Primary Tariff Rate: £61.7
Additional Tariff Rate: £49.3
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 | 100% | Clinical Resource.. | Nurse 5/6 | minute | £ 0.69 | 15 | 7.5 | £ 10.4 | £ 5.2 | |
3. Teach/Injection | 100% | Clinical Resource.. | Nurse 5/6 | minute | £ 0.69 | 15 | 15 | £ 10.4 | £ 10.4 | |
  |   | Consumables | Cotton Wool | item | £ 0.02 | 1 | 1 | £ 0.02 | £ 0.02 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.06 | £ 0.06 | |
  |   | Consumables | Small Sharps Box 0.25l | item | £ 1.75 | 1 | 1 | £ 1.75 | £ 1.75 | |
  |   | Consumables | Sterets/antiseptic wipe | item | £ 0.19 | 1 | 1 | £ 0.19 | £ 0.19 | |
  |   | Drugs | Sayana Press | 1 dose | £ 6.90 | 4 | 4 | £ 27.6 | £ 27.6 | |
4. Health Promotion / Q&A | 100% | Clinical Resource.. | Nurse 5/6 | minute | £ 0.69 | 6 |   | £ 4.16 | £ 0.00 | |
  |   | Consumables | Male Condom | item | £ 0.06 | 10 |   | £ 0.57 | £ 0.00 | |
5. Unscheduled bleeding Register M&G | 15% | Clinical Resource.. | Blend Admin / Clerical. | minute | £ 0.49 | 5 | 5 | £ 0.37 | £ 0.37 | |
6. Unscheduled bleeding Consultation | 15% | Clinical Resource.. | Doctor / N7 / N8 | minute | £ 1.25 | 15 | 15 | £ 2.81 | £ 2.81 | |
  |   | Consumables | Gloves | pair | £ 0.06 | 1 | 1 | £ 0.01 | £ 0.01 | |
  |   | Consumables | Speculum | item | £ 0.82 | 1 | 1 | £ 0.12 | £ 0.12 | |
7. Unscheduled bleeding Treatment Opt 1 | 7.5% | Drugs | COC (weighted average) | 3 months supply | £ 7.02 |   |   |   | £ 0.00 | |
8. Unscheduled bleeding Treatment Opt 2 | 7.5% | Drugs | Mefenamic acid (500mg tablets) | 28 tablet pack | £ 19.25 | 0.54 | 0.54 | £ 0.78 | £ 0.78 |
Previous comments:
Barbara Hollingworth 2011-09-13 08:28
DMPA - A grade 6 nurse would routinely do this.
Does this pathway include Noristerat?
What is injectable contraception not included in LARC list when it is defined as one by NICE?
Pathway Analytics 2011-10-19 22:50
Injection 'not' a LARC - The low cost of Injections means that it does not make sense to put it in the same basket as other higher cost LARCs without risking adverse skews in the LARC tariff.
Comments
2) Also we need a pathway for Sayana Press to include time for teaching the method, ability to charge for 4 injections (3 TTA)
drug split 50/50 Depo prev / sayana press
plus drugs
plus sharps box
Change Steps 1, 2, and 3 Blend All to Band 5/6
Increase Step 2 from 10 to 15 minutes
Insert Step 2 Depo for 50% of patients
Insert Step 2 Sayana press for 50% of patients * 4 (3 TTA)
Insert Step 2 sharps box for 50% of patients
Remove bandage from slide
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