The nice guidelines, does the rheumy have to stick to them. Are they exact rules or things that can be altered person to person?

[Marnie87]

[Hidden]

Hi Marnie, I think it's down to the consultants discretion if he feels there is reason not to stick to the guidelines,

After all, they are what they say "Guidelines"!! I believe they are put into place so they may be altered as every person is different in their illness.

mand xx

[lulul]

They follow them where I am...I am on anti TNF now but had to 'pass' bloods DAS and fail on 2 DMARDS. They don't want you on these drugs unless absolutely necessary plus they're expensive!

[cathie]

Yes I think theres some discretion depending where you are. I know one nhs trust in England had a slush fund so they could keep meds in a crisis

[Hidden in reply to cathie]

psst cathie.. were is thr nhs trust with slush fund??!! is it 0---shire