Commissioning7 Nov 2025 07:26
There isnt really any national commissioning in the NHS - a great myth
there is some regional but that is being devolved and the only regional stuff to remain will be for super specialist stuff e.g., transplants
so stroke - dead common = locally commissioned
As such each hospital trust is likely to need to be bitten off 1 by 1
There are other products on the POC market than just GDR
NICE should come out and be crystal clear that if using clopidogrel then testing is mandatory - that is the first step
What follows as to how the testing is done will be the key - labs are a bit slow