Primary Tariff Rate: £209.2
Additional Tariff Rate: £188.79
- Register M&G5 0%
- Consultation/Examination/Treatment25 75%
- Health Promotion / Q&A6 0%
- Register M&G (Aldara f/up)5 100%20%
- Examination / Treatment (Aldara f/up)15 100%20%
- Register M&G (Cryo visits 2-5)5 100%80%
- Examination / Treatment (Cryo visits 2-5)15 100%80%
- Register M&G (Re-treat Cryo visits 6-9) 12%5 100%60%
- Examination / Treatment (Re-treat Cryo visits 6-9) 12%15 100%60%
- Register M&G (Re-treat Warticon visit 5) 4%5 100%4%
- Examination / Treatment (Re-treat Warticon visit 5) 4%15 100%4%
- Register M&G (Re-treat Aldera visits 5-6) 24%5 100%48%
- Examination / Treatment (Re-treat Aldera visits 5-6) 24%15 100%48%
Pathway Detail
Step | Factor | Type | Resource | UoM | Unit Cost | Pri qty | Add qty | Pri £ | Add £ | |
---|---|---|---|---|---|---|---|---|---|---|
1. Register M&G | 100% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 |   | £ 2.47 | £ 0.00 | |
2. Consultation/Examination/Treatment | 100% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 25 | 18.75 | £ 31.25 | £ 23.44 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.06 | £ 0.06 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.3 | £ 0.3 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.82 | £ 0.82 | |
  |   | Consumables | Warticon (5g) | tube | £ 14.86 | 0.6 | 0.6 | £ 8.92 | £ 8.92 | |
  |   | Consumables | Warts- Cryotherapy 1 treatment | 1 dose | £ 2.11 | 0.2 | 0.2 | £ 0.42 | £ 0.42 | |
  |   | Drugs | Aldara (12 sachet pk) | 12- sachet pack | £ 48.60 | 0.4 | 0.4 | £ 19.44 | £ 19.44 | |
  |   | Equipment | Proctoscope | procedure | £ 1.18 | 1 | 1 | £ 1.18 | £ 1.18 | |
3. Health Promotion / Q&A | 100% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 6 |   | £ 7.5 | £ 0.00 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 2 |   | £ 0.6 | £ 0.00 | |
  |   | Consumables | Literature (STI) | item | £ 0.64 | 2 |   | £ 1.28 | £ 0.00 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 |   | £ 0.57 | £ 0.00 | |
  |   | Consumables | PN slip | item | £ 0.06 | 3 |   | £ 0.18 | £ 0.00 | |
4. Register M&G (Aldara f/up) | 20% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 0.49 | £ 0.49 | |
5. Examination / Treatment (Aldara f/up) | 20% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 3.75 | £ 3.75 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.01 | £ 0.01 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.06 | £ 0.06 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 | 10 | £ 0.11 | £ 0.11 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.16 | £ 0.16 | |
  |   | Drugs | Aldara (12 sachet pk) | 12- sachet pack | £ 48.60 | 1 | 1 | £ 9.72 | £ 9.72 | |
6. Register M&G (Cryo visits 2-5) | 80% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 1.97 | £ 1.97 | |
7. Examination / Treatment (Cryo visits 2-5) | 80% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 15 | £ 15 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.05 | £ 0.05 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.24 | £ 0.24 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 | 10 | £ 0.46 | £ 0.46 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.66 | £ 0.66 | |
  |   | Consumables | Warts- Cryotherapy 1 treatment | 1 dose | £ 2.11 | 1 | 1 | £ 1.69 | £ 1.69 | |
  |   | Equipment | Proctoscope | procedure | £ 1.18 | 1 | 1 | £ 0.94 | £ 0.94 | |
8. Register M&G (Re-treat Cryo visits 6-9) 12% | 60% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 1.48 | £ 1.48 | |
9. Examination / Treatment (Re-treat Cryo visits 6-9) 12% | 60% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 11.25 | £ 11.25 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.03 | £ 0.03 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.18 | £ 0.18 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 | 10 | £ 0.34 | £ 0.34 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.49 | £ 0.49 | |
  |   | Consumables | Warts- Cryotherapy 1 treatment | 1 dose | £ 2.11 | 1 | 1 | £ 1.27 | £ 1.27 | |
  |   | Equipment | Proctoscope | procedure | £ 1.18 | 1 | 1 | £ 0.71 | £ 0.71 | |
10. Register M&G (Re-treat Warticon visit 5) 4% | 4% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 0.1 | £ 0.1 | |
11. Examination / Treatment (Re-treat Warticon visit 5) 4% | 4% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 0.75 | £ 0.75 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0 | £ 0 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.01 | £ 0.01 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 | 10 | £ 0.02 | £ 0.02 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.03 | £ 0.03 | |
  |   | Consumables | Warticon (5g) | tube | £ 14.86 | 1 | 1 | £ 0.59 | £ 0.59 | |
  |   | Equipment | Proctoscope | procedure | £ 1.18 | 1 | 1 | £ 0.05 | £ 0.05 | |
12. Register M&G (Re-treat Aldera visits 5-6) 24% | 48% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 1.18 | £ 1.18 | |
13. Examination / Treatment (Re-treat Aldera visits 5-6) 24% | 48% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 9 | £ 9 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.03 | £ 0.03 | |
  |   | Consumables | KY Lubricant | application | £ 0.30 | 1 | 1 | £ 0.14 | £ 0.14 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 | 10 | £ 0.27 | £ 0.27 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.39 | £ 0.39 | |
  |   | Drugs | Aldara (12 sachet pk) | 12- sachet pack | £ 48.60 | 3 | 3 | £ 69.98 | £ 69.98 | |
  |   | Equipment | Proctoscope | procedure | £ 1.18 | 1 | 1 | £ 0.57 | £ 0.57 |
Comments
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%
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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