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[IPu] RE: PDC (Prostheses and Devices Committee) Reviewing Insulin Pumps and Consumables



Hi Henry and all,

 

The Health Web link is

 

www.health.gov.au/internet/main/publishing.nsf/Content/privatehealth-pdc-bul
letin.htm

 

look up the bulletins from this page (Nos 19 and 24).  It's important that
you read any attachments with the bulletins 

because it includes current criteria used by the PDC to decide on
Prostheses.  But do remember that these criteria are policy / procedure 

(in other words guidelines) they are not legislation / law.  So they could
be "interpreted" in other ways.  Eg.  In explanatory notes to the 

Criteria for Listing Prostheses for Bulletin 19, it does not stipulate that
a Prosthetic device must be surgically implanted.

 

I have tried to get a copy of the relevant legislation / law today, however
the section relating says "currently being updated".

 

Regards,

Janette.  

 

 

  _____  

From: Henry Vila [mailto:email @ redacted] 
Sent: Tuesday, 3 June 2008 6:39 PM
To: email @ redacted
Subject: PDC (Prostheses and Devices Committee) Reviewing Insulin Pumps and
Consumables

 

Hi Janette,

 

Thank you for this information.

 

I would love a copy of the bulletins you mention in your post.

 

Thanks for your fast and very complete investigation.

 

Cheers,

 

Henry.-

 

On 03/06/2008, at 1:08 PM, ip-ausnz-digest wrote:





Date: Tue, 3 Jun 2008 13:08:43 +1000
From: "Janette" <email @ redacted>
Subject: RE: [IPu]  PDC (Prostheses and Devices Committee) Reviewing Insulin
Pumps and Consumables

Hi Henry and All,

The PDC is a specialist medical subcommittee in the Australia Health Dept
that recommends to Govt. items listed as approved Prosthetic devices.  The
PDC has advised in recent weeks that they have listed a "Temporary notation"
(review) for Insulin Pumps and Consumables to be determined at their Feb
2009 meeting.  This means that the PDC are reviewing whether they believe
that Pumps / consumables fit the criteria of a "prosthetic device".  Insulin
Pumps are funded via Private Health Funds because they are listed as a
Prosthetic device.

The Federal Health Minister (Nicola Roxon) can then accept; vary or reject
the PDC's recommendations.

It seems that the PDC are reviewing Insulin Pumps / consumables because they
are not "surgically" implanted and infusion sites are regularly moved.  They
are suggesting that on this basis they are temporary, not permanent
surgically implanted prosthetic devices.  Insulin Pumps appear to meet other
listed criteria for a Prosthetic device.

This reasoning, despite the fact that permanent surgically implanted Insulin
Pumps are not sold.  Consumables are moved around the body specifically
because the human hormone (Insulin) the Pump infuses saturates the
subcutaneous body layer.

It seems to me in relation to Prosthetic Device criteria, an Insulin Pump
"looks like a duck"; "quacks like a duck" ... so it must be a duck !!


So between now and Feb 2009 it is up to us / our support groups / the
medical community and the Pump companies to convince the Minister for Health
(Nicola Roxon) or your Federal MP that Insulin Pumps should remain on the
PDC list as an APPROVED LISTED PROSTHETIC DEVICE.


I have copies of the relevant Health PDC Bulletins (Bulletin No 24 and
Bulletin 19 + attachments) if you would like copies.  Because the IP mailing
system will strip attachments, I will need to send them to individual email
addresses for those interested.

Warm Regards,

Janette

PS.  Henry, over the last few days I have confirmed the detail above by
email and / or discussion with an Endo; Diabetes Australia Educator; and
senior staff at Animas; Cozmo; Medtronic and Roche in Australia.  All are
concerned about this development and are making their views known to Govt.
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