[Question] England vs Scotland pathways — genuinely different, right
The title is the whole question — England vs Scotland pathways — genuinely different, right — but here is why I am asking.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
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.
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.
Happy to answer the boring questions. Those are usually the ones worth asking.
best — the order this archive was captured in
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.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
the ICB decides the threshold and they are not the same across England
keep every letter, the dates matter later
Yes — the consultation that asks nothing tells you what kind of service it is.
Added a nation tag — the answers to this question differ across the four.
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
Push back: a private prescription is a separate route, not a shortcut through the NHS queue.
NHS pathway or private prescription?
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.
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.
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.
the price difference between pharmacies this month is genuinely large
an online consultation that asks you nothing is not a consultation
- 1Why the monthly pricing tracker works, and the rule that makes it work.…6 comments in this branch · started by u/ice_pack_audit