genuine question about tier 3 that I am slightly embarrassed to ask
The title is the whole question — genuine question about tier 3 that I am slightly embarrassed to ask — but here is why I am asking.
Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.
best — the order this archive was captured in
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 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.
Agreed. The ICB variation is the thing that makes national advice useless here.
Not convinced — the US threads are a different system entirely and importing their advice here does real harm.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
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.
That is Scotland’s arrangement and the post is asking about England.
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
GP said no in the spring, specialist said yes eighteen months later.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
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.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
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.
Left up. It names a nation and an ICB, which is all we ask of a pathway post.
Discharge from a specialist service at goal is a normal end point of that pathway.
osman_eriksen is right that the two routes are separate. A private prescription does not move you up the list.
BMI thresholds vary by ICB and by year
BMI thresholds vary by ICB and by year
Adding the practical bit — ask what happens at discharge before you start, not after.
Which pharmacy, and what did they quote for the month rather than the first month?
specialist service, not GP, for tier 3 in most of England
the Irish scheme cap is the single most useful fact in this board
Correcting myself: the referral was 12 months ago, not the figure I gave. I keep rounding it down.
- 1Discharge from a specialist service at goal is a normal end point of that…9 comments in this branch · started by u/osman_eriksen