Libre CCG say yes

[TheClockworkDodo]

The criteria from our CCG are

The GP
- has evidence that we have had all our checks each year, and we were on target for everything and had a flu jab.
- believes that there is a clinical need that will be fulfilled by the provision
- believes that the current use of blood glucose testing strips will be reduced.

And
The patient
- has Type 1 Diabetes and is interested in having access to the Libre
- has completed a structured education course
- is well motivated to manage all the clinical risks (not just HbA1c)
- educated to respond to the information provided by the Libre
- is a non smoker

Thanks for posting the list, @SB2015

Sadly I don't tick all the boxes as I'm unable to either have a flu jab or complete a structured education course. Neither of these is my choice, they are both consequences of my ME, but I somehow doubt they will take that into consideration.

I'm surprised there's no mention of hypo awareness - I'd have thought lack of it would be a major deciding factor (I suppose it's covered by clinical need, but that's a bit vague).

I wonder whether all CCGs will have the same criteria?

 

[SB2015]

I searched for criteria of other CCGs and some have not yet decided on them, others are not issuing the Libre, ... I think it is going to be different in different areas. Theybeach haev to make their own decisions.

The Clinical need is indeed vague and one that could be used, or not, to fit a variety of situations, such as hypo awareness. I think in our area the focus is on whether the Libre will be used to make a difference. If the data is not used then there is little point in using it.

 

[mikeyB]

Until they change the driving regulations, there will always be strips, though I suspect some long distance drivers using the Libre wing it. It’s the one testing system you can use while driving (theoretically, honest your honour).

 

[SB2015]

I shall still do my predriving test (aiming for 45 min before I need to set off so that I can do the post hypo wait if necessary, and then still get off in good time) with blood test and then within two hours again if still driving. The Libre is good for in between checks.

 

[pippaandben]

The wording of the new advice from NICE regarding the use of Libre also specifies that Type 2 on insulin will also be eligible. As us type 2s are not officially allowed access to a carb counting course even though carb counting what structured education criteria can we do to meet this.

 

[Pigeon]

Mine say no, for the reasons here: http://www.nottsapc.nhs.uk/media/1263/freestyle-libre-apc-position-statement.pdf which are obviously a load of rubbish if you know anything about it. I mean, lack of an alarm to show going low? Your normal BG meter doesn't do that, and I'm perfectly capable of reading numbers off a screen adn acting on then. My DSN thinks the DVLA requirement might change soon and then that might help swing it with the CCG. In the mean time I'[ve signed DUK's campaign, has everyone else? https://campaigns.diabetes.org.uk/p...47.2126552362.1511003766-168671287.1468354923

 

[everydayupsanddowns]

I'm surprised there's no mention of hypo awareness - because of the alarms - I'd have thought lack of it would be a major deciding factor (I suppose it's covered by clinical need, but that's a bit vague).

I wonder whether all CCGs will have the same criteria?

Hypo unawareness should be covered by existing NICE recommendations really. But many CCGs simply ignore the guidance (mine does).

From looking at the Libre Users FB Group, there are lots of CCGs that have simply issued a blanket ‘no’, with relatively few areas that have said yes so far. Looks like it will be a moveable feast for some time yet.

 

[mikeyB]

In a supposedly “National “ Health Service, can someone please explain to me why a treatment allowed by NICE for prescription in certain circumstances can be forbidden by local CCGs? What sort of health service allows a well paid bunch of local bean counters to completely ignore national advice?