Birmingham, Solihull, Sandwell and Environs (BSSE) Area Prescribing Committee’s (APC) formulary for blood glucose meters was published in 2015. By 2017, advances in the meters and a fall in the price of test strips had left it out of date. Birmingham and Solihull CCG’s spend on glucose/ketone strips increased £3.08 million in the previous five years. With over 80 glucose meters on the market, the challenge was to create a quantitative evaluation process to select products that met the needs of all diabetic patients. Mindful that the previous review took two years, the new process had to be efficient. The APC’s Diabetes Medicines Management Advisory Group (DMMAG) formed a subgroup to undertake the work. Led by CCG pharmacists, it had clinical representation from all local NHS sectors and collaborated with patient groups and industry. The scope was to review all glucose/ketone monitors, needles and lancets, as well as make self-monitoring recommendations. Within six months 170 products had been considered and new guidelines for APC had been prepared. Subsequent implementation enabled a quick change in practice.
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