how much of what we believe about MHRA actually comes from pharmacy threads
how much of what we believe about MHRA actually comes from pharmacy threads. If this has been answered properly somewhere, link me and I will delete.
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.
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.
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.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
best — the order this archive was captured in
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
This is why national advice does not work here. It is commissioned locally and it varies.
Yes — the consultation that asks nothing tells you what kind of service it is.
That is Scotland’s arrangement and the post is asking about England.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
Agreed. The ICB variation is the thing that makes national advice useless here.
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.
the MHRA supply notices are published, read them before the panic threads
the ICB decides the threshold and they are not the same across 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.
Correcting myself: the referral was 20 months ago, not the figure I gave. I keep rounding it down.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
Which nation, and which ICB if you are in England?
Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.
an online consultation that asks you nothing is not a consultation
Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.
Cosigning on discharge at goal. It catches people who have done everything right and did not know it was coming.
specialist service, not GP, for tier 3 in most of England
Added a nation tag — the answers to this question differ across the four.
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
ask the pharmacy for the price list, not the headline offer
Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.
tier 3 waiting lists are measured in years, not months
GP said no and specialist said yes is a very common sequence
Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
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.
tier 3 waiting lists are measured in years, not months
chidi_abubakar is right that the two routes are separate. A private prescription does not move you up the list.
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
no referral links, ever, and that rule is why the pricing threads work
- 1Same. My ICB threshold was different from the neighbouring one and nobody…9 comments in this branch · started by u/jarno_karlsen
- 2Which nation, and which ICB if you are in England?6 comments in this branch · started by u/chidi_abubakar