[Discussion] we are measuring NHS at the wrong time and calling it noise
we are measuring NHS at the wrong time and calling it noise, which sounds obvious until you try to state the evidence for it.
Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.
The two routes, described separately, because mixing them is where most of the confusion here starts.
The NHS route in England runs through specialist weight management services commissioned by your ICB. Criteria, waiting times and what happens at discharge are all local decisions, which is why a confident answer from somebody in a different area may be wrong for you.
The private route is an independent transaction: a consultation, a prescription and a pharmacy price. It does not affect your position on any NHS list and it is not a shortcut through one. Both are legitimate; they are simply not the same pathway and they do not connect.
The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.
Would rather be corrected in public than confident in private.
best — the order this archive was captured in
Why the monthly pricing tracker works, and the rule that makes it work.
Members post the pharmacy, the product, the month and the price they actually paid — not an advertised offer, not a first-month discount. No links of any kind are permitted, which removes the entire incentive to post anything other than what happened.
The result is that the spread between pharmacies in a given month is visible, and it is consistently larger than people expect. That single table has saved members here more money than every other thread on the board combined, and it survives only because the no-links rule is enforced without exception.
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
In England, specialist weight management services are commissioned locally, so eligibility criteria and waiting times differ by ICB. There is no single national threshold to quote.
private prescription pricing moves monthly and the pharmacy is most of the spread
What did the referral letter actually say?
Agreed. The ICB variation is the thing that makes national advice useless here.
no referral links, ever, and that rule is why the pricing threads work
Pharmacy pricing on a private prescription is set by the pharmacy. The spread between them in a given month is routinely substantial, which is why a tracker built from member reports is more useful than any headline.
Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
Scotland, Wales and Northern Ireland have their own arrangements. An answer that begins with "in England" should say so, and most of the confusion here comes from answers that do not.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
the Irish scheme cap is the single most useful fact in this board
keep every letter, the dates matter later
the Irish scheme cap is the single most useful fact in this board
jonas_eriksen is right that the two routes are separate. A private prescription does not move you up the list.
Have you seen the current threshold published by your ICB?
discharge at goal back to the GP is where a lot of people fall over
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
Adding the practical bit — ask what happens at discharge before you start, not after.
the price difference between pharmacies this month is genuinely large
Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.
- 1Scotland, Wales and Northern Ireland have their own arrangements. An answer…8 comments in this branch · started by u/dario_stanescu