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When NICE approve a medication for availability on the NHS, it is mandatory for the NHS to provide funding for it. However, each area England and Wales are allowed to provide it on the NHS however they wish. To categories HOW a medication is provided, they use a 'traffic light' system.
GREEN = GP to prescribe and monitor
AMBER = Alcohol specialist to initiate treatment, but prescribing care shared with GP
RED = Alcohol specialist to both initiate and monitor treatment.
NICE has advised that nalmefeen (Selincro) is suitable for green status, but most areas of the country have recategorised the medicine as Amber or Red. This is because of the need for ongoing support which most areas feel that GPs are unable to provide.
If you are looking to get a NHS prescription for nalmefene, comment below with your town and county and I will reply with where in the traffic light system your area has placed the medication.
This information will help you as it will tell you how your request is likely to be handled.
Eventually when I have finished this fact-finding mission, I will be publishing the complete list on the C Three Europe website.
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