The question you need to answer is...WHAT YOU GONNA DO ABOUT IT?
Accept it's a done deal and you are just a victim?
Trouble with that is.....
It ain't gonna change unless we as individuals decide to act.
The Black List is from NHS ( not CCG) Docs Cannot prescribe what's on here - fair enough, long as I can still get my whiskey
The 'Traffic light drugs list' - Red, Amber, Green is from CCG formularly it is 'guidance' which they 'expect' GP's and Endos to comply with. MANY DO NOT WANT TO as they know it will harm patients but 'feel' their hands are tied.
We need to
EMPATHISE with them about that - BUT TELL THEM YOU DO NOT ACCEPT IT
EDUCATE THEM about T3, NDT and flag up the hard to treat hypo Thyroid patients that need more than T4 and the options available. ( well covered in BTA 2015 statement on treating primary hypothyroidism if you read it thoroughly)
HAMMER HOME the huge potential cost to the NHS and to the COUNTRY of tests, treatment and disability benefits which will undoubtable occur from people returning to or NOT RECOVERING FROM Hypo Thyroid without the appropriate treatment FOR THEM. Not to mention the personal suffering of patients and their families...and depression etc
REMIND THEM that they have a responsibility in law to care for our clinical needs
REASSURE THEM that they can take the responsibility for treatment ( with an endo or even without one ).....or
BECAUSE WE can be told about any supposed potential 'risks' and accept that risk for ourselves ( section 12 BTA 2015 statement on treating primary hypothyroidism)
HOLD THEM ACCOUNTABLE FOR OUR PRIMARY CARE
Be helpful and nice about it
IF WE KEEP ROLLING OVER and accepting it, IT WILL ONLY COMPOUND THE SITUATION.
IF ENOUGH GP'S STAND UP TO THE CCG'S BECAUSE THEY WANT TO SLEEP AT NIGHT AND DO A DECENT JOB AND BECAUSE THEY DON'T WANT TO BE SUED - IT WILL MAKE A DIFFERENCE.
so? what you gonna do?