Believe me it isn't different. The deal is the same. The consultant write to your own PCT where you live. They say x is going on a pump and they have to fund the consumables. That is it. There is no debate or discussion, the PCT cannot say no. The only differences are some hospitals make the PCT pay for the pump and others the hospital owns the pump. But either way, the PCT HAVE to fund the pump.
The problem Tom is having is that the particular pump he wants, the hospital generally only deal with Spirit Roche, not the most popular of pumps. However it is his right to choose his own pump. The basis is the same, they all do temps and duals etc etc. The Medtronic rep can train Tom, hell I can train Tom. This hospital is the one where the children's doc told a 9 year old she would cut her legs off if she kept having high levels 😱 Whilst the adult team are alledgedly better, they are all intermingled and they all talk. The DSN for the paed has been on a training course for Roche but not Medtronic purely because the adult team (Tom's team) do Roche. This is very narrow minded.
It is the hospital delaying things for Tom, as this hospital do not like doing things they don't want to or have to. Unfortunately for them they have Tom and I hope to god you fight for the pump you want Tom. Don't give in, it is your right. 🙂