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News NHS Postcode Lottery

Patients with type 1 diabetes are missing out on flash glucose devices, finds BMJ investigation

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4675 (Published 07 November 2018) Cite this as: BMJ 2018;363:k4675

Re: Patients with type 1 diabetes are missing out on flash glucose devices, finds BMJ investigation

I share Partha Kar's frustration with postcode lotteries. However, his remarks suggest ire directed at CCGs. Postcode lotteries are an explicit result of government policy - the smoke-and-mirrors of 'local decisions by local people' - which abdicates responsibility whilst providing insufficient funds for first world care, let alone fully implementation of NICE guidance.

In an unhappy few years as a CCG Lead for Clincal Effectiveness, I attempted to include this message in replies to MPs' letters about CCG decisions impacting their constituents. I hope Partha Karr will also direct his efforts to the root cause of the disease.

Competing interests: I remain a member of a CCG IFR panel, in a county with MPs exclusively from the ruling party.

14 November 2018
Julian Moore
GP
West Sussex