the NHS thing finally clicked for me and I want to write it down
the NHS thing finally clicked for me and I want to write it down. Making the case below, and I expect to lose some of it in the comments.
Supply notices from the regulator describe expected availability at a national level. They do not predict what any individual pharmacy has on the shelf next week.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
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.
Would rather be corrected in public than confident in private.
best — the order this archive was captured in
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.
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
BMI thresholds vary by ICB and by year
Pharmacy staff name removed. The pharmacy itself can be named in a pricing post.
Did the consultation ask about history and medication?
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.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
Two years and four months on a tier 3 list. Referral date and every letter kept, which turned out to matter when the service reorganised.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
private and NHS pathways are not a ladder, they are separate routes
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
the Irish scheme cap is the single most useful fact in this board
Discharge from a specialist service at goal is a normal end point of that pathway. Whether prescribing continues in primary care afterwards is a local decision and is worth asking about at the start rather than at the end.
ask the pharmacy for the price list, not the headline offer
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Have you seen the current threshold published by your ICB?
The online consultation asked me three questions, none of them about my history. I did not go ahead.
an online consultation that asks you nothing is not a consultation
England, Scotland, Wales and Northern Ireland are four different pathways
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
That is Scotland’s arrangement and the post is asking about England.
discharge at goal back to the GP is where a lot of people fall over
- 1Two years and four months on a tier 3 list. Referral date and every letter…9 comments in this branch · started by u/marisol_kravchenko