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<p>The flash glucose testing monitoring system known as the Freestyle Libre was approved
for reimbursement on National Health Service prescription from 1 November 2017 through
its listing in Part IX of the NHS England and Wales Drug Tariff.</p><p>The listing
of a medical device in the Drug Tariff should not be interpreted as a recommendation
to prescribe a particular product. Flash glucose testing is not suitable for everyone.
The Regional Medicines Optimisation Committee has issued advice on the use of Freestyle
Libre to support decisions about its use. Patients will need to discuss the ongoing
management of their condition with their healthcare professional and consider whether
flash glucose monitoring is suitable for them.</p><p>The Department has no plans to
ask clinical commissioning groups (CCGs) to review their prescribing policies or monitor
access to flash glucose monitoring.</p><p>Within its financial constraints, the NHS
is committed to providing access to new drugs and medical technologies. Ultimately
it is for CCGs, who are primarily responsible for commissioning diabetes services,
to meet the requirements of their population. In doing so, CCGs need to ensure that
the services they provide are fit for purpose, reflect the needs of the local population,
are based on the available evidence and take into account national guidelines. This
includes determining whether specific technologies, such as flash glucose monitoring,
form part of their service and if it is suitable for individual patients to support
the ongoing management of their condition.</p>
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