T1 Tenor

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...

Final Response

Here is Ashford CCG confirming that they are treating my letter as a FOI request. Dear Mr Cahm, RE: Freedom of Information Request I am writing to formally acknowledge your request for information regarding Freestyle Libre Policy Update, which will be processed under the Freedom of Information Act 2000. I can confirm your request was received on 14 March 2019 by NEL on behalf of the Clinical Commissioning Groups (CCGs) listed below. The references for your requests are shown alongside. EK125.FOI.18.ASH281      NHS Ashford CCG An initial investigation is currently taking place into whether the information you have requested is held by the CCGs and if so, whether it can be released in accordance with the legislation. Any fees applicable to this request will be detailed in writing as soon as they can be determined. Your request will then be placed on hold and you will have the choice of whether to proceed with your request. Should any clarification of your reques...

First response 13/03/19 - passed to another contact for further comment. Nick Thanks for getting in touch. I am the Planned Care SRO for the West Yorkshire and Harrogate STP. Within my programme, heads of medicines management are working together to produce a commissioning position statement and policy for freestyle libre. We already have a consistent approach to this across the Kirklees Wakefield and Calderdale CCG areas. <name removed> is the pharmacy lead in Calderdale and part of the pharmacy leadership group doing the work. I really would be anxious that we do not set off several pieces of work all intending to do the same thing, and would be keen to ensure that your work is aligned to the broader policy work that we are doing. Best Wishes

Reply from Meds Management: Dear Mr Cahm, Thank you for your e-mail about FreeStyle. In response to your two questions I can confirm that: 1) Dorset CCG plans to commission FreeStyle Libre sensors in line with the recently published NHS England criteria for the allocated number of patients with Type 1 diabetes And 2) The commissioning statement will be updated to reflect the agreed Amber status. Patients will be initiated and then monitored by secondary care for 6 months, in line with NHS guidance, and when appropriate will be transferred to primary care for continued prescribing.

Oh dear.... Good morning Thank you for your e-mail, I have passed this enquiry onto our Head of Medicine Management and he has asked me to contact you back with the following link http://www.doncasterccg.nhs.uk/10614/flash-glucose-monitoring-support-for-people-with-type-1-diabetes/  and that it is Amber Guidance status Regards My response (nothing received since) Dear , Unfortunately, that is not the response I am looking for and is out of date. On 14th February 2019, national guidance was issued by NHSE that specified the the Libre "postcode lottery" would end on 1st April.  They also detailed the cohort of patients to whom Libre would have to be provided, otherwise CCGs would be financially disadvantaged.  Details about the RAG status and how Libre prescribing was to be initiated is the responsibility of the individual CCGs, hence I am contacting many of them to find out what is happening. The policy is here: https://www.england.nhs.uk/2019/0...

Response: Dear Mr Cahm, Thank you for your recent email.  I can confirm that following discussion at a meeting of the Governing Body today, it has been agreed that South Warwickshire CCG will be commissioning in line with the national eligibility criteria from 1st April 2019.  Please see Annex A in the attached NHS England document for the appropriate criteria. Yours sincerely I replied: Dear , Thanks for this information.  As it is not stipulated in the national eligibility criteria, please can you confirm how prescribing will be initiated?  The original S Warks/Cov & Rugby policy said that the initiation needed to be via the Cov & Rugby IFR team.  I presume that this will no longer apply? Thanks, and received this reply: The current arrangements of specialist referrals will continue until  1 st  April and then from April onwards prescribing will be via GPs, and there is currently some work in progr...