[Question] Australia — has anyone got a straight answer on tier 3
Australia — has anyone got a straight answer on tier 3. I would rather ask a basic question now than get this wrong quietly for two months.
Two years and four months on a tier 3 list. Referral date and every letter kept, which turned out to matter when the service reorganised.
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
That is everything I have. The rest is opinion and I have tried to keep it out.
best — the order this archive was captured in
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.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
specialist service, not GP, for tier 3 in most of England
no referral links, ever, and that rule is why the pricing threads work
private and NHS pathways are not a ladder, they are separate routes
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
the ICB decides the threshold and they are not the same across England
ask the pharmacy for the price list, not the headline offer
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. Whether prescribing continues in primary care afterwards is a local decision and is worth asking about at the start rather than at the end.
GP said no and specialist said yes is a very common sequence
This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
England, Scotland, Wales and Northern Ireland are four different pathways
- 1Discharge at goal, which nobody warns people about. Specialist services in…8 comments in this branch · started by u/slow_logbook
- 2ask the pharmacy for the price list, not the headline offer7 comments in this branch · started by u/ferran_krastev