Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Ask A Question
Diabetes T2 In Remission - Continued Ed Prescriptions?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="Rich2222" data-source="post: 1805756" data-attributes="member: 476796"><p>Thanks to all for support and helpful comments.</p><p></p><p>Here’s an update</p><p></p><p>After digging out my medical file, I have been able to establish that my diagnosis of T2 in December 2012 pre-dates my referral to the ED clinic in August 2013. Unfortunately there is no mention of Diabetes on letters from the Nurse Specialist to my GP at the time.</p><p></p><p>However, I remembered that when we moved to a different area 4 years ago, we had to register with our current GP practice. I had problems at the time getting my repeat ED medication sorted out with 2 different locum GPs - <strong>both</strong> of who said that as I wasn’t on Diabetes medication <em>(at that time)</em> then I didn’t have Diabetes, and they couldn’t prescribe under NHS rules. In any case, they said wouldn’t have prescribed the quantities that were on my prescriptions from the previous practice.</p><p></p><p>I then wrote a letter to the senior GP with copies of relevant letters and prescriptions, asking for the source of the information that these GPs were using, and for a clarification of his Practice’s policies regarding ED prescriptions requested in Secondary care. I received a rather grudging letter from him accepting that Diabetes is recognised regardless of whether medication is necessary, and that the Practice would supply the repeat prescriptions. There was, of course, no explanation of why the locum GPs had given incorrect information and no apology from him on behalf of the Practice.</p><p></p><p>I had another issue with this senior GP earlier this year after the Urology Consultant requested that the Practice should move me on to Invicorp, which is not widely used but can be initiated for people who are non-responders to Alprostadil (<em>Caverject / Viridal). </em>He wasn’t keen to initiate the prescription, and I had to contact Urology to get him to write a second letter which does actually mention Diabetes.</p><p></p><p>So here's where I am:-</p><p></p><p>1. I can make the historical link between Diabetes in 2012 and Erectile Dysfunction in 2103 <em>(although I have nothing to say that this is a 'causal' link)</em>.</p><p></p><p>2. I have my current senior GP at the practice accepting this in 2014.</p><p></p><p>3. I have 2 specialists in the last 2 months saying that I need a specific ED treatment<em> (although at the time they would have thought that I had a ‘current’ diagnosis of Diabetes).</em></p><p></p><p>4. However, it is only the GP who has the responsibility under Schedule 2 of issuing prescriptions for Erectile Dysfunction (<em>other than Sildenafil</em>).</p><p></p><p>5. My feeling is that, based on previous issues, my GP is likely to look at the letter of the Schedule <em>(“You don’t currently have Diabetes, so I am not obliged to issue you with a Prescription”)</em> rather than the spirit <em>(“There is a causal link between your history of Diabetes and your Erectile Dysfunction”)</em>, if indeed he has this latitude.</p><p></p><p></p><p>I don’t want to raise the issue at my practice yet (<em>either with my GP or the Diabetic Nurse)</em> as it might actually bring the issue to their notice.</p><p></p><p></p><p>Any new thoughts welcomed.</p></blockquote><p></p>
[QUOTE="Rich2222, post: 1805756, member: 476796"] Thanks to all for support and helpful comments. Here’s an update After digging out my medical file, I have been able to establish that my diagnosis of T2 in December 2012 pre-dates my referral to the ED clinic in August 2013. Unfortunately there is no mention of Diabetes on letters from the Nurse Specialist to my GP at the time. However, I remembered that when we moved to a different area 4 years ago, we had to register with our current GP practice. I had problems at the time getting my repeat ED medication sorted out with 2 different locum GPs - [B]both[/B] of who said that as I wasn’t on Diabetes medication [I](at that time)[/I] then I didn’t have Diabetes, and they couldn’t prescribe under NHS rules. In any case, they said wouldn’t have prescribed the quantities that were on my prescriptions from the previous practice. I then wrote a letter to the senior GP with copies of relevant letters and prescriptions, asking for the source of the information that these GPs were using, and for a clarification of his Practice’s policies regarding ED prescriptions requested in Secondary care. I received a rather grudging letter from him accepting that Diabetes is recognised regardless of whether medication is necessary, and that the Practice would supply the repeat prescriptions. There was, of course, no explanation of why the locum GPs had given incorrect information and no apology from him on behalf of the Practice. I had another issue with this senior GP earlier this year after the Urology Consultant requested that the Practice should move me on to Invicorp, which is not widely used but can be initiated for people who are non-responders to Alprostadil ([I]Caverject / Viridal). [/I]He wasn’t keen to initiate the prescription, and I had to contact Urology to get him to write a second letter which does actually mention Diabetes. So here's where I am:- 1. I can make the historical link between Diabetes in 2012 and Erectile Dysfunction in 2103 [I](although I have nothing to say that this is a 'causal' link)[/I]. 2. I have my current senior GP at the practice accepting this in 2014. 3. I have 2 specialists in the last 2 months saying that I need a specific ED treatment[I] (although at the time they would have thought that I had a ‘current’ diagnosis of Diabetes).[/I] 4. However, it is only the GP who has the responsibility under Schedule 2 of issuing prescriptions for Erectile Dysfunction ([I]other than Sildenafil[/I]). 5. My feeling is that, based on previous issues, my GP is likely to look at the letter of the Schedule [I](“You don’t currently have Diabetes, so I am not obliged to issue you with a Prescription”)[/I] rather than the spirit [I](“There is a causal link between your history of Diabetes and your Erectile Dysfunction”)[/I], if indeed he has this latitude. I don’t want to raise the issue at my practice yet ([I]either with my GP or the Diabetic Nurse)[/I] as it might actually bring the issue to their notice. Any new thoughts welcomed. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Ask A Question
Diabetes T2 In Remission - Continued Ed Prescriptions?
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…