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RE: [IPk] Animas Pump

Hi Simon,

Thanks for your input. The problem that June faces is likely not as simply 
solved, sadly. Pump companies and healthcare professionals and PCTs are all 
interested in expanding pump therapy to more patients, but the bottom line 
may come into play more often than the letter of the guidance. Bang for the 
buck (as it were) is key. If a PCT can buy 3 different pumps from 3 
companies for the same price as 5 pumps all from the same manufacturer, 
which option do you think they want to choose? Which option do you think the 
average taxpayer would support? Pump users know that you can't put a price 
on improved quality of life but PCT beancounters live by QALYs. Taxpayers 
think their money is squandered when pricing structures appear so 

As I see it, patient choice in pump therapy in the UK is undermined by the 
following factors: mainly PCT contracts with companies that mean ONLY one 
company's pump is offered because of a tender ("You can have any pump you 
like so long as it's a ...."); DSNs' personal preferences, which may be 
dicated by familiarity with button-pressing sequences over than any other 
factor ("I don't have time to learn how all the pumps work, this one is easy 
to teach, why bother looking at the others?"); and ignorance of the 
importance of patient choice in the selection of a pump ("What does it 
matter, aren't they all basically the same anyway?").

Type 1 13 years; MiniMed pumper 7.5 years; Animas pumper 2 years 6 months

----Original Message Follows----
From: "Simon Isherwood" <email @ redacted>
Reply-To: email @ redacted
To: <email @ redacted>
Subject: [IPk] Animas Pump
Date: Tue, 20 Jun 2006 23:50:19 +0100

 > Cozmo and Animas pumps definitely offer adjustable duration of insulin on
 > board and you can get Animas in the UK. If your consultant is willing to
 > write, "It is important that June have an insulin pump which permits her
 > to adjust the duration of insulin action within the insulin-on-board
 > calculation feature. This means that she should have a _____ brand, _____
 > model insulin pump. A pump that does not allow her to adjust the duration
 > of insulin action within the insulin-on-board feature (that is, a
 > Medtronic MiniMed Paradigm 512) will not meet her needs," you should have
 > some bargaining power - but do ring John Davis about this matter. He will
 > have more insight than I do!
 > Melissa
 > Type 1 13 years; MiniMed pumper 7.5 years; Animas pumper 2 years 6 

 > glad I never had to argue about the model of pump I got and sorry that
 > others have had to :|

Just a point ref the part above about funding... The consultant does not
need to detail that a specific brand is required nor that specific IOB
features etc are required, the NICE directive available from John Davis or
from the Government Health Board states that funding should be made
available once a particular patient meets the criteria set out by NICE,
sadly the various PCT's, Trusts, Consultants and diabetic teams and DSN's
have taken it upon themselves to interpret the directive in their own way
and often to some extreme variances! Funding is funding no matter what pump
you the patient chooses, there seems to be an awful lot of pressure from
PCTs et al to push patients genrally toward Medtronic or alternatively
Roche, having met all the companies in the UK and discussed at length the
pros and cons of their pumps and having trialled Medtronic (to
dissatisfaction particularly on customer service) I have to say that
Advanced Therapeutics (Animas) gets highly commended for their customer
service and for their pump, Roche come in next for their customer service (I
am sure the Spirit is fine but seems lacking in the advanced/nice to have
features) and Medtronic last and bottom on customer service though the pump
has good features etc, Cozmo would have been up there but they/Smiths
Medical seem not at all committed to the UK - heaven knows why!!

I just wish someone would go very public on the PCT reaction/interpretation
to the NICE directive and perhaps explain in detail the simple terms of the
directive, perhaps also the pump manufacturers should remember that whilst
they are sales led organisations, patient need/choice is important and
perhaps the amount of influence on the PCTs etc that these companies have
should be blocked leaving patients to take the choice - sales people could
sell to the end user rather than the Trusts.

Sorry for the rant!!

Hope to be a pumper one day!
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