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NHS vs NHS-Scotland: Who Treats T1s better?
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<blockquote data-quote="NicoleC1971" data-source="post: 2519258" data-attributes="member: 365308"><p>I think eventually the pump/cgm combos will be widely available but from my experience living in Surrey Downs (just outside London) I can get a tandem basal iq with Dexcom but have to apply for special funding to do so. My hospital services are Epsom/St Helier btw.</p><p>I am aware of a trial for pump/cgm s running out of Guildford too (that's a university hospital and its a very good centre). Kings' Hospital London is also a leader in best practices for type 1s I believe.</p><p>My point is that the NHS isn't a single entity in England as these decisions are made at CCG (clinical commissioning group level). So a national body can recommend an approach but the local entities may take a while to implement such things hence the variance between different areas in the same county sometimes.</p><p>Furthermore you will get registered with a GP and they will then assign your treatment depending on their perception of your need e.g. I get hospital treatment (consultant led team) because I've had diabetes complications. This gets me access to the tech! So when you register try and see the GP in person to argue that you need to see a consultant rather than just the practice nurse. Things like frequent hypos as well as prior complications will get you there too. Or you could just be straight forward and argue that you'd like continuity of care to maintain good control and therefore you'd like to see someone who can fund the pump.</p><p>At gp level currently you would only be offered insulin pens and a freestyle libre device on prescription.</p><p>No idea about the socialist fiefdom of Nicola Sturgeon!</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2519258, member: 365308"] I think eventually the pump/cgm combos will be widely available but from my experience living in Surrey Downs (just outside London) I can get a tandem basal iq with Dexcom but have to apply for special funding to do so. My hospital services are Epsom/St Helier btw. I am aware of a trial for pump/cgm s running out of Guildford too (that's a university hospital and its a very good centre). Kings' Hospital London is also a leader in best practices for type 1s I believe. My point is that the NHS isn't a single entity in England as these decisions are made at CCG (clinical commissioning group level). So a national body can recommend an approach but the local entities may take a while to implement such things hence the variance between different areas in the same county sometimes. Furthermore you will get registered with a GP and they will then assign your treatment depending on their perception of your need e.g. I get hospital treatment (consultant led team) because I've had diabetes complications. This gets me access to the tech! So when you register try and see the GP in person to argue that you need to see a consultant rather than just the practice nurse. Things like frequent hypos as well as prior complications will get you there too. Or you could just be straight forward and argue that you'd like continuity of care to maintain good control and therefore you'd like to see someone who can fund the pump. At gp level currently you would only be offered insulin pens and a freestyle libre device on prescription. No idea about the socialist fiefdom of Nicola Sturgeon! [/QUOTE]
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