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Type 1 Diabetes
Petition for Freestyle Libre on NHS
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<blockquote data-quote="tim2000s" data-source="post: 1527980" data-attributes="member: 30007"><p>NICE guidelines, far from being "a pretty flimsy excuse", are how the NHS determines what care to give to whom, and how to spend its money. It's how CCGs allocate that money and more importantly, it's how a GPs liability is determined. Let me give you an example.</p><p></p><p>I asked my GP, if I was considering going on to a Calcium Channel Blocker, could I use Verapamil, as it was shown to have benefits for T1s and was on the prescription list. I was told "No. You have to go on to Amlodipine, as that's the NICE guideline recommendation, and has shown the best clinical outcomes and safety." When I questioned why, he admitted that it wasn't worth his license to prescribe against NICE guidelines because if anything goes wrong, it's on his neck. </p><p></p><p>Now T2 testing strips aren't Amlodipine or Verapamil, but the mechanism by which the surgeries get measured and paid means it isn't worth <em>NOT </em> following the NICE guidelines for them, however dumb that might seem.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1527980, member: 30007"] NICE guidelines, far from being "a pretty flimsy excuse", are how the NHS determines what care to give to whom, and how to spend its money. It's how CCGs allocate that money and more importantly, it's how a GPs liability is determined. Let me give you an example. I asked my GP, if I was considering going on to a Calcium Channel Blocker, could I use Verapamil, as it was shown to have benefits for T1s and was on the prescription list. I was told "No. You have to go on to Amlodipine, as that's the NICE guideline recommendation, and has shown the best clinical outcomes and safety." When I questioned why, he admitted that it wasn't worth his license to prescribe against NICE guidelines because if anything goes wrong, it's on his neck. Now T2 testing strips aren't Amlodipine or Verapamil, but the mechanism by which the surgeries get measured and paid means it isn't worth [I]NOT [/I] following the NICE guidelines for them, however dumb that might seem. [/QUOTE]
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