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NHS contract for an insulin pump
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<blockquote data-quote="Seacrow" data-source="post: 2004589" data-attributes="member: 420515"><p>I was told there were conditions to keep the pump, but only verbally, and these were reasonable conditions, I.e. my HbA1c reduced, I test bg often enough to stop long highs etc.</p><p></p><p>In your place I'd rewrite the contract. Use the same general format and layout, but put in what you think are reasonable conditions, so</p><p>- agree to notify them if you have a decrease in hypo awareness</p><p>- attempt to maintain less than one hypo a week</p><p>- agree to a three monthly pump 'review'</p><p>etc.</p><p></p><p>And then write a covering letter in which you point out that these conditions are actually achievable, unlike theirs. If you can, get your doc to write a note saying their conditions are not only unreasonable, but unachievable, and you should not be penalised for having good hypo awareness and fair glycaemic control. Also point out that the loss of your pump will almost certainly result in decreased control, increased number of hypos and increased HbA1c, not to mention a reduced quality of life and increased number of hospital admissions.</p><p></p><p>I really, really hope this is not new nhs procedure. I find my diabetes is enough work without having to 'reason' with administrators.</p></blockquote><p></p>
[QUOTE="Seacrow, post: 2004589, member: 420515"] I was told there were conditions to keep the pump, but only verbally, and these were reasonable conditions, I.e. my HbA1c reduced, I test bg often enough to stop long highs etc. In your place I'd rewrite the contract. Use the same general format and layout, but put in what you think are reasonable conditions, so - agree to notify them if you have a decrease in hypo awareness - attempt to maintain less than one hypo a week - agree to a three monthly pump 'review' etc. And then write a covering letter in which you point out that these conditions are actually achievable, unlike theirs. If you can, get your doc to write a note saying their conditions are not only unreasonable, but unachievable, and you should not be penalised for having good hypo awareness and fair glycaemic control. Also point out that the loss of your pump will almost certainly result in decreased control, increased number of hypos and increased HbA1c, not to mention a reduced quality of life and increased number of hospital admissions. I really, really hope this is not new nhs procedure. I find my diabetes is enough work without having to 'reason' with administrators. [/QUOTE]
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