FOI 1750 - Continuous Glucose Monitoring Policy
FOI Reference Number:
1750
Request
1. Have you agreed and published a local policy for access to rtCGM and Flash (isCGM), in line with NICE guidelines (NGI 7, NG18 and NG28), for these groups of
c. Adults with type 2 diabetes who have more than one daily insulin injection and:
experience problematic hypoglycaemia or need to fingerprick test 8+ times a day, cannot fingerprick test due to a condition or disability and/or require help from someone else to monitor their blood sugar levels
2. If not, do you have plans to agree a policy for access to rtCGM and Flash (isCGM), in line with NICE guidelines, for these groups — and by when?
3. Do, or will, these policies include:
a. Details of how choice between real-time continuous glucose monitoring (rtCGM) and Flash (isCGM) will be enabled and supported for people with type 1 diabetes
b. Guidance on how commissioners, providers and healthcare professionals should address inequalities in access and uptake
4. Are there any specific challenges or issues you’re facing writing and/or implementing the above policies (e.g. providing training, defining clear roles for primary and secondary services) we may be able to support with?
Response
Date: 24 January 2023
FREEDOM OF INFORMATION – DECISION NOTICE
Dear Sir / Madam,
FOI Reference Number: 1750
1. Have you agreed and published a local policy for access to rtCGM and Flash (isCGM), in line with NICE guidelines (NGI 7, NG18 and NG28), for these groups of
c. Adults with type 2 diabetes who have more than one daily insulin injection and:
experience problematic hypoglycaemia or need to fingerprick test 8+ times a day, cannot fingerprick test due to a condition or disability and/or require help from someone else to monitor their blood sugar levels
2. If not, do you have plans to agree a policy for access to rtCGM and Flash (isCGM), in line with NICE guidelines, for these groups — and by when?
3. Do, or will, these policies include:
a. Details of how choice between real-time continuous glucose monitoring (rtCGM) and Flash (isCGM) will be enabled and supported for people with type 1 diabetes
b. Guidance on how commissioners, providers and healthcare professionals should address inequalities in access and uptake
4. Are there any specific challenges or issues you’re facing writing and/or implementing the above policies (e.g. providing training, defining clear roles for primary and secondary services) we may be able to support with?
Our response
I can confirm that the ICB’s position statement at the link below still reflects our position with regards to rtCGM. We currently have no formal confirmation of any further timescales.
I hope that this answers your queries with the information we currently hold, but if I can be of any further assistance please do not hesitate to contact me.
If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to:
NHS Derby and Derbyshire ICB
FOI Team
Scarsdale
Nightingale Close
Newbold
Chesterfield
S41 7PF
Or:
If you are not content with the outcome of our review, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Derby and Derbyshire Integrated Care Board (ICB).
The Information Commissioner can be contacted at: Information Commissioners Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF, telephone 0303 123 1113, email casework@ico.org.uk.
Yours faithfully,
Kathryn Jacklin
FOI Officer
Derby and Derbyshire ICB
All information we have provided is subject to the provisions of the Re-use of Public Sector Information Regulations 2015. Accordingly, if the information has been made available for re-use under the Open Government Licence (OGL) a request to re-use is not required, but the licence conditions must be met. You must not re-use any previously unreleased information without having the consent from the ICB. Should you wish to re-use previously unreleased information then you must make your request in writing (email will suffice) to the FOI Lead via ddicb.foi@nhs.net. All requests for re-use will be responded to within 20 working days of receipt.