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

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