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c/glp1uk·posted 2 months ago by u/jarno_karlsen

[Discussion] can we stop arguing about NHS until somebody posts a number

Discussion Clean Column ×6

Question in the title, detail here: can we stop arguing about NHS until somebody posts a number.

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.

Happy to answer the boring questions. Those are usually the ones worth asking.

369 up / 92 down80% upvoted17 commentsid 12flin29 May 2026

17 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/milan_wikstrom25 points·2 months ago

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.

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u/mikkel_correia8 points·1 months ago

BMI thresholds vary by ICB and by year

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u/ireland_drugs_payMOD14 points·1 months ago

Pharmacy staff name removed. The pharmacy itself can be named in a pricing post.

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u/omar_eriksen18 points·1 months ago

Pharmacy staff name removed.

Agreed — and keeping the letters with dates is what makes any later challenge possible.

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u/solene_ilunga5 points·1 months ago

the Irish scheme cap is the single most useful fact in this board

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u/diego_almeida17 points·2 months ago

an online consultation that asks you nothing is not a consultation

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u/jarno_karlsenOP10 points·2 months ago

the MHRA supply notices are published, read them before the panic threads

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u/nordic_pricing11 points·1 months ago

A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.

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u/chidi_abubakar7 points·1 months ago

A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.

Disagreeing with this line: that is the arrangement in one nation and the question is about another.

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u/bence_ibarra2 points·1 months ago

tier 3 waiting lists are measured in years, not months

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u/gradient_goblin5 points·1 months ago

discharge at goal back to the GP is where a lot of people fall over

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u/ilias_nakamura-5 points·1 months ago

GP said no and specialist said yes is a very common sequence

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u/laila_wojcik1 point·1 months ago

Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.

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UK-specific access: NHS tier-3 and specialist weight-management pathways, the two-year waiting-list reality, private prescription routes and their monthly cost, pharmacy stock, MHRA supply notices, and how the UK rules differ from the US conversation that dominates most of the internet.

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