I-Port Advance - Not Able To Have On Prescription After all

[Nadia Robertshaw]

Last week I started using the i-Port advance for the first time. On the first day I saw an immediate improvement in my blood sugars. Prior to this, I was using the TickleFlex as an aid to help me inject.

However, now using the i-Port advance I’ve come to the conclusion I wasn’t getting my full dose of insulin with the TickleFlex.

My DN has said they aren’t available via prescription, yet the company I purchased them from has said that isn’t the case. I’m now not holding my breath I’ll be able to have them on prescription .

Therefore, I’m now wondering does anybody know of ways of having funding for such devices? (Not provided by nhs).

Thanks in advance for responses.

 

[Northerner]

There may be certain criteria that you need to meet Nadia. Don't take 'no' for an answer if they are helping you. Try to find out what criteria your local CCG apply and how you might fit them.

 

[everydayupsanddowns]

I’m not sure the iPort advance has been assessed by NICE, or what clinical studies exist to support its use.

I suppose you could investigate the possibility of an Individual Funding Request, based on your clinical need (if your clinic supports your requirement for iPorts)

Some people attempt to secure Personal Independence Payments, but again I’m afraid the odds are stacked against you unless you can prove profound need.

The closest widespread thing I can think of is CGM sensors, for which there is some clinical evidence, but currently not quite enough for widespread use because of cost. Some people manage to get sensors on the NHS, but many others try and are refused so have to self-fund.

Are you able to ask Medtronic for advice and support, and if they know how others have managed to jump through the required hoops?

Good luck with your quest!

 

[AndBreathe]

Last week I started using the i-Port advance for the first time. On the first day I saw an immediate improvement in my blood sugars. Prior to this, I was using the TickleFlex as an aid to help me inject.

However, now using the i-Port advance I’ve come to the conclusion I wasn’t getting my full dose of insulin with the TickleFlex.

My DN has said they aren’t available via prescription, yet the company I purchased them from has said that isn’t the case. I’m now not holding my breath I’ll be able to have them on prescription .

Therefore, I’m now wondering does anybody know of ways of having funding for such devices? (Not provided by nhs).

Thanks in advance for responses.

Nadia, is your DN at your GP surgery, or hospital clinic? Often for these less usual things, GP practises sometimes don't have the exposure (to unusual products or procedures) to realise what can or can't be done.

 

[Nadia Robertshaw]

My DN is based in the local hospital.

When I showed my DN all the info she didn’t seem unaware of the iPort. However, she was very quick to say not available on prescription.

I left with her the info I had printed, even along with a prescription form to be completed by nhs.

I appreciate devices like this are partly governed by money, but surely decisions should be made on an individual case by case basis. Along with relevant supporting evidence if necessary.

 

[mikeyB]

As it costs around £60 a month it’s not surprising CCGs balk at the idea of funding it because there is no clinical benefit, so NICE won’t be able to find one.

I could easily self fund, but I won’t, for the simple reason that insulin injections are painless with modern needles. Apart from anything else, I wouldn’t be able to self inject through my shirt, and I’d have to put my reading glasses on to use it.

Anyway, it took them long enough to allow Libre sensors where there is at least a possible demonstrable benefit for their £100 a month.