Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease

INTRODUCTION
This excel tool aims to assist NHSScotland organisations estimate the local costs and resource requirements associated with implementing CVD risk assessment of asymptomatic individuals aged 40 years and over in accordance with the recommendations within SIGN 97: Risk estimation and the prevention of cardiovascular disease. Users should refer to Chapter 7 of the 'Management of CHD clinical and resource impact assessment' document for further information. This tool only provides an indication of resource requirements and costs involved, and should be adapted to suit individual user's needs.

To use these tools you must have the Analysis ToolPak and Analysis ToolPak - VBA on your PC. To check you have these, once in excel (with a live document) click on "Tools", "Add-ins", and click in the relevant boxes, at this point a tick should appear in the add-ins selected. Click OK to save these settings.

GUIDANCE
The guidance below explains how data should be entered in to the relevant spreadsheets and the steps to take to obtain results. It may be useful to print this page prior to entering your local data.

Step 1: Select Cohort - "Cohort Selection" worksheet

Insert the expected proportion (%) of the asymptomatic population 40 years or over to be assessed each year in each health board/s in the yellow cells, or the number of individuals to be assessed each year in each health board/s in the green cells. Note: For each health board you MUST only enter either the proportion of the asymptomatic population 40 years or over in your health board (yellow cells) or the absolute number of individuals (green cells), to be assessed each year. If you enter both or the absolute number, the calculations will be based on the absolute number of individuals entered and the proportion of the asymptomatic population 40 years or over will not update. There is no validation of populations selected against the estimated health board population, please ensure the entered populations are appropriate.

Step 2: Review Variables - "Variables" worksheet

Review the unit costs used within the Management of CHD national clinical and resource impact assessment (February 2007) in the 'Variables' sheet, amend if these costs are not representative of your local costs. Make any necessary amendments to these variables (highlighted in blue) by clicking on the appropriate cell and entering local information.

Step 3: View Estimated Resources and Costs - "Output" worksheet

View the estimated annual resource requirements and costs for your selected cohort in the 'Output' sheet.

Step 4: Review Calculations - "Working" worksheet

If you require more information on each estimated resource or cost refer to the 'Working' sheet.

SIGN - Cost and Resource Impact Assessment

Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease

SELECT COHORT
Either change the proportion (%) of each Health Board to represent your cohort in the yellow cells or if known enter the absolute number of individuals to risk assess in the green cells.

Health Board Estimated asymptomatic population 40 years or over to be assessed each year Ayrshire and Arran Borders Dumfries and Galloway Fife Forth Valley Grampian Greater Glasgow and Clyde1 Highland 2 Lanarkshire Lothian Orkney Shetland Tayside Western Isles Total 3,820 1,135 1,540 3,685 2,930 5,445 12,385 3,145 5,780 8,185 205 230 4,030 275 52,790

Population

Selected proportion of patients to be assessed (%) 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

Population of cohort selected 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total calculated proportion of patients to be assessed (%) 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

1 Greater Glasgow and Clyde = Glasgow Health Board + (Argyll and Clyde Health Board - Argyll and Bute Council Area). 2 Highland = Highland Health Board + Argyll and Bute Council Area.

SIGN - Cost and Resource Impact Assessment

Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease

REVIEW VARIABLES AND AMEND WHERE APPROPRIATE

The variables used in the Management of CHD national clinical and resource impact assessment are outlined below. Make any necessary amendments to these variables (highlighted in blue) by clicking on the appropriate cell and entering local information.

Patient numbers per staff member Average number of patients per staff member 40,605 7,760 25,135

Staff GP Practice nurse Administrator

Unit Costs Resource Unit Cost 06/07

Staff GP Practice nurse Administrators Capital Consultant rooms 16.5 m - Excl. VAT Consultant rooms 16.5 m - Incl. VAT

110,000 45,071 21,283

27,225 31,994

Average treatment cost per patient Treatment Cost per patient 06/07

Consumables Medical Practice Health Board Lab

0.02 2.35 12.89

SIGN - Cost and Resource Impact Assessment

Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease

ESTIMATED ANNUAL RESOURCES AND COSTS FOR SELECTED COHORT YEARS 1-5 (inclusive)
Staff Required GP Practice Nurse Administrator Annual Costs Staff Consumables Annual Capital Charge Total Capital Costs (Including VAT) Accommodation TOTAL COSTS 0 0 0 0 0 0 Whole Time Equivalent 0.0 0.0 0.0

A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79

Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease
YEARS 1-5

Health Board

Estimated Patient Numbers by Health Board 3,820 1,135 1,540 3,685 2,930 5,445 12,385 3,145 5,780 8,185 205 230 4,030 275 52,790

Expected proportion of patients 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

Staff numbers Patient numbers GP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Practice nurse 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Administrator 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 GP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Staff Costs Practice nurse 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Administrators 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Consumables Health Board 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Lab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Rooms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Capital Costs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Annual Capital charge 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ayrshire and Arran Borders Dumfries and Galloway Fife Forth Valley Grampian Greater Glasgow and Clyde1 Highland 2 Lanarkshire Lothian Orkney Shetland Tayside Western Isles Scotland

1 Greater Glasgow and Clyde = Glasgow Health Board + (Argyll and Clyde Health Board - Argyll and Bute Council Area). 2 Highland = Highland Health Board + Argyll and Bute Council Area.

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