37. Anogenital Warts– First episode warts (includes failures)

Details
Parent Category: Sexual Health Pathways
Category: STI Intervention B

Primary Tariff Rate: £
Additional Tariff Rate: £

    Pathway Detail

    Anogenital Warts– First episode warts (includes failures)

     

     

     

    Comments   

    # Michael Brady 2016-06-08 13:07
    The cryotherapy visits (6 in initial diagnosis) and 6 for those who have recurrences need to be costed - they will each have a visit with associated cost
    # Pathway Analytics 2016-06-08 13:43
    [CM]Proposed/CA G Agreed/Changed
    Step 4:
    Increase surrounding visit activity around Warts- Cryotherapy course treatment for 5 five further visits (register M&G, 15 min Examination treatment and spray Band 5)
    Change weightings
    Cryotherapy to 30%
    Aldara 40%
    Warticon 30%
    Step 9:
    Increase surrounding visit activity around Warts- Cryotherapy course treatment for 5 five further visits (register M&G, 15 min Examination treatment and spray Band 5)
    Increase surrounding visit activity around Warticon and Aldara course treatment for 30% for one further visits (register M&G, 15 min Examination treatment and spray Dr Nurse 6/7)
    Change intervention weightings to:
    Cryotherapy to 30%
    Aldara 60%
    Warticon 10%
    # Pathway Analytics 2017-02-15 15:47
    [CM]Proposed:
    Error Steps 8 & 9 should be a factor of 3 x 30% = 90% not 300%
    Dose for Aldara is 12- sachet pack per month, treament covers 4 months. Steps 5 and 7 should reflect 40% x 12 sachet pack x 4 x patients remaining.
    Aldara patients also require a single follow-up consultation by Blend Dr N6/7 for 15mins consultation etc.
    Patients receiving Warticon

    Agreed summary reflects BASHH guidelines
    First Episode:
    Of 100% patients:
    30% Cryo - 4 treatments over 4 visits
    30% Warticon - 1 month supply administered at home (no further visits)
    40% Aldera - 4 months supply administered at home and 1 check-up visit

    Of 100% of patients:
    60% - success - no further action
    40% - fail and continue treatment as follows:
    30% Cryo - 4 treatments over 4 visits
    10% Warticon - 1 month supply administered at home (no further visits)
    60% Aldera - 4 months supply administered at home and 1 check-up visit

    Review currency allocation

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