Throat cancer... Practice manager stopping my drugs

hi all

I am 16 months out of Tomotherapy and chemotherapy for throat cancer

Although not quite back to my pre treatment self....I am getting there

However, as those of us who have had any sort of radio therapy around the head area, will know that for the rest of our lives, oral hygiene is of the utmost importance.

You see there is a risk that the blood vessels around the jaw could have been damaged and in an extreme case, an infection in the tooth, could lead to jaw necrosis and after surviving cancer I don't fancy going through that.

The radiation treatment knocks all the fluoride out of your teeth and therefore for the rest of my life I have to use Duraphat 5000. Normal toothpaste is far too hash and painful ... Believe me the wife and I once went away and I forgot my Duraphat 5000, so used a small amount of toothpaste and was in agony for two days.

I am sure it's the same with all of us, but I now brush after every meal, so I go through several of these small tubes of Duraphat a month.

On a recent collection of my medications, I have just been told that the practice manager has stopped my supply of Duraphat 5000 on the basis that it's not a pescribed product and can be bought over the counter.

If there is any benefits to having cancer ( and there are not a lot), then it's getting free medications for 5 years and having worked all my life and paid into the system, as I have got to use this toothpaste for the rest of my life, for now and at £14 per small tube ....feel I should be getting this free.

I have only just been told about this, so am trying to calm down before i offload both barrels to some none medical   bean counter, who has no idea what surviving cancer still involves.

I do not want to get disease elitist, but I have not eaten my way diabetes and those who have get their drugs free for the rest of their lives. I had no control over contracting cancer and only get my drugs free for 5 years ... Or so I thought.

I would be grateful for any thoughts on this

 

 

Parents
  • Hi Vatch ....... I did have a quick peep on google re this but am a hopeless computer user and did not know how to put a link up for you.  On the BMA site it does reiterate what River and Kim have said in that a letter from your consultant outlining why you should have this toothpaste/leaflets etc should be sent with a letter to the practice manager.  Personally I would copy your GP who may be totally unaware the the PM has stepped in and made this decision.  The PM is only qualified as an administrator and has no right to make decisions regarding medical supplies without the GPs authority.  PMs just run the business.

    It does also say that you can receive prescriptions directly from the consultant/hospital.

    If the practice does still refuse - personally I would contact the BMA and the Care Quality Commission - and I would make sure that the practice manager knows that I will be taking this further.  She/he may not be expecting to be challenged and will probably overturn their earlier decision as they will have to explain fully their reasons for stopping supply of this - and to be honest we all know that there are no reasonable reasons other than the cost implication.

    Best of luck buddie - we are all behind you! x

Reply
  • Hi Vatch ....... I did have a quick peep on google re this but am a hopeless computer user and did not know how to put a link up for you.  On the BMA site it does reiterate what River and Kim have said in that a letter from your consultant outlining why you should have this toothpaste/leaflets etc should be sent with a letter to the practice manager.  Personally I would copy your GP who may be totally unaware the the PM has stepped in and made this decision.  The PM is only qualified as an administrator and has no right to make decisions regarding medical supplies without the GPs authority.  PMs just run the business.

    It does also say that you can receive prescriptions directly from the consultant/hospital.

    If the practice does still refuse - personally I would contact the BMA and the Care Quality Commission - and I would make sure that the practice manager knows that I will be taking this further.  She/he may not be expecting to be challenged and will probably overturn their earlier decision as they will have to explain fully their reasons for stopping supply of this - and to be honest we all know that there are no reasonable reasons other than the cost implication.

    Best of luck buddie - we are all behind you! x

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