unpopular opinion: most of what gets said here about MHRA is guesswork
Posting this as a discussion rather than a claim: unpopular opinion: most of what gets said here about MHRA is guesswork.
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
Happy to answer the boring questions. Those are usually the ones worth asking.
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.
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Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
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.
England, Scotland, Wales and Northern Ireland are four different pathways
the Irish scheme cap is the single most useful fact in this board
Yes — the consultation that asks nothing tells you what kind of service it is.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.
Push back: a private prescription is a separate route, not a shortcut through the NHS queue.
Yes — the consultation that asks nothing tells you what kind of service it is.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
Agreed. The ICB variation is the thing that makes national advice useless here.
Yes — the consultation that asks nothing tells you what kind of service it is.
elise_ramos is right that the two routes are separate. A private prescription does not move you up the list.
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.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
the MHRA supply notices are published, read them before the panic threads
Is this a discharge back to the GP, or a discontinuation?
the ICB decides the threshold and they are not the same across England
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
Left up. It names a nation and an ICB, which is all we ask of a pathway post.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
Adding the practical bit — ask what happens at discharge before you start, not after.
- 1Yes — the consultation that asks nothing tells you what kind of service it is.8 comments in this branch · started by u/elise_ramos
- 2Supply notices from the regulator describe expected availability at a…7 comments in this branch · started by u/viktor_kirchner