FreeStyle Libre Flash Glucose Monitoring System

– in the Scottish Parliament at on 1 November 2018.

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Photo of Stewart Stevenson Stewart Stevenson Scottish National Party

4. To ask the Scottish Government what its response is to the Scottish health technologies group’s advice statement regarding the use of the FreeStyle Libre flash glucose monitoring system. (S5O-02502)

Photo of Jeane Freeman Jeane Freeman Scottish National Party

We welcome the advice statement from the Scottish health technologies group about the flash glucose monitoring system. The advice statement has provided information on the clinical and cost effectiveness of this technology and has supported national health service boards in determining the place of the technology for local use.

Photo of Stewart Stevenson Stewart Stevenson Scottish National Party

I welcome the decision of NHS Grampian, in particular, to act on the advice. Has the statement had any further impact on the uptake of this life-transforming technology by other health boards across Scotland?

Photo of Jeane Freeman Jeane Freeman Scottish National Party

It is important to note that the device is used for self-monitoring of glucose levels via a sensor that is worn but, as with many other drugs and devices, it is not suitable for all patients, and that is a clinical judgment that requires to be performed. The

FreeStyle Libre sensor is now available for prescription in 13 of the 14 NHS board areas, and NHS Highland is working with the local diabetes service to become the 14th, which I am delighted about. Mr Stevenson’s point about life-transforming technologies is well made. As our leading clinicians and clinical researchers work with companies that are involved in precision medicine and technologies, we are very mindful of the new demands that will come with regard to how we determine what is clinically suitable either in drugs or in devices and technologies such as this, and we will adapt our processes accordingly.

Photo of David Stewart David Stewart Labour

As co-chair of the cross-party group on diabetes, I have had very positive feedback about

FreeStyle Libre, particularly the benefits of reducing the need for frequent finger prick blood tests and of well-maintained HbA1c levels—the blood glucose levels. Will the cabinet secretary confirm that the technology is being dispensed throughout Scotland according to the prescribed guidelines without caveats?

Photo of Jeane Freeman Jeane Freeman Scottish National Party

I am grateful for the work of the cross-party group that David Stewart chairs. My expectation is that the device will be prescribed according to the guidance—that is my absolute expectation of all the territorial health boards. I would want to know if that was not the case, so that I could take action accordingly.