[NHS] specialist service discharged me at goal and my GP will not continue it
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 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.
Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.
best — the order this archive was captured in
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
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.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
private prescription pricing moves monthly and the pharmacy is most of the spread
Did the consultation ask about history and medication?
Which pharmacy, and what did they quote for the month rather than the first month?
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.
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.
Yes — the consultation that asks nothing tells you what kind of service it is.
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