why does nobody talk about tier 3
Question in the title, detail here: why does nobody talk about tier 3.
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.
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.
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.
Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.
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.
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
Referral link removed and the post left up.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
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.
Cosigning on discharge at goal. It catches people who have done everything right and did not know it was coming.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
tier 3 waiting lists are measured in years, not months
GP said no and specialist said yes is a very common sequence
no referral links, ever, and that rule is why the pricing threads work
specialist service, not GP, for tier 3 in most of England
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
- 1Why the monthly pricing tracker works, and the rule that makes it work.…8 comments in this branch · started by u/meta_analysis_mo