[Discussion] we are measuring private prescription at the wrong time and calling it noise
Thinking out loud about this: we are measuring private prescription at the wrong time and calling it noise.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.
Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.
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
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.
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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 Irish scheme cap is the single most useful fact in this board
an online consultation that asks you nothing is not a consultation
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.
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 at goal back to the GP is where a lot of people fall over
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
tier 3 waiting lists are measured in years, not months
tier 3 waiting lists are measured in years, not months
Adding the practical bit — ask what happens at discharge before you start, not after.
the ICB decides the threshold and they are not the same across England
private and NHS pathways are not a ladder, they are separate routes
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
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.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
Correcting myself: the referral was 4 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.
Not convinced — the US threads are a different system entirely and importing their advice here does real harm.
- 1Scotland, Wales and Northern Ireland have their own arrangements. An answer…12 comments in this branch · started by u/tomas_broberg
- 2The two routes, described separately, because mixing them is where most of…6 comments in this branch · started by u/rt_shift_reggie