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Message: <blockquote data-quote="Heathenlass" data-source="post: 717499" data-attributes="member: 84861">As a former HCP, I feel that I need to comment on some postings in this thread :First of all, no HCP is infallible. We all make mistakes because we are human. Also, no matter what our personal beliefs are, there is a " party line " that has to be followed . And that party line seems to change like the wind <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite11" alt=":rolleyes:" title="Roll Eyes    :rolleyes:" loading="lazy" data-shortname=":rolleyes:" /> ? Sometimes the advice given is outdated compared with other countries, and sometimes it's because we haven't been given the memo <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite11" alt=":rolleyes:" title="Roll Eyes    :rolleyes:" loading="lazy" data-shortname=":rolleyes:" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink    ;)" loading="lazy" data-shortname=";)" /> Incidentally, I must have missed the memo that said all HCP's over the age of 45 are now exempt from Continuing Education <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink    ;)" loading="lazy" data-shortname=";)" />Those memos are the bane of most Hp's lives, as often the information hidden in the great drift do not filter down to the troops on the ground. For example, these MEDEX  forms. DSN's are as their title suggests, Diabetic SPECIALIST nurses. They are far more likely to be informed of beurocratic changes in regard to their speciality than a DN who is usually a practice nurse who runs the diabetic clinic at the local Health Centre as well as other clinics. The advice they give is only as good as the advice and information that they are given. You are more likely to be told about obtaining an exemption certificate from a DSN than a DN or GP because the latter are looking and concentrating on a much broader picture.It used to be that prescriptions were rarely checked or randomly checked by the receiving prescription payment department, thus allowing many fraudulent claims to go through. This has tightened up considerably and is computer checked. Your number is cross checked with the database of who has claimed and received a MEDEX, and if there is no match, out goes the letter . The computer doesn't recognise that a person is diabetic because of insulin, needles, test strips etc, it goes by numbers<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite11" alt=":rolleyes:" title="Roll Eyes    :rolleyes:" loading="lazy" data-shortname=":rolleyes:" />. It doesn't recognise that a person SHOULD be exempt  for whatever reason, so therefore doesn't send out an alternative letter with a gentle reminder that you should get a certificate. Sadly. It would seem that many HCP's have not been informed about ensuring that those patients who are exempt obtain a certificate, and many more still are unfamiliar with the exemption process, wrongly assuming lol along that the exemption would be picked up on by the pricing authority. It wasn't, and now, never is unless you apply for a valid certificate and thus have the all important cross match on the database.Yes, it's been handled badly, and sadly that is not unusual. Signy</blockquote>

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