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Prime Minister and the Libre
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<blockquote data-quote="Rob Bailey" data-source="post: 1665968" data-attributes="member: 138085"><p>There are a number of threads here. I am type1 (35 years) and also a GP. The NHS is in dire straits due not only to lack of funding but also the waste of funds that it does have. I totally agree about the needless duplication of appointments, blood tests etc. To understand why this happens is that GPs are paid for looking after patients with diabetes through the Quality and Outcomed Framework (QOF). For GPs do this they have to do the checks and there are no allowances if patients are getting adequate care and checks elsewhere (eg hospital) For goodness sake, the NHS is meant to be a joined up organisation but over the years I have seen a wedge driven between primary and secondary care leading to unnecessary waste.</p><p></p><p>My second point, which the CCGs who refuse to endorse the prescription of Libre seem unable to understand is that through devices like the Libre we are freed up to enhance our own control and self management like never before. Libre is not “just another” glucose testing system, it is a step change (along with other CGM or flash monitoring systems) in diabetes management. CCGs seem to think that if they allow prescription then GPS will be prescribing them to everyone with diabetes. On the contrary, Libre is only helpful if the user is responsible and understands how it can help them. This is certainly not fall all and for some could do more harm than good by causing untold anxieties etc. It is interesting to note that NHS Wales seems to have far more foresight than the great majority of CCGs in England and can see the benefits. I feel that for the time being it should be prescribable to all those who can really benefit from it ( and what is more show that they can).</p><p></p><p>Finally, although I am no fan of Mrs May as a politician, her personal health is her own concern and to expect her to reveal details about her health is frankly unreasonable and unfair. One might consider that by showing her Libre she was making some sort of statement about it’s value as a tool in diabetes self management but one cannot expect her to come out and overtly express her opinion on the matter for obvious reasons.</p></blockquote><p></p>
[QUOTE="Rob Bailey, post: 1665968, member: 138085"] There are a number of threads here. I am type1 (35 years) and also a GP. The NHS is in dire straits due not only to lack of funding but also the waste of funds that it does have. I totally agree about the needless duplication of appointments, blood tests etc. To understand why this happens is that GPs are paid for looking after patients with diabetes through the Quality and Outcomed Framework (QOF). For GPs do this they have to do the checks and there are no allowances if patients are getting adequate care and checks elsewhere (eg hospital) For goodness sake, the NHS is meant to be a joined up organisation but over the years I have seen a wedge driven between primary and secondary care leading to unnecessary waste. My second point, which the CCGs who refuse to endorse the prescription of Libre seem unable to understand is that through devices like the Libre we are freed up to enhance our own control and self management like never before. Libre is not “just another” glucose testing system, it is a step change (along with other CGM or flash monitoring systems) in diabetes management. CCGs seem to think that if they allow prescription then GPS will be prescribing them to everyone with diabetes. On the contrary, Libre is only helpful if the user is responsible and understands how it can help them. This is certainly not fall all and for some could do more harm than good by causing untold anxieties etc. It is interesting to note that NHS Wales seems to have far more foresight than the great majority of CCGs in England and can see the benefits. I feel that for the time being it should be prescribable to all those who can really benefit from it ( and what is more show that they can). Finally, although I am no fan of Mrs May as a politician, her personal health is her own concern and to expect her to reveal details about her health is frankly unreasonable and unfair. One might consider that by showing her Libre she was making some sort of statement about it’s value as a tool in diabetes self management but one cannot expect her to come out and overtly express her opinion on the matter for obvious reasons. [/QUOTE]
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