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"Suggest Partners consider evidence based decisions"

About: Woodland Road Surgery

Today I attended and discussed my repeats 2 of which are for a licensed drug. Within an hour of the appointment I receive a call from said GP. The Partners, without asking to speak to me or see my medical evidence, have gone against the recommendation of three hospital consultants and decided that I should not access this drug. I have essentially been left high and dry without even a lesser dose to tide me over! This drug I might add works best when taken consistently. I fail to understand why the NHS has paid (in the last 18months) for me to see said Consultants and stay overnight at considerable expense if a mere GP is to over-ride their considerable knowledge. I fear this is a cost and paperwork avoiding exercise and that my physical and mental health will suffer as a consequence. I will then need more appointments and more drugs to deal with the inevitable increase in debilitation and symptoms. But hey, so long as they save money in the short-term. What a false economy! It is disconcerting that in a listening and learning culture a GP who has only known me for 15 mins can decide that my best interests are served by coming off a licensed drug. Does it not occur to them to ask formy notes (I have them and can highlight the relevant passages) before rushing to their balance sheets? I suspect the bottom line is that evidence of cost can be a powerful disincentive to research a patients documented needs. I now feel that I do not matter. That my problems are inconsequential to the point that a carefully put together treatment plan can be swept away at a moments notice. A stressful afternoon all in all. Not a good day for the GP profession either. I no longer feel that medicine is a science but more of a Postcode lottery. It comes to something when 10 years of stability and access to medication can be over-ruled in the space of one hour. Boy I must have come across as fit as a flea for all of 15 minutes! I shall definitely be raising this with my MP should the GP concerned keep to their word and type up a letter justifying their actions. I shall then have something to show the various professors involved in my original diagnoses.

In summary a quick decision isn't always a good decision. Perhaps the GP involved can reflect on their decision and it's impact on my overall well-being before rushing to delete medications from my repeats. It's not as if a substitute were ever forthcoming.

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Responses

Response from Woodland Road Surgery 8 years ago
Woodland Road Surgery
Submitted on 27/03/2017 at 08:38
Published on nhs.uk on 13/04/2018 at 17:58


Whilst we do not normally respond to such specific concerns on this site some of the comments made are entirely unfounded and could, left unanswered, show our practice in a poor light unfairly, therefore I feel I have no other option but to respond fully so that other patients are not mislead.

By now you should have received a formal letter from our surgery outlining the reasons why we cannot prescribe the medication you requested.

Whilst the medication is licensed, it is ONLY licensed for specialist prescribing.

As such GP's are NOT allowed to provide prescriptions for the medication and any prescriptions must be provided by your specialist.

This decision is absolutely nothing to do with cost or financial implications, we maintain prescriptions for many high cost medicines without question, but we can only do so where they are licensed for GP prescribing.

You will also know from our letter to you that we have double checked this with the medicines management team at our CCG who have reinforced that we are not to prescribe this medication, a fact that your specialist should be aware of.

In case they are not aware we have also offered to write to them to secure you an appointment to obtain your medication or get advice on any alternative medication that can be prescribed in primary care.

I cannot comment why your previous practice has prescribed the medication despite the prescribing rules.

I therefore reiterate that whilst we have only known you a short time this decision has been made purely based on the primary care prescribing guidelines which forbid our GP's from prescribing the medication you requested.

Our decision is not financially lead and it is also not because your are new to our practice.

Of course you are free to raise your complaint with your MP or any of the other complaints bodies within the NHS, however as our hands are tied by prescribing guidelines our decision is not one that can be reversed.

Kind regards

Rachael Jackson

Practice Manager

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