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Needle and Syringe Programmes NICE Commissioning Guide NICE/NTA July 2009.

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Presentation on theme: "Needle and Syringe Programmes NICE Commissioning Guide NICE/NTA July 2009."— Presentation transcript:

1 Needle and Syringe Programmes NICE Commissioning Guide NICE/NTA July 2009

2 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.

3 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

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12 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

13 Choose what to do Create commissioning group Create new commissioning model View / edit saved commissioning models

14 Practice code Creating a PBC grouping is slightly different

15 Step 1: Select organisation(s) or group Practice code

16 Step 2: Choose topic & give file name & reminder description

17 CountCost (£) Population199,000 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 70,0000Table 3 Increase / (decrease) to consider183,587 calculation Financial year: 2010/11 Save2010/11 2011/12 Count Cost (£)CountCost (£) Planned number of needles and syringes distributed per year and recurrent service costs 250,000 000 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

18 Organisation nameTotal population Population for benchmark Locally adjusted population for benchmark Q30,00019,80019,900 R30,00019,80019,900 S30,00019,80019,900 T30,00019,80019,900 U30,00019,80019,900 V30,00019,80019,900 W30,00019,80019,900 X30,00019,80019,900 Y30,00019,80019,900 Z30,00019,80019,900 300,000198,000199,000

19 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

20 Current number of needles and syringes distributed per year (excluding to people who inject performance and image-enhancing drugs) 70,000 Coverage (%)28

21 Cost element Unit cost (£) Number of units Cost p/a (£) Needle0.02 70,0001,400 Syringe0.04 70,0002,800 Filter0.026 50,0001,300 Sterile water - one ampoule0.13 50,0006,500 Sharps bin0.85 50,00042,500 Pre-injection swab0.0075 70,000525 Spoon0.10 20,0002,000 Citric acid sachet0.04 5,000195 Locally agreed pharmacy tariff0.00 2002,000 Delivery0.00 00 Waste collection0.00 00 Block payment to provider0.00 30,000 Other0.00 00 Total 89,220

22 Planned number of needles and syringes distributed per year (excluding to people who inject performance and image-enhancing drugs) 250,000 Coverage (%)99

23 Cost element Unit 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

24 Cost element Unit cost (£) Number of units Total cost (£) Staff training505250 Information technology50052,500 Other equipment4010400 Total 3,150

25 Summary Table CountCost (£) Population199,000 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 consider183,587 calculation Financial year: 2010/11 Save2010/11 2011/12 CountCost (£)Count Cost (£) Planned number of needles and syringes distributed per year and recurrent service costs 250,000247,78400 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

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