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<p>Freestyle Libre, the flash glucose monitoring system was included in Part IX of
the England and Wales Drug Tariff from November 2017. People with diabetes insipidus
or diabetes mellitus (except where treatment is by diet alone) - which includes type
1 and type 2 diabetes - are eligible for free National Health Service prescriptions
if they hold a valid medical exemption certificate. However, patients will need to
discuss the ongoing management of their condition with their healthcare professional
and consider what is most suitable for them.</p><p>Within its financial constraints,
the NHS is committed to providing access to new drugs and medical technologies. Ultimately
it is for clinical commissioning groups (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 and are based on the available evidence
and take into account national guidelines.</p><p>Reducing variation in the management
and care of people with diabetes by 2020 is an objective included in the NHS England
mandate. The NHS RightCare diabetes pathway shows the core components of an optimal
diabetes service, as well as evidence of the opportunity to reduce variation. People
with diabetes insipidus or diabetes mellitus (except where treatment is by diet alone)
- which includes type 1 and type 2 diabetes - are eligible for free NHS prescriptions
if they hold a valid medical exemption certificate.</p>
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