Transcript Meeting need - Christina McArthur

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
Topic specific and web-based
• 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
• 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
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Step 1: Select organisation(s) or
group
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Step 2: Choose topic & give file
name & reminder description
Count
Population
Benchmark number of needles and
syringes distributed per year for 100%
coverage
Current number of needles and syringes
distributed per year and service costs
Increase / (decrease) to consider
Financial year: 2010/11
Total cost increase / (decrease)
199,000
Table 1
253,587
Table 2
70,000
0
183,587
Save
Planned number of needles and syringes
distributed per year and recurrent service
costs
Planned number of needles and syringes
distributed per year - non-recurrent service
costs
Increase / (decrease)
Cost (£)
Table 3
calculation
2010/11
2010/11
2011/12
2011/12
Count
Cost (£)
Count
Cost (£)
250,000
0
0
0
0
180,000
0
(70,000)
0
0
Organisation name Total population
Population for
Locally adjusted
benchmark
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
Average number of injections per day per person in drug
treatment
Total number of injections per year
Benchmark number of needles and syringes per year for
100% coverage
3
0.33
253,587
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 element
Needle
Syringe
Filter
Sterile water - one ampoule
Sharps bin
Pre-injection swab
Spoon
Citric acid sachet
Locally agreed pharmacy tariff
Delivery
Waste collection
Block payment to provider
Other
Total
Unit cost
(£)
0.02
0.04
0.026
0.13
0.85
0.0075
0.10
0.04
0.00
0.00
0.00
0.00
0.00
Number Cost p/a
of units
(£)
70,000 1,400
70,000 2,800
50,000 1,300
50,000 6,500
50,000 42,500
70,000
525
20,000 2,000
5,000
195
200
2,000
0
0
0
0
30,000 30,000
0
0
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 element
Needle
Syringe
Filter
Sterile water - one ampoule
Sharps bin
Pre-injection swab
Spoon
Citric acid sachet
Locally agreed pharmacy tariff
Delivery
Waste collection
Block payment to provider
Other
Total
Unit Number Cost
cost (£) of units p/a (£)
0.02
0.04
0.026
0.13
0.85
0.0075
0.10
0.04
0.00
0.00
0.00
0.00
0.00
250,000
5,000
250,000
5,000
150,000
3,900
150,000
19,500
150,000
127,500
250,000
1,875
250,000
25,000
250,000
9,750
10
2,500
1
259
50
12,500
1
30,000
0
0
247,784
Cost element
Unit cost Number Total
(£)
of units cost (£)
Staff training
50
5
250
Information technology
500
5
2,500
Other equipment
40
10
400
Total
3,150
Summary Table
Count
Population
Benchmark number of needles and syringes
distributed per year for 100% coverage
Current number of needles and syringes
distributed per year and service costs
Financial year: 2010/11
199,000
Table 1
253,587
Table 2
70,000
Increase / (decrease) to consider
Save 2010/11
Planned number of needles and syringes
distributed per year and recurrent service costs
Planned number of needles and syringes
distributed per year - non-recurrent service costs
Total cost increase / (decrease)
89,220
183,587
Count
Increase / (decrease)
Cost (£)
250,000
Table 3
calculation
2011/
2010/11 2011/12 12
Cost (£) Count
247,784
0
3,150
Cost
(£)
0
0
(70,000
)
180,000
161,714
0