[NHS] GP said no, specialist said yes, eighteen months apart
Posting this as a discussion rather than a claim: GP said no, specialist said yes, eighteen months apart.
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.
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.
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.
Happy to answer the boring questions. Those are usually the ones worth asking.
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.
Left up. It names a nation and an ICB, which is all we ask of a pathway post.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
Agreed. The ICB variation is the thing that makes national advice useless here.
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.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
Yes — the consultation that asks nothing tells you what kind of service it is.
Yes — the consultation that asks nothing tells you what kind of service it is.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
NHS pathway or private prescription?
discharge at goal back to the GP is where a lot of people fall over
discharge at goal back to the GP is where a lot of people fall over
This is why national advice does not work here. It is commissioned locally and it varies.
The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.
Which nation, and which ICB if you are in England?
- 1Yes — the consultation that asks nothing tells you what kind of service it is.7 comments in this branch · started by u/vikram_mbeki