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c/glp1uk·submitted 8 days ago by u/viktor_kirchner

[NHS] specialist service discharged me at goal and my GP will not continue it

NHSbranch of 8 comments

Something I keep coming back to: specialist service discharged me at goal and my GP will not continue it. The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board. Discharge at goal, which nobody warns people about. Specialist services in England are commissioned to deliver…

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8 comments, started 6 days ago
u/helga_vermeulen1 point·6 days ago

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.

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u/camila_marchand1 point·6 days ago·edited

Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.

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u/marit_coelho1 point·6 days ago

private prescription pricing moves monthly and the pharmacy is most of the spread

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u/viktor_kirchnerOP1 point·5 days ago

Did the consultation ask about history and medication?

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u/viktor_kirchnerOP1 point·5 days ago

Which pharmacy, and what did they quote for the month rather than the first month?

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u/emil_okwuosa1 point·5 days ago

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.

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u/zaid_balogun1 point·6 days ago

Discharge from a specialist service at goal is a normal end point of that pathway.

This is why national advice does not work here. It is commissioned locally and it varies.

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u/camila_sandvik1 point·6 days ago

Yes — the consultation that asks nothing tells you what kind of service it is.

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