Policies for the Commissioning of Healthcare
Policies for the Commissioning of Healthcare
The policies below will be used by Blackburn with Darwen CCG (BwD CCG) and East Lancashire CCG (EL CCG)
to inform its commissioning of healthcare. The CCGs will consider exceptions to the policies in accordance with the Policy for Considering Applications for Exceptionality to Commissioning Policies.
Policy Criteria for the Provision of Continuous Glucose Monitoring and |
Flash Glucose Monitoring to Patients with Diabetes Mellitus: |
To be eligible for funding for a device under the provisions of this policy patients (or their parent(s) / guardian(s)) with type 1 diabetes |
mellitus or non-type 1, non-type 2 diabetes caused primarily by (near-) absence of insulin production must meet the device specific |
requirements set out at section 1.2 or 1.3 and: |
a) have been informed of the advantages and disadvantages of continuous/flash glucose monitoring and expressed a continued |
wish to initiate continuous/flash glucose monitoring. |
AND |
b) have demonstrated appropriate levels of competence to perform carbohydrate counting (e.g level 3 carbohydrate counting such |
as DAFNE regimen; or have been judged by their specialist supervising clinician to have demonstrated an equivalent level of |
competence through the prior management of the patient’s glycaemic control), blood glucose monitoring and to interpret this |
data to competently adjust insulin doses. |
AND |
c) demonstrate a willingness to engage in all necessary training regarding the optimal use of continuous/flash glucose monitoring |
and commit to ongoing regular follow-up and monitoring (including remote follow-up where this is offered) |
AND EITHER |
d) in the case of flash glucose monitoring devices, be willing to commit to using the device daily including performing scans at |
least every 8 hours to provide a 24-hour ambulatory glucose profile; and utilising device readings to inform self-management |
OR |
e) in the case of continuous glucose monitoring devices, be willing to commit to using it at least 70% of the time or a minimum |
of 5 days per week and to calibrate it as needed |