genuine question about pricing that I am slightly embarrassed to ask
genuine question about pricing that I am slightly embarrassed to ask. If this has been answered properly somewhere, link me and I will delete.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
That is everything I have. The rest is opinion and I have tried to keep it out.
best — the order this archive was captured in
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
NHS pathway or private prescription?
tier 3 waiting lists are measured in years, not months
Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.
specialist service, not GP, for tier 3 in most of England
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.
Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
Is this a discharge back to the GP, or a discontinuation?
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
Disagree.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
the ICB decides the threshold and they are not the same across England
Pharmacy staff name removed. The pharmacy itself can be named in a pricing post.
Yes — the consultation that asks nothing tells you what kind of service it is.
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
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.
Scotland, Wales and Northern Ireland have their own arrangements.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
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discharge at goal back to the GP is where a lot of people fall over
- 1Yes — the consultation that asks nothing tells you what kind of service it is.6 comments in this branch · started by u/vikram_mbeki