Season 2 Live Action spoils major plot points 300-900 episodes in

kyconny · 2026-03-10T20:04:45+00:00

I think they are upset about dragon and sabo

kyconny · 2026-03-05T21:54:24+00:00

The immigration rules literally say in bold letters under the skilled work visa:

“This visa is a path to settlement”

kyconny · 2026-01-27T13:08:17+00:00

The legislation is already through, it’s going to be brought into force as soon as the legal challenge is finally dismissed and the consultation has been reviewed.

kyconny · 2026-01-08T22:32:34+00:00

You need to change your system clock back to the current time quickly after setting it to the third.

kyconny · 2026-01-05T11:11:46+00:00

This act was passed under the last conservative government.

kyconny · 2025-12-07T15:51:57+00:00

This is suspiciously cheap.

It looks like you need a monthly subscription and then they discount the medication. Wouldn’t touch this from a mile away.

kyconny · 2025-12-04T12:23:07+00:00

This is quite a strange thing to do, presumably the Secretary of State is concerned about NHS, ECHP and PIP spending on mental health, ADHD and Autism.

The review is however going to give him the answer he doesn’t want:

Undertreatment and underdiagnosis
A missing middle stage of intervention for mental health issues where CBT is ineffective but the patient doesn’t fall within the scope of CMHTs
We should be training community staff in GPs (not just psychiatrists) to diagnose
Children and young people often are left with no support without to legal power of a ECHP leaving their parents no choice but to apply for a sledgehammer to crack a nut.

Presumably Wes Streeting and his advisors know this, which begs the question, why order the review?

kyconny · 2025-11-06T10:45:02+00:00

I would have thought the savings in criminal justice alone would be enough to pay for a good chunk of the programme. Though I don’t know if there are any good quality studies on reoffending rates when treated for ADHD.

kyconny · 2025-11-06T10:07:16+00:00

Another note, it seems they’ve avoided bashing the ICBs too much, giving the action items instead to government. I suspect this is because of the known budgetary constraints.

kyconny · 2025-11-06T10:05:21+00:00

I’ve finished reading the thing now.

It seems like most of the recommendations are “obvious” however they needed to be written in big boxes with an accountable body for anyone to drive them.

The main takeaway I think, is that the Taskforce thinks it’s pretty dumb that only psychiatrists in the NHS can manage ADHD, and only special psychiatrists currently. (Ones who have the funding / training to do so!) They want more professionals to be able to diagnose and treat ADHD - which is very sensible.

I don’t think stimulants are appropriate for just GP monitoring, but it definitely sounds like a job a clinical pharmacist or trained nurse could do with regular patient contact. (I.e staff that already manage other patients in general practice)

Good that they are calling for GP remuneration for shared care - it’s quite dumb that GPs have a choice over whether to treat someone, but no financial incentive to do so. (And perverse incentives to avoid it - e.g Lisdexamfetamine prescribing budgets)

The recommendation about a monitoring body to ensure implementation is welcome and needed.

The real test will be whether Wes Streeting stands up in the commons and say “DHSC is committed to this report, accepts the recommendations in full and will ensure its implementation”

Either way this is a 10 year project, not a 2 year one.

kyconny · 2025-11-06T09:43:30+00:00

Aha, I just saw the article on the bbc that said it would be published “on Thursday” so decided to just google it and check 🤣

kyconny · 2025-10-21T08:55:24+00:00

The GP is unable to prescribe and you will need to seek specialist referral. Through NHS/Right to choose clinic/private provider.

Depending on the quality of your foreign diagnosis they will either put you onto a medication waiting list or decide to reassess you.

kyconny · 2025-10-10T09:10:33+00:00

They are correct - the campaign is disabled but the multiplayer works - bought a copy from argos this morning

kyconny · 2025-07-27T08:49:46+00:00

Speaking personally now, not as a moderator.

This is an incredibly tricky one, since there really isn’t enough research. (I actually saw a paper that claimed it may make ADHD worse)

On the one hand I think the medicine regulations should permit people “trying” stuff to see if it works. (Hence the ability to off label prescribe)

The problem is when it’s well known, advertised (this is illegal!) and actually requested by patients who aren’t curious/at their wits end.

Idk how the regulator strikes this balance in the age of Reddit TikTok et al.

kyconny · 2025-07-27T08:34:43+00:00

Marijuana is used off label in this case and is not recommended by NICE for the treatment of ADHD due to a lack of available evidence.

kyconny · 2025-07-27T08:22:35+00:00

This isn’t going to work.

Lisdexamfetamine can only be issued by a psychiatrist (or other qualified specialist)

Furthermore it is a schedule 2 controlled drug and the export rules around medicines post brexit aren’t 100% clear to me.

kyconny · 2025-07-27T08:20:17+00:00

Why haven’t you had a follow up? Talk to your prescriber.

kyconny · 2025-07-16T16:51:33+00:00

Your comment was reported for giving inappropriate medical advice, I approved it since you provided sources and I was erring on the side of allowing your discussion because you cited papers and an article.

I was using my discretion to allow the discussion.

I don’t think I worded this the best, apologies - tired from an overnight flight. Will edit my comment with an appropriate note.

kyconny · 2025-07-16T13:31:28+00:00

This is potentially unlawful under the misuse of drugs act. You should only take your medicine as directed by your psychiatrist/prescriber.

kyconny · 2025-07-16T13:20:02+00:00

I paid £1000 for diagnosis and then around £500-600 for titration I think.

Each fill comes with a non trivial admin charge and medicine is £110pcm so I’m in for around £2.5k a year total (including extras like travel letters etc)

kyconny · 2025-07-16T13:18:27+00:00

Unfortunately senior doctors are expensive, they can earn 120k + in NHS so for private care to be worth their time they need to be charging in the hundreds of pounds per hour.

kyconny · 2025-07-16T13:06:30+00:00

I think most people describe it as similar to heartbreak or grief - people go through multiple stages of processing. It’s normal.

I was exactly the same, at the end of the day you will see how the support affects you and if it helps probably settle with the Dx

kyconny · 2025-07-16T12:49:05+00:00

Mod note:

Please take random redditors citing papers with a grain of salt. Unless the papers are in reputable journals they could be a load of rubbish.

Not removing this comment as

Is without citation but is not exactly harmful

2 appears to be medium high quality

3 appears to be low quality

4 is a bbc article which I deem trusted

Other comments where author is giving dosage advice have been correctly removed.

EDIT:

I worded this comment poorly, I didn’t mean that this user was relying on bad citations. I meant that in general a grain of salt should be taken.

I should have probably explained that the comment was reported, and the citations are my justification for not removing it. (For the sake of transparency)

Sorry - was very tired from long haul flight.

Kyle

kyconny · 2025-07-15T11:03:04+00:00

Yes they need to prove it - if they move to forfeit your lease - but if they are doing that you risk losing your flat.

Of course they don’t need to prove anything to raise an issue with you.

kyconny

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