[Question] Spain — has anyone got a straight answer on NHS
The title is the whole question — Spain — has anyone got a straight answer on NHS — but here is why I am asking.
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 at goal, which nobody warns people about.
Specialist services in England are commissioned to deliver a defined intervention. Reaching goal is a successful outcome and it typically ends with discharge back to primary care. Whether prescribing continues after that is a local decision that varies, and plenty of members here have discovered it at the point of discharge rather than at the start.
The useful thing to do is ask early: what happens when I finish, and does prescribing continue in primary care in this area. Ask it in writing, keep the answer, and you will at least know which conversation you are heading for.
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.
Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.
best — the order this archive was captured in
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.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
private prescription pricing moves monthly and the pharmacy is most of the spread
Push back: a private prescription is a separate route, not a shortcut through the NHS queue.
an online consultation that asks you nothing is not a consultation
Which nation, and which ICB if you are in England?
Added a nation tag — the answers to this question differ across the four.
Added a nation tag — the answers to this question differ across the four.
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
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Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
the Irish scheme cap is the single most useful fact in this board
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.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
That is the first-month offer price, not the ongoing monthly cost.
ignacio_roos is right that the two routes are separate. A private prescription does not move you up the list.
BMI thresholds vary by ICB and by year
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.
How long have you been on the list, and from what date?
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
That is Scotland’s arrangement and the post is asking about England.
- 1Supply notices from the regulator describe expected availability at a…7 comments in this branch · started by u/enzo_fonseca