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T1's having strips limited?
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<blockquote data-quote="ConradJ" data-source="post: 558117" data-attributes="member: 66676"><p>I agree that we're broke - financially and albut intellectually, and that's part of the problem: too much short-termism in Whitehall has produced an NHS that spent too much time counting the wrong beans, discouraging GPs from prescribing sufficient strips, etc. so that £8bn of the £10bn spent annually on diabetes is on retrograde type 2 reactions and diabetes complications. I can't recall the exact amount, but BG strips cost the NHS around £150m a year - that's a mere <strong><u>1.5%</u></strong> of the total budget on diabetes!</p><p></p><p>And you're right about procurement: we know that thereare around 350k type 1's in the UK. So, if we allow each one to test 8 times per day, that's 2.8m strips per day, or 1.25billion per year.</p><p></p><p>Now, if you opened this market to a three-year supply contract for say 5 different meters all designed to meet certain minimum standards (such as ease of use, analysis software, compatibility with pumps, etc.) which pharma-supply company in this world would not dream of pitching for a supply contract with a guarantee of demand?!?!?!?!?!?</p><p></p><p>Instead, we have NHS England divided into 213 (as of March 2013) CCG's each with their own purchasing strategy. In the case of Bucks, where I live, there are two CCG's serving 24,000 diabetics, of which 200 are kids and another 1,000 adult type 1s. The type 2's are being dished out some piece of flimsy, inaccurate junk that's barely worth selling in 99p stores and yet, failure to manage type 2 diabetes carries the same risk of complications as for type 1s! So, yet again, short-term, narrow-focused thinking will lead us to ... more money being spent on foot amputations, retinopathy and cataract surgery, etc., etc., etc., and less money for proactive care and treatment for type 1s, etc.</p><p></p><p>Madness, absolute madness...</p><p></p><p>And Farage wants to get us out of Europe because <em>THEY </em>don't know how to manage things!!!</p></blockquote><p></p>
[QUOTE="ConradJ, post: 558117, member: 66676"] I agree that we're broke - financially and albut intellectually, and that's part of the problem: too much short-termism in Whitehall has produced an NHS that spent too much time counting the wrong beans, discouraging GPs from prescribing sufficient strips, etc. so that £8bn of the £10bn spent annually on diabetes is on retrograde type 2 reactions and diabetes complications. I can't recall the exact amount, but BG strips cost the NHS around £150m a year - that's a mere [B][U]1.5%[/U][/B] of the total budget on diabetes! And you're right about procurement: we know that thereare around 350k type 1's in the UK. So, if we allow each one to test 8 times per day, that's 2.8m strips per day, or 1.25billion per year. Now, if you opened this market to a three-year supply contract for say 5 different meters all designed to meet certain minimum standards (such as ease of use, analysis software, compatibility with pumps, etc.) which pharma-supply company in this world would not dream of pitching for a supply contract with a guarantee of demand?!?!?!?!?!? Instead, we have NHS England divided into 213 (as of March 2013) CCG's each with their own purchasing strategy. In the case of Bucks, where I live, there are two CCG's serving 24,000 diabetics, of which 200 are kids and another 1,000 adult type 1s. The type 2's are being dished out some piece of flimsy, inaccurate junk that's barely worth selling in 99p stores and yet, failure to manage type 2 diabetes carries the same risk of complications as for type 1s! So, yet again, short-term, narrow-focused thinking will lead us to ... more money being spent on foot amputations, retinopathy and cataract surgery, etc., etc., etc., and less money for proactive care and treatment for type 1s, etc. Madness, absolute madness... And Farage wants to get us out of Europe because [I]THEY [/I]don't know how to manage things!!! [/QUOTE]
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