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Frustrared by GP surgery but unsure if bad enough to formally complain?

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

KittyGecko

New Member
Relationship to Diabetes
Type 1
Hi, I'm a newbie here so please be gentle 🙂

I am a 35 year old female "probably" type 1 diabetic (the consultants at the hospital say they're 99% sure that's my type but haven't said what else I could be) Diagnosed at 18 years old. Never been the best diabetic in the world, I must admit. I hate exercise and love junk food. But I've made dietary adjustments and wouldn't say I'm the worst either. I'm overweight but I don't drink, I've never smoked, I walk a lot, and my "crimes against food" are largely eating fatty food rather than overly sugary.

My GP surgery has always been a bit reluctant to prescribe me the amount of Novorapid insulin that would last me a month as they say it's a lot. I agree, but my insulin resistance appears to be very high, possibly due in part to my mental health and lack of sleep, and the hospital are aware of how much I take and have no issues with that, though we are obviously always trying new things to bring it down. Its only the GP surgery that drag their heels about it.

A few years back I asked my surgery if it was possible to be prescribed an amount that would last all month, as I was annoyed having to collect it every 2-3 weeks. They compromised with me and gave me an amount in between what I wanted and what they wanted. Not the best, but they wouldn't budge. Any time I tried to order it any earlier than a month since the last prescription I got a phone call demanding to know why I needed it early which was a bit frustrating given that it was them who refused to prescribe the correct amount. They've also withheld insulin before because I was overdue for a check up which seemed a bit extreme given that they hadn't bothered to ring or write to me about it and I was still being seen by the hospital for my main care.

In the last few months I've twice been to collect rapid insulin from my pharmacy to find less than agreed on has been issued, and when I've rung my surgery about it they've just said it was an accident or oversight and sent the rest to the pharmacy, necessitating an extra trip to collect it each time.

Well recently my blood sugar levels have been creeping up again and my control was not as good so my consultant at the hospital decided to change my long acting insulin. I handed in the piece of paper with the prescription on to the gp, asked to have it issued to my chosen pharmacy and sure enough, I go there a few days later and find a totally different, lesser amount of it than the consultant prescribed. So I ring the surgery and they're just like "oh yeah our pharmacist decided that was too much so reduced it. " no phone call or letter to me, just decided to change it and not communicate that at all. So I accept the new amount even though it wont quite do me a month, as they aren't budging.

A month later I've gone to collect the next dose of my new slow acting insulin , and my rapid insulin, and they've only gone and halved my new slow acting one AGAIN (a third of what the hospital consultant originally prescribed), and short changed me on the rapid one by a third, AGAIN. By this point I'm feeling pretty stressed out but the receptionist at the gp says jts just ANOTHER mistake when I ring, and she will send the rest across.

So I go back to the pharmacist a few days later...And guess what? None of it is there. So I call the GP again. "Oh yeah it wasn't sent as the pharmacist feels it's too much". No call to tell me that. No letter. No message left at Boots pharmacy to pass on. More wasted time. I've asked what to do next and apparently the pharmacist is calling me on Monday but frankly I'm fuming and want to complain. I'm not sure if I can though? Is this out of order?

The pharmacist will surely be able to see that I am under consultant care at the hospital and that they are approving my amounts and dosages. They should also be able to see, if they can see my records, that I have suffered from poor mental health for years, am on anti anxiety medication, and that this isn't helping! I'm blown away by their lack of communication and how much time I'm wasting chasing this. I have a job, a young child, and other major commitments such as a mother having a mental health crisis herself and this feels so stressful. I also feel like I'm being shamed and judged for the quantities of insulin I use and pressured into using less. I'm getting anxiety about collecting my meds now because I never know if I'm going to get what I need . This is obviously a drug my life depends on. I feel my recent rise in blood sugar levels has been in part due to trying not to go through my insulin supplies "too quickly".

I guess I'm wondering the best way to approach things with the pharmacist over the phone. I don't want to beg, I find that demeaning and feel I shouldn't have to. I also want an apology for the stress it has caused or at very least a feeling that they are going to communicate better with me in future. If they are unrepentant or unwilling to accept change is needed I will obviously be changing gp surgery but I'm wondering if I should also report them somehow as I honestly feel their behaviour has been very poor. Advice welcome.
 
Welcome.
Can you change your GP? Have you contacted the Practice Manager?
The Pharmacist can not give you only what the Doctor prescribes on the prescription, and would not necessarily know you are under a consultant.
It might be worth you calling Diabetes UK helpline the number on the top of the this page, unfortunately they are not open till Monday.
 
I would contact your consultant as well as putting in a formal complaint to the surgery.
They are playing with your life a type 1 diabetic needs insulin to live end of story.
 
Welcome.
Can you change your GP? Have you contacted the Practice Manager?
The Pharmacist can not give you only what the Doctor prescribes on the prescription, and would not necessarily know you are under a consultant.
It might be worth you calling Diabetes UK helpline the number on the top of the this page, unfortunately they are not open till Monday.
Thank you, I'm definitely considering it. The receptionist told me that the pharmacist they have ar the surgery is also a doctor apparently. I'll try Diabetes UK on Mondag.
 
Can your DSN or consultant give the GP a call? It seems counter productive to undermine a specialist 😡 A formal complaint the the practice manager at the surgery would be appropriate and if you can change pharmacy I would do that too.
 
The Practice Manager is the person to contact before you complain to the CCG. Can I ask whether your weight/BMI is on the high side as this can be the cause of insulin resistance? If it is high are you having a low-carb diet to reduce weight and blood sugar as that should reduce your insulin needs.
 
Presumably it's not the pharmacist at Boots that's messing with the prescription. Rather, I'd guess it's a pharmacist at the GP surgery. (It's still not right that they're doing it, but I'd guess moving from Boots won't change anything, so concentrate on the GP surgery.)
 
It does seem regrettable that your consultant’s instructions aren’t being overridden with no conversation or consultation. The situation you describe is completely unacceptable, and you have every right to complain.

Ive only had one time where my prescription was delayed being issued because I was overdue a prescription review, and when I went to see them face to face, and asked why they were denying me access to insulin suddenly it was all apologies and I’ve not had a problem since.

Perhaps you can explain to them that it doesn’t actually reduce the amount of insulin you need for it to be dispensed in smaller amounts - it simply means more expense, admin and work for them, as they have to issue more prescriptions.

Have you ever been offered Metformin as an adjunctive therapy to insulin? It can help reduce insulin resistance in some people with T1.

The other option would be to reduce your carb load in meals, and perhaps to attempt to reduce your weight a little, which can also reduce insulin resistance.

But none of those options excuse the behaviour of your surgery that you’ve described. I hope you can get your consultant or DSN to fight your corner and set them straight.
 
I'm overweight but I don't drink, I've never smoked, I walk a lot, and my "crimes against food" are largely eating fatty food rather than overly sugary.
The fatty food will more than likely cause the need for extra insulin. I think you will find most type 1's need extra insulin when a fatty meal is on the menu. Carrying extra weight will also cause insulin resistance :(
None of this though is any excuse for a GP to withhold life preserving medication. As I said above complain to the surgery and also write/email your consultant.
 
Hi Kitty,

Can I just ask, when they say large quantities of insulin, what amount are they talking about? None of it makes any sense, in that, why would a GP give you less than you need? It looks like they are acting as judge and jury. Surely a GP has no right to refuse you the amount of insulin you need? Particularly when agreed with a specialist consultant. Is it lawful for a GP to do this? This is very concerning.
 
The fatty food will more than likely cause the need for extra insulin. I think you will find most type 1's need extra insulin when a fatty meal is on the menu. Carrying extra weight will also cause insulin resistance :(
None of this though is any excuse for a GP to withhold life preserving medication. As I said above complain to the surgery and also write/email your consultant.
I can say with certainty that that is the case about high fat meals and insulin resistance. Pizza anyone? LOL
 
It does seem regrettable that your consultant’s instructions aren’t being overridden with no conversation or consultation. The situation you describe is completely unacceptable, and you have every right to complain.

Ive only had one time where my prescription was delayed being issued because I was overdue a prescription review, and when I went to see them face to face, and asked why they were denying me access to insulin suddenly it was all apologies and I’ve not had a problem since.

Perhaps you can explain to them that it doesn’t actually reduce the amount of insulin you need for it to be dispensed in smaller amounts - it simply means more expense, admin and work for them, as they have to issue more prescriptions.

Have you ever been offered Metformin as an adjunctive therapy to insulin? It can help reduce insulin resistance in some people with T1.

The other option would be to reduce your carb load in meals, and perhaps to attempt to reduce your weight a little, which can also reduce insulin resistance.

But none of those options excuse the behaviour of your surgery that you’ve described. I hope you can get your consultant or DSN to fight your corner and set them straight.
Hi Mike,
Is this lawful? For a GP to refuse to give the necessary amount of insulin to a diabetic? It sounds like something they would be struck off for?

This makes a good case for what I had posted some time ago about T1 diabetics being able to collect their insulin direct from pharmacist without a GP's prescription if they attend a hospital consultants appointment etc
 
Is this lawful? For a GP to refuse to give the necessary amount of insulin to a diabetic?

From the sounds of it it's not the GP that's doing it. Rather, it's a pharmacist at the GP surgery. And from the sounds of it the complaints so far haven't been enough to change the situation. Not sure what the right mechanism is (short of a formal complaint), but asking the hospital consultant or a DSN to have.a word seems like a good first step.
 
Is this lawful? For a GP to refuse to give the necessary amount of insulin to a diabetic? It sounds like something they would be struck off for?

I‘m not sure of the legal situation.

It only seems quite a recent thing that GP surgeries have a separate ‘pharmacist’ that reviews prescriptions, though that may only be my experience. I am more used to a simpler system with just GP writing script which you take to the chemist/pharmacy... rather than the newfangled GP -> GP Surgery Pharmacist -> Dispensing pharmacist

I get called in for pharmacist reviews at the GPs every so often these days too. Not sure what value it adds in T1. “Do you still need insulin?” “Yup!”
 
From the sounds of it it's not the GP that's doing it. Rather, it's a pharmacist at the GP surgery
I'm not sure about this but as I understand it a pharmacist can not change a prescription. Yes they have to supply the cheapest brand of the medication (quite right) but can not alter the quantity without a GP writing out a new prescription.
 
From the sounds of it it's not the GP that's doing it. Rather, it's a pharmacist at the GP surgery. And from the sounds of it the complaints so far haven't been enough to change the situation. Not sure what the right mechanism is (short of a formal complaint), but asking the hospital consultant or a DSN to have.a word seems like a good first step.
For me, I'd be taking up something this serious with the GMC. If it were just the way a Doctor spoke to me, I'd take it up with the practice manager, but for something so fundamentally wrong, got to be GMC.
 
I get called in for pharmacist reviews at the GPs every so often these days too. Not sure what value it adds in T1. “Do you still need insulin?” “Yup!”
It adds £100 to the surgery that employs for pharmacist for every meds review they do.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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