Apologies this might get a bit rambling ,did debate whether to post or not but here goes bear with me...
Last week I met up and spent an afternoon with my old (now deceased) doctors wife ,she lives in next road. She was the practice nurse there. They both built,literally but not personally,a new medical practice on our estate which he owned. He was the family doctor for years until his early death about 7 years ago. His wife sold the practice but owns the land and building which the new medical business rents from her anyway I digress but thats the background !
Anyway after an hour of chit chat,catching up I obviously turned the chat around to menopause and how how felt that I had no choice to go private and how gp there said he didn't have to perscribe what consultant perscribed,or any hrt despite the new Nice guidelines !
What she said was .....
1) Ultimately they are only guidelines and gps dont have to abide by them
2) Practices are very much run to a budget nowadays they are a business so you will always be given the cheapest at first.
3)Each practice is given a set list of medication that they are allowed to perscribe from,if we or they want something not on that list they have to present a case for it before a panel before they can perscribe.
4)A gp doesnt have to perscribe what a consultant perscribes,especially if it isnt on said list.
I must point out that she didn't agree with these statements !
Her son is a consultant in big London hospital and his wife is a gyne.
If I think of anything else I will add it . Sorry if it was garbled Ive been very busy
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
This might go someway to explaining how some people get what they want and some dont alot depends on that list and how much they have in the kitty,or if they have other patients on really expensive drugs draining it.
Its all wrong but how the NHS is going.