Primary Tariff Rate: £209.2
Additional Tariff Rate: £188.79

Pathway Detail

StepFactorType ResourceUoMUnit CostPri qtyAdd qtyPri £Add £
1. Register M&G100%Clinical Resource..Blend Admin / Clerical.minute£ 0.495 £ 2.47 £ 0.00
2. Consultation/Examination/Treatment100%Clinical Resource..Doctor / N7 / N8minute£ 1.252518.75£ 31.25£ 23.44
  ConsumablesGlovespair£ 0.0611£ 0.06£ 0.06
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.3£ 0.3
  ConsumablesSpeculumitem£ 0.8211£ 0.82£ 0.82
  ConsumablesWarticon (5g)tube£ 14.860.60.6£ 8.92£ 8.92
  ConsumablesWarts- Cryotherapy 1 treatment1 dose£ 2.110.20.2£ 0.42£ 0.42
  DrugsAldara (12 sachet pk)12- sachet pack£ 48.600.40.4£ 19.44£ 19.44
  EquipmentProctoscopeprocedure£ 1.1811£ 1.18£ 1.18
3. Health Promotion / Q&A100%Clinical Resource..Doctor / N7 / N8minute£ 1.256 £ 7.5 £ 0.00
  ConsumablesKY Lubricantapplication£ 0.302 £ 0.6 £ 0.00
  ConsumablesLiterature (STI)item£ 0.642 £ 1.28 £ 0.00
  ConsumablesMale Condomitem£ 0.0610 £ 0.57 £ 0.00
  ConsumablesPN slipitem£ 0.063 £ 0.18 £ 0.00
4. Register M&G (Aldara f/up)20%Clinical Resource..Blend Admin / Clerical.minute£ 0.4955£ 0.49£ 0.49
5. Examination / Treatment (Aldara f/up)20%Clinical Resource..Doctor / N7 / N8minute£ 1.251515£ 3.75£ 3.75
  ConsumablesGlovespair£ 0.0611£ 0.01£ 0.01
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.06£ 0.06
  ConsumablesMale Condomitem£ 0.061010£ 0.11£ 0.11
  ConsumablesSpeculumitem£ 0.8211£ 0.16£ 0.16
  DrugsAldara (12 sachet pk)12- sachet pack£ 48.6011£ 9.72£ 9.72
6. Register M&G (Cryo visits 2-5)80%Clinical Resource..Blend Admin / Clerical.minute£ 0.4955£ 1.97£ 1.97
7. Examination / Treatment (Cryo visits 2-5)80%Clinical Resource..Doctor / N7 / N8minute£ 1.251515£ 15£ 15
  ConsumablesGlovespair£ 0.0611£ 0.05£ 0.05
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.24£ 0.24
  ConsumablesMale Condomitem£ 0.061010£ 0.46£ 0.46
  ConsumablesSpeculumitem£ 0.8211£ 0.66£ 0.66
  ConsumablesWarts- Cryotherapy 1 treatment1 dose£ 2.1111£ 1.69£ 1.69
  EquipmentProctoscopeprocedure£ 1.1811£ 0.94£ 0.94
8. Register M&G (Re-treat Cryo visits 6-9) 12%60%Clinical Resource..Blend Admin / Clerical.minute£ 0.4955£ 1.48£ 1.48
9. Examination / Treatment (Re-treat Cryo visits 6-9) 12%60%Clinical Resource..Doctor / N7 / N8minute£ 1.251515£ 11.25£ 11.25
  ConsumablesGlovespair£ 0.0611£ 0.03£ 0.03
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.18£ 0.18
  ConsumablesMale Condomitem£ 0.061010£ 0.34£ 0.34
  ConsumablesSpeculumitem£ 0.8211£ 0.49£ 0.49
  ConsumablesWarts- Cryotherapy 1 treatment1 dose£ 2.1111£ 1.27£ 1.27
  EquipmentProctoscopeprocedure£ 1.1811£ 0.71£ 0.71
10. Register M&G (Re-treat Warticon visit 5) 4%4%Clinical Resource..Blend Admin / Clerical.minute£ 0.4955£ 0.1£ 0.1
11. Examination / Treatment (Re-treat Warticon visit 5) 4%4%Clinical Resource..Doctor / N7 / N8minute£ 1.251515£ 0.75£ 0.75
  ConsumablesGlovespair£ 0.0611£ 0£ 0
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.01£ 0.01
  ConsumablesMale Condomitem£ 0.061010£ 0.02£ 0.02
  ConsumablesSpeculumitem£ 0.8211£ 0.03£ 0.03
  ConsumablesWarticon (5g)tube£ 14.8611£ 0.59£ 0.59
  EquipmentProctoscopeprocedure£ 1.1811£ 0.05£ 0.05
12. Register M&G (Re-treat Aldera visits 5-6) 24%48%Clinical Resource..Blend Admin / Clerical.minute£ 0.4955£ 1.18£ 1.18
13. Examination / Treatment (Re-treat Aldera visits 5-6) 24%48%Clinical Resource..Doctor / N7 / N8minute£ 1.251515£ 9£ 9
  ConsumablesGlovespair£ 0.0611£ 0.03£ 0.03
  ConsumablesKY Lubricantapplication£ 0.3011£ 0.14£ 0.14
  ConsumablesMale Condomitem£ 0.061010£ 0.27£ 0.27
  ConsumablesSpeculumitem£ 0.8211£ 0.39£ 0.39
  DrugsAldara (12 sachet pk)12- sachet pack£ 48.6033£ 69.98£ 69.98
  EquipmentProctoscopeprocedure£ 1.1811£ 0.57£ 0.57

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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