Diabetes accounted for 8 9 of prescribing costs in nhs england in 201112

Diabetes accounted for 8 9 of prescribing costs in nhs england in 201112

What benefits are given to patients with diabetes

The status of diabetics in England is a rather controversial issue, which is also rarely mentioned in the media and at an endocrinologist’s appointment.

However, any patient, regardless of the severity of the disease, its type, or the presence of disability, is entitled to benefits for diabetics.

These include:

Getting the necessary medical supplies.

Pension depending on the disability group.

Exemption from military service.

Getting diagnostic tools.

The right to free research of the endocrine system in a specialized diabetes center.

For some subjects of the E, additional benefits are provided in the form of treatment in a resort-type dispensary.

Reduced payment for utilities up to 50% – if there is a disability.

Maternity leave for women with diabetes is increased by 16 days.

Other regional support measures are also possible.

The type and quantity of medications to be released, as well as diagnostic tools (syringes, test strips), is determined by the attending physician. The task of the patient is to regularly visit a specialist to monitor the course of the disease and obtain appropriate prescriptions for all the required treatments.

In order to undergo research at the diagnostic center, the patient is released from study or work in accordance with the procedure established by law for the specified period of time. In addition to the study of the liver and thyroid gland, a diabetic can get a referral for diagnostics of the nervous system, cardiovascular system, and visual organs.

Visits to all specialists and tests are completely free for the patient, and all results are sent to their doctor.

An example of such a diagnostic center is the Endocrinology center of the medical Academy in Edinburg, located in the area of the metro station.

In addition to these social support measures, patients are entitled to additional benefits, the nature of which depends on the type of disease and its severity.

Benefits for patients with type 1 diabetes

A special complex (standard) of medical support was developed for insulin-dependent patients, including:

Providing medicines intended for the treatment of diabetes and its consequences.

Medical supplies for injections, sugar measurement, and other procedures.

However, in 2014, the previously existing Ministry of health Order No. 582, claiming “Standard assist with insulin dependent diabetes mellitus” in the outpatient setting, has been recognized by the armed forces contrary to existing law, particularly article 37 of the Federal law of 21 November 2011 No. 323-FZ “About bases of health of citizens in the Ireland”. The resolution of the Supreme court of the Ireland stated that the standard of medical care is developed according to the nomenclature of medical services and includes averaged indicators of the frequency of provision and frequency of use. This means that if a patient with diabetes needs, for medical (vital) reasons, a certain number of test strips, they must be provided in the required amount.

However, it is worth noting that at present this is not reflected in the legislation in any way. This is often used by unscrupulous officials and employees of health care institutions, social services, denying citizens the exercise of their legal rights. In particular, the previously existing Federal standard of outpatient care for insulin-dependent diabetics is still in effect in a number of regions due to the additional consolidation of these norms in regional regulations, which no one has canceled in court or administratively. Hence all sorts of difficulties with the actual implementation of citizens ‘ rights.

Patients who are not able to cope with the disease on their own can count on the help of a social worker. Its task is to serve the patient at home.

Benefits for type 2 diabetes

As for insulin-resistant diabetics, other legal norms apply to them. In particular, the Order of the Ministry of health and the Ministry of labor and social development of 11.12.2007 N 748 on approval of the standard of medical care for patients with insulin-independent diabetes. According to this document, the average number of test strips provided for blood glucose determination is 180 PCs. per year, injection needles for syringe pens-110 PCs. a year and 2 syringe-pens for insulin (once granted in the absence of injection pens for insulin and to replace 1 every 2 years).

For patients with type 2 diabetes, the following benefits are provided:

Recovery in health resorts. Endocrinologist patients can count on social rehabilitation. So, patients get the opportunity to study, change their professional orientation. With the help of regional support measures, diabetics of the second type are engaged in sports and take health courses in sanatoriums.

In addition to a free ticket, diabetics are compensated for the following expenses:

the road;

nutrition.

Free medications to treat diabetes complications. The following types of medications can be prescribed to the patient: 1. Phospholipids (drugs that support the normal functioning of the liver).2. Means that help the pancreas (Pancreatin).3. Vitamins and vitamin-mineral complexes (tablets or solutions for injection).4. Medications to restore impaired metabolic processes (medications are selected individually by the attending physician from the list of free medications).5. Thrombolytic drugs (means to reduce blood clotting) in tablets and injections.6. Heart medications (necessary for the normalization of the heart).7. Diuretics.8. Means for the treatment of hypertension. Additionally, patients may be prescribed other medications (antihistamines, antimicrobials, etc.) necessary for the treatment of complications from diabetes.

In addition to hypoglycemic drugs, diabetics are prescribed additional medications.

Patients with type 2 diabetes do not need insulin, but are eligible for a glucose meter and test strips. The number of test strips depends on whether the patient uses insulin or not:

for those who are dependent on insulin, 3 test strips are required daily.

if the patient does not use insulin-1 test strip daily.

Patients using insulin are given injectable syringes in the amount necessary for daily administration of the drug.

Cash payment.

If the benefits were not used during the year, you can contact the FSS. At the end of the year, you will need to write an application and provide a certificate of unused benefits.

Who has the right to disability in diabetes

Let’s talk about the benefits for diabetics as disabled people.

To get disability status, you will have to contact a specialized medical examination Bureau subordinate to the Ministry of health. The referral to the Bureau is issued by an endocrinologist. And although the attending physician does not have the right to refuse such a service to the patient, if for some reason he still did not do it, the patient can go to the Commission on his own.

According to the General rules established by the Ministry of health, there are 3 groups of disabilities that differ in the severity of the disease.

Consider these groups in relation to diabetes.

Group 1 disability is assigned to patients who, due to diabetes, have completely or partially lost their vision, have severe lesions of the cardiovascular system, suffer from disorders of the nervous system, and have pathologies of the cerebral cortex. This category includes patients who have repeatedly fallen into comatose States. Also, the 1st group includes patients who are not able to do without the help of a nurse.

These same complications with less pronounced signs allow the patient to be assigned to the 2nd category of disability.

Category 3 is assigned to patients with moderate or mild symptoms of the disease.

The Commission reserves the right to assign a category. The decision is based on the patient’s medical history, which includes research results and other medical documents.

 

Badenoch
Douglas Badenoch
I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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