Hi. Not visited forum for many moons - never anything new to report: T2 since 2013, no meds, low carb (some exercise!) and normal results every year (all thanks to finding this forum at the time). GP advised me couple of years back NHS has no means to de-register diabetics.
I post now because of the new local eye screening procedure.
Per the NHS in 2022 (still on the website) we diabetics can book our own screening appointments.
No here no more. This year, for the first time in ten years, I wasn't sent the usual polite reminder with a list of participating opticians and invited to book an appointment. I received an officious four page letter telling me I had been pre-booked at a location and time inconvenient to me. None of the four pages offered explanation for the change. I was advised to ring a new 'booking office'. So I did.
Nothing I said helped them trace my records. Not my NHS number, name etc, not even the so-called "patient reference ID". I was miffed at this waste of my time and asked a few questions. Why had the self-booking system changed? No reason. Why can't I book my own appointment to my convenience as per previous years. No longer possible, we do all that for you. So you contact opticians up to 200,000 times (our apparent diabetic cohort) and make appointments that we then have to ring you to change? Yes, you can no longer speak to opticians yourself. So if diabetics cannot make the pre-booked appointment and fail to attend, does the NHS get charged? Vague reply but perhaps no.
I abandoned the call saying I was cancelling the pre-booking and would try to locate the new list of opticians. I found the list online and turned out I had been allocated the first optician on the list, while there was another within walking distance. I'm possibly a cantankerous 70 year old but see no good reason why I should have to catch two buses to a location in the rush hour just because it was convenient to somebody working at a spreadsheet miles away sticking names in appointment lists. After all, even in COVID the NHS didn;t pre-allocate appointments but invited booking on a website. There was at least some choice of time if not venue. Consultants issue fixed appointments but that is different.
I've discovered our local screening programme was contracted in late 2022 and this seems to be the origin of the new central booking office. Now all 200,000 diabetics in the catchment area have no choice but to go through a new booking office, which in my case was a waste of my time because the original appointment I phoned to cancel was re-issued to me by letter yesterday.
Eye screening is an obvious important thing so I have complied each year despite normal blood sugars. But I see no sane sense to the NHS paying for a new staffed central booking office which presumably makes hundreds of thousands of random appointments, then sends the same number of letters requiring each diabetic to ring the booking office to change the appointment, which I imagine many have to do? I suppose I was unlucky they couldn't trace me when I called but they should have had the wits to jot down that I had called and cancelled.
I've written to the local DESP asking for information on why the old system had to change. Did all the opticians compolain and resign? I notice the new list is sparse of the old names that appeared every year in the past.
Something is afoot, methinks, as to respecting diabetes over convenience of bureacracy. But feet are different area of diabetic problem.
Mind, I do have the Hobson's choice to decline being screened.
Lurch.