We have received a lot of requests for weight loss injections in the last few months, these drugs cannot be prescribed by clinicians working in general practice. There are other ways to seek support for weight loss - via City of York Council, the NHS programme (see below) or we can refer to Healthwise or Tier 3 weight management services where appropriate. The NHS Digital Weight Management Programme supports adults living with obesity who also have a diagnosis of diabetes, hypertension or both, to manage their weight and improve their health. It is a 12-week online behavioural and lifestyle programme that people can access via a smartphone or computer with internet access https://www.england.nhs.uk/digital-weight-management/
Latest news
Updated private shared care policy
Private shared care agreements
ADHD in adults
We have been reviewing PMG's guidance around adult ADHD and shared care with the multiple providers that we get these requests from. Having discussed with other local practices and the local LMC over the last few months we have published an updated policy that will go live on 1st June 2024.
We will only agree to shared care guidance with the Retreat – the locally NHS commissioned service. To ensure safe, well-monitored and evidence based prescribing, we will not be accepting any new or requests for ongoing prescribing from any other clinics.
Any patients with shared care agreements we have already accepted will be offered a referral to the NHS medication review service via the Retreat. We will continue prescribing under shared care guidance with the Retreat or these patients can remain under their Right to choose or private provider but we won't be taking over responsibility for prescribing medication going forward.
See policy here - this will be reviewed regularly.
ADHD in children
Similarly, will not be taking on any shared care agreements from Right to Choose or private providers for children with ADHD. We will take over shared care agreements with the locally commissioned NHS service via TEWV (Orca House is their community base for children and young people’s services. It is also known as York CAMHS).
Gender Identity Disorder
PMG will not take on any new requests for shared care agreements (SCA) for GID medications. As a local system, we have raised concerns about patient safety in the absence of a funded, formal shared care agreement process with NHSE, as unmonitored hormone prescribing can cause serious complications to a patient's health.
Patients already on hormone therapy for GID will continue to be reviewed, but should complications or concerns arise- the medication may need to be stopped or reduced and re-referral back to the Leeds Specialist Clinic- as there is no current SCA support for Prescribers.
