someone explain NHS to me like I have not read a paper in years
Genuine question, and the title is the question: someone explain NHS to me like I have not read a paper in years. The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board. Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not…
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.
NHS pathway or private prescription?
Which nation, and which ICB if you are in England?
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
Have you seen the current threshold published by your ICB?
Left up. It names a nation and an ICB, which is all we ask of a pathway post.
Not convinced — the US threads are a different system entirely and importing their advice here does real harm.
the Irish scheme cap is the single most useful fact in this board
BMI thresholds vary by ICB and by year
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
an online consultation that asks you nothing is not a consultation
What did the referral letter actually say?
Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.