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Needle and Syringe Programmes
NICE Commissioning Guide
NICE/NTA July 2009
The aim:
To provide commissioners with an intuitive, interactive, web-based resource to assist them in commissioning services based on the best available evidence (NICE guidance), and to help them with the preparation of a business
case for change.
The commissioning guides
• Provide or signpost information on key clinical and service-related issues for commissioners to consider – underpinned by the relevant guidance.
• Contain a commissioning tool - interactive resource to help estimate and inform the level of service needed locally, as well as the cost of local commissioning decisions. Registration required
Topic specific and web-based
• People working in / for the organisation • Strategic health authorities
• Primary care trusts
• General practices
• England
• Data governance issue - authentication process
• 10 registrations per organisation
• Registration gives access to all published tools
Choose what to do• Create commissioning group
• Create new commissioning model
• View / edit saved commissioning models
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Creating a PBC grouping is slightly different
Step 1: Select organisation(s) or group
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Step 2: Choose topic & give file name & reminder description
Count Cost (£)
Population 199,000 Table 1
Benchmark number of needles and syringes distributed per year for 100% coverage
253,587 Table 2
Current number of needles and syringes distributed per year and service costs
70,000 0 Table 3
Increase / (decrease) to consider 183,587 calculation
Financial year: 2010/11 Save 2010/11 2010/11 2011/12 2011/12
Count Cost (£) Count Cost (£)
Planned number of needles and syringes distributed per year and recurrent service costs
250,000 0 0 0
Planned number of needles and syringes distributed per year - non-recurrent service costs
0 0
Increase / (decrease) 180,000 (70,000)
Total cost increase / (decrease) 0 0
Organisation name Total populationPopulation for
benchmarkLocally adjusted
population for benchmark
Q 30,000 19,800 19,900
R 30,000 19,800 19,900
S 30,000 19,800 19,900
T 30,000 19,800 19,900
U 30,000 19,800 19,900
V 30,000 19,800 19,900
W 30,000 19,800 19,900
X 30,000 19,800 19,900
Y 30,000 19,800 19,900
Z 30,000 19,800 19,900
300,000 198,000 199,000
Number of injecting drug users not in treatment 174
Number of injecting drug users in treatment 522
Average number of injections per day per person not in drug treatment 3
Average number of injections per day per person in drug treatment 0.33
Total number of injections per year 253,587
Benchmark number of needles and syringes per year for 100% coverage
253,587
Current number of needles and syringes distributed per year (excluding to people who
inject performance and image-enhancing drugs)
70,000
Coverage (%) 28
Cost elementUnit cost
(£)Number of units
Cost p/a (£)
Needle 0.02 70,000 1,400Syringe 0.04 70,000 2,800Filter 0.026 50,000 1,300Sterile water - one ampoule 0.13 50,000 6,500Sharps bin 0.85 50,000 42,500Pre-injection swab 0.0075 70,000 525Spoon 0.10 20,000 2,000Citric acid sachet 0.04 5,000 195Locally agreed pharmacy tariff 0.00 200 2,000Delivery 0.00 0 0Waste collection 0.00 0 0Block payment to provider 0.00 30,000 30,000Other 0.00 0 0Total 89,220
Planned number of needles and syringes distributed per year
(excluding to people who inject performance and image-enhancing drugs)
250,000
Coverage (%) 99
Cost elementUnit
cost (£)Number of units
Cost p/a (£)
Needle 0.02 250,000 5,000
Syringe 0.04 250,000 5,000
Filter 0.026 150,000 3,900
Sterile water - one ampoule 0.13 150,000 19,500
Sharps bin 0.85 150,000 127,500
Pre-injection swab 0.0075 250,000 1,875
Spoon 0.10 250,000 25,000
Citric acid sachet 0.04 250,000 9,750
Locally agreed pharmacy tariff 0.00 10 2,500
Delivery 0.00 1 259
Waste collection 0.00 50 12,500
Block payment to provider 0.00 1 30,000
Other 0.00 0 0
Total 247,784
Cost elementUnit cost
(£)Number of units
Total cost (£)
Staff training 50 5 250
Information technology 500 5 2,500
Other equipment 40 10 400
Total 3,150
Summary Table Count Cost (£)
Population 199,000 Table 1
Benchmark number of needles and syringes distributed per year for 100% coverage
253,587 Table 2
Current number of needles and syringes distributed per year and service costs
70,000 89,220 Table 3
Increase / (decrease) to consider 183,587 calculation
Financial year: 2010/11 Save 2010/11 2010/11 2011/122011/
12
Count Cost (£) CountCost (£)
Planned number of needles and syringes distributed per year and recurrent service costs
250,000 247,784 0 0
Planned number of needles and syringes distributed per year - non-recurrent service costs
3,150 0
Increase / (decrease) 180,000 (70,000
)
Total cost increase / (decrease) 161,714 0