The GLP-1 RA shortage is becoming more pressing. Tackling this shortage in a structured way will not only reduce the impact on patients who continue to need these treatments but will also help meet PQS targets<\/p>\n
A Dorset audit of general practice GLP-1 prescribing shows that NG28 is not routinely followed at initiation or at 6 monthly review.<\/p>\n
This work will support management of the national shortage of GLP-1 agents.<\/p>\n<\/div><\/div><\/div>
Work with diabetes leads in practices and PCNs to identify people prescribed a GLP-1 using the SystmOne searches available DorsetsystmOneGPs>PQS Finance 2526>F1 GLP-1 prescribing <\/span>to ensure GLP-1 medicines are prescribed in line with NG28 at their next diabetes review.<\/span><\/span>\u00a0<\/span><\/p>\n<\/div><\/div><\/div> Audit<\/span>\u00a0CGM\u00a0<\/span>prescribing<\/span>\u00a0using the SystmOne searches provided\u00a0<\/span>to ensure it\u00a0<\/span>is in keeping with the updated\u00a0<\/span>commissioning<\/span>\u00a0statement<\/span><\/a><\/span>\u00a0on the Dorset formulary: if not,\u00a0refer the prescription\u00a0request\u00a0back to initiating prescribing team via advice and guidance or provide the patient with the guidance in the resource tab.<\/span><\/span><\/span><\/p>\n<\/div><\/div><\/div> CGM technologies have been appraised by NICE and funded by NHS Dorset based on its updated published policy<\/a>. Prescribing outside of this policy\u00a0is not commissioned and people will need to self-fund or meet the requirements of an individual funding request.<\/p>\n<\/div><\/div><\/div> Review the people identified in the provided search in SystmOne and complete the automated SystmOne CGM template (version 3) to record where any people qualify for CGM but are incorrectly coded.<\/p>\n Refer\u00a0inappropriate new CGM prescription requests\u00a0using \u2018declined prescribing request form\u2019 to ensure CGM devices are prescribed in line with NG28, the updated\u00a0Dorset CGM policy<\/a>\u00a0and\u00a0commissioning statement\u00a0<\/a>at their next diabetes review.<\/p>\n For existing CGM prescription which no longer meet the eligibility criteria within the updated\u00a0Dorset CGM policy<\/a>\u00a0and\u00a0commissioning statement<\/a>, either refer the prescription request back to initiating prescribing team via advice and guidance or provide the patient with the guidance in the resource tab.<\/p>\n<\/div><\/div><\/div> Dorset Formulary CGM Sub Section \u2013 includes Commissioning Statement and other supporting documents<\/a><\/p>\n SystmOne searches: Dorset SystmOne GPs\/PQS Finance 2526\/F3 CGM outside commissioning policy<\/span>.<\/span><\/span><\/span><\/p>\n Accessing the Continuous Glucose Monitoring (CGM) SystmOne Protocol<\/p>\n Automated SystmOne Template \u2018CGM NHS Dorset Version 3\u2019.<\/span><\/p>\n Template letter to hospital to decline prescribing<\/span><\/a><\/p>\n Patient Letter<\/a><\/p>\n General practice messaging about change in access to CGM<\/a><\/p>\n For queries for complex questions, send to\u00a0<\/span>medicine.question@nhsdorset.nhs.uk<\/span><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div> Ensure that when issuing blood glucose & ketone meters, testing strips and lancets,\u00a0the items selected feature in the NHSE Commissioning recommendations of blood glucose and ketone meters, testing strips and lancets.<\/a><\/p>\n<\/div><\/div><\/div> As per the NHSE recommendations, these products offer best value in diabetes management.<\/p>\n<\/div><\/div><\/div> Run the SystmOne search provided to identify any patients prescribed meters, testing strips or lancets not within NHSE recommendations and change them to a suitable NHSE recommended alternative product.<\/p>\n<\/div><\/div><\/div><\/i><\/i><\/span>What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div>
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Continuous Glucose Monitoring (CGM)<\/h2><\/div>
<\/i><\/i><\/span>What are you asking me to do?<\/span><\/a><\/h4><\/div>
<\/i><\/i><\/span>Why are you asking me to do this?<\/span><\/a><\/h4><\/div>
<\/i><\/i><\/span>How do I do it?<\/span><\/a><\/h4><\/div>
<\/i><\/i><\/span>What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div>
NHS England blood glucose and ketone testing<\/h2><\/div>
<\/i><\/i><\/span>What are you asking me to do?<\/span><\/a><\/h4><\/div>
<\/i><\/i><\/span>Why are you asking me to do this?<\/span><\/a><\/h4><\/div>
<\/i><\/i><\/span>How do I do it?<\/span><\/a><\/h4><\/div>