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<blockquote data-quote="HarryBeau" data-source="post: 2088894" data-attributes="member: 329049"><p>Our NHS relies on private practice far too much so it's often about ticking those contractual boxes...meeting those contractual obligations...as GP' surgeries are essentially private practices with the NHS as their biggest contractor I feel there is little room for deviation from standard NHS advice which in respect of my diabetes doesn't work for me & many others here...there are also the local CCGs who dictate how surgeries will spend their budgets although not a statutory body I often wonder what would/could they do if GP practices didn't tow their line...there are a few surgeries who are more enlightened and embrace alternative ways to manage T2 those are few & far between...for me there no doubt T2's are not given the best when it comes to managing their diabetes...the courses are often unfit for purpose...the advice is out dated & archaic the disinterest shown when you hear 'well you might as well take the medication as it will progress irrespective' is not the best care considering this condition can lead to horrifying long term consequences if not addressed...GP's/DSN's need to make more effort and offer more effective care to T2's.</p></blockquote><p></p>
[QUOTE="HarryBeau, post: 2088894, member: 329049"] Our NHS relies on private practice far too much so it's often about ticking those contractual boxes...meeting those contractual obligations...as GP' surgeries are essentially private practices with the NHS as their biggest contractor I feel there is little room for deviation from standard NHS advice which in respect of my diabetes doesn't work for me & many others here...there are also the local CCGs who dictate how surgeries will spend their budgets although not a statutory body I often wonder what would/could they do if GP practices didn't tow their line...there are a few surgeries who are more enlightened and embrace alternative ways to manage T2 those are few & far between...for me there no doubt T2's are not given the best when it comes to managing their diabetes...the courses are often unfit for purpose...the advice is out dated & archaic the disinterest shown when you hear 'well you might as well take the medication as it will progress irrespective' is not the best care considering this condition can lead to horrifying long term consequences if not addressed...GP's/DSN's need to make more effort and offer more effective care to T2's. [/QUOTE]
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