FOI 1696 -Continuous Glucose Monitoring and Hybrid Closed Loop
FOI Reference Number:
1696
Request
1. a) Is there currently a commissioning policy at Derby and Derbyshire ICB for Continuous Glucose Monitoring (CGM) for people with a diagnosis of type 1 diabetes (Adults & Pediatrics); and b) could a copy of the commissioning policy be shared?
If yes to 1a), has the CGM policy been updated to reflect the recommendations from the updated NICE Diabetes Guidelines (NG 17, NG18 & NG28) published in March 2022?
If no to 1a), when is the CGM policy for both adults and pediatrics expected to be in place?
2. Has Derby and Derbyshire ICB agreed on any plans to commission hybrid closed loop technology (HCL) insulin pumps in the 2023-24 NHS financial year? Could these plans be disclosed?
3. How many individuals have HCL pump funding support across your Derby and Derbyshire ICB?
4. Has Derby and Derbyshire ICB held any meeting(s) to discuss financial planning in the context of commissioning hybrid closed loop technology (HCL) for 2023-34 NHS financial year? And could any meetings minutes relevant to this question be disclosed?
Response
Date: 14 November 2022
FREEDOM OF INFORMATION – DECISION NOTICE
Dear Sir / Madam,
FOI Reference Number: 1696
1. a) Is there currently a commissioning policy at Derby and Derbyshire ICB for Continuous Glucose Monitoring (CGM) for people with a diagnosis of type 1 diabetes (Adults & Pediatrics); and b) could a copy of the commissioning policy be shared?
If yes to 1a), has the CGM policy been updated to reflect the recommendations from the updated NICE Diabetes Guidelines (NG 17, NG18 & NG28) published in March 2022?
If no to 1a), when is the CGM policy for both adults and pediatrics expected to be in place?
2. Has Derby and Derbyshire ICB agreed on any plans to commission hybrid closed loop technology (HCL) insulin pumps in the 2023-24 NHS financial year? Could these plans be disclosed?
3. How many individuals have HCL pump funding support across your Derby and Derbyshire ICB?
4. Has Derby and Derbyshire ICB held any meeting(s) to discuss financial planning in the context of commissioning hybrid closed loop technology (HCL) for 2023-34 NHS financial year? And could any meetings minutes relevant to this question be disclosed?
Our response:
Q1: Please see our Contiuous Glucose Monitoring Policy at the link below:
http://www.derbyshiremedicinesmanagement.nhs.uk/assets/Clinical-Policies/Clinical_Policies/PLCV/misc/Continuous_Glucose_Monitoring.pdf
Our position statement with regards to the updated NICE guidance can be found here:
Q2 to 4: We do not hold this information; Hybrid closed loop technology (HCL) is commissioned in secondary care. We would suggest that you contact our acute providers for this information via the links below:
Chesterfield Royal Hospital NHS Foundation Trust:
https://www.chesterfieldroyal.nhs.uk/about-us/contact-us/freedom-information
University Hospitals of Derby and Burton NHS Foundation Trust:
https://www.uhdb.nhs.uk/freedom-of-information-foi/
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.
