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<blockquote data-quote="tim2000s" data-source="post: 1946195" data-attributes="member: 30007"><p>So let's be clear here. Across the board, the CCG adopted guidelines (which change in April to be England wide) pretty much all require that the initial prescribing of the Libre is done by the specialist Diabetes team. </p><p></p><p>This is not your practice's diabetes nurse, but the consultant at your hospital's diabetes clinic. Very few surgeries will prescribe direct, but it's not down to the diabetes nurse, who clearly doesn't understand the criteria either. From a cost perspective, you'll really struggle to get a GP to override a CCG unless you have a very good relationship with them and/or they are much more forward thinking than many, and most will refer to the CCG guidance and refer you to secondary care anyway.</p><p></p><p></p><p>As a person with Type 1, it's very clear in both NICE guidance and NHS England guidance that you should have access to secondary care, and a clinic of your choice at that. If you have type one and are only under the care of a GP, you need to request a referral. This can't be turned down, however hard someone might protest.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1946195, member: 30007"] So let's be clear here. Across the board, the CCG adopted guidelines (which change in April to be England wide) pretty much all require that the initial prescribing of the Libre is done by the specialist Diabetes team. This is not your practice's diabetes nurse, but the consultant at your hospital's diabetes clinic. Very few surgeries will prescribe direct, but it's not down to the diabetes nurse, who clearly doesn't understand the criteria either. From a cost perspective, you'll really struggle to get a GP to override a CCG unless you have a very good relationship with them and/or they are much more forward thinking than many, and most will refer to the CCG guidance and refer you to secondary care anyway. As a person with Type 1, it's very clear in both NICE guidance and NHS England guidance that you should have access to secondary care, and a clinic of your choice at that. If you have type one and are only under the care of a GP, you need to request a referral. This can't be turned down, however hard someone might protest. [/QUOTE]
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