration of FGS.

Patients initiated on FreeStyle Libre under RMOC guidance by NHS specialist diabetes service

Patients will continue to be treated as per the initiation criteria as long as there has been observable improvements in their diabetes.

Type 1 diabetes patients purchasing FreeStyle Libre independently or through a private arrangement


If the patient meets NHS England guidance for initiation of FGS, the patient can be referred into the NHS Type 1 diabetes service. Do not make an urgent referral. Patients should continue to self-fund until the NHS diabetes specialist service has considered initiation in line with NHS England guidance.

Comments

Popular posts from this blog

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

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

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