You are on page 1of 10

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 the management of patients at high CVD risk 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 high CVD risk patient population that you expect to manage in each health board/s in the yellow cells, or the number of patients at high CVD risk that you expect to manage in each health board/s in the green cells in the 'Cohort Selection' sheet. Note: For each health board you MUST only enter either the proportion of the high CVD risk patients in your health board (yellow cells) or the absolute number of high CVD risk patients (green cells) you expect to manage, if you enter both or the absolute number, the calculations will be based on the absolute number of high CVD risk patients entered and the proportion of patients to be managed 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 resource requirements and costs for your selected cohort in years 1 - 6 in the 'Output' sheet.

Step 4: Review Calculations - "Working - Year 1" to "Working Year 6" worksheets
If you require more information on each estimated resource or cost refer to sheets 'Working - Year 1' through to 'Working - Year 6'.

330 5.930 12.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 patients in the green cells.180 Population Selected proportion of patients to be managed (%) 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 managed (%) 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 .SIGN .560 12.810 24.220 10.190 24.000 asymptomatic patients. 2 Highland = Highland Health Board + Argyll and Bute Council Area.000 symptomatic patients and 98.220 49. For years 2-5 (inclusive) the number of patients will increase annually by 98. .440 10.370 1. * Year 1 High CVD risk population estimates comprise of 87.260 370 370 15.000 asympotmatic patients. Health Board Estimated high CVD risk population 40 years and over in year 1* 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 13.000 5.Argyll and Bute Council Area).110 185.

283 £51. For example it was estimated in the 'Management of CHD clinical and resource impact assessment' document that approximately 29.283 £51.071 £21.96 £1.300 4.02 £2.283 £51.5 m² .225 £31.330 0 Unit Costs (at constant 2006/07 prices) Resource Unit Cost 06/07 Unit Cost 06/07 Unit Cost 06/07 Unit Cost 06/07 Unit Cost 06/07 Unit Cost 06/07 Staff GP Practice nurse Administrators Dietician Capital Consultant rooms 16.79 £0.04 £4.75 £20.000 £45.765 9.170 Average number of patients per staff member 11. VAT £110.95 £0.012 £110. .000 £45.225 £31.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.860 11.09 £0.000 £45.012 £110.00 £0.994 Average treatment cost per patient* Treatment Cost per patient 06/07 Cost per patient 06/07 Cost per patient 06/07 Cost per patient 06/07 Cost per patient 06/07 Cost per patient 06/07 Smoking Cessation Referral NRT Consumables Medical Practice Health Board Lab £1.560 Average number of patients per staff member 12.071 £21.283 £51.012 £110. Make any necessary amendments to these variables (highlighted in blue) by clicking on the appropriate cell and entering local information.715 15. however the year 1 figures above are calculated using the 185.994 £27.071 £21.283 £51.85 £10.071 £21.76 £0.02 £2.22 £0.75 £1.965 14.Incl.010 25.Excl.02 £2.390 0 37.03 £3.975 Average number of patients per staff member 11.67 £0.012 £110.225 £31.071 £21.54 £0.980 24.365 Average number of patients per staff member 11.85 £0.00 £0.071 £21.012 £27.000 £45.205 19.265 30.77 £10.37 £0.870 25.000 £45.35 £7.283 £51.56 £0.012 £110.63 £0.28 £1.595 22.225 £31.20 £12.655 18.90 * The patient numbers per staff member and average treatment cost per patient are calculated using the total number of patients each year at high CVD risk not the number of patients presenting to the specific service.14 £0.330 20.725 10.780 Year 2 Year 3 Year 4 Year 5 Year 6 Staff GP Practice nurse Administrator Dietician Average number of patients per staff member 11. Year 1 Patient numbers per staff member* Average number of patients per staff member 8.SIGN .03 £2. VAT Consultant rooms 16.000 high CVD risk patients to be managed in year 1.5 m² .000 £45.095 22.000 patients would be referred to a dietician each year in years 1-5.994 £27.994 £27.225 £31.994 £27.994 £27.225 £31.98 £11.

Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease ESTIMATED RESOURCES AND COSTS FOR SELECTED COHORT Year 6 † Whole Time Equivalent 0.SIGN .0 0.0 0.0 0.0 0.0 0.0 Costs (£) Resource Requirements GP Practice Nurse Administrator Dietician Operating Costs Staff Consumables Smoking Cessation Annual Capital Charge Total Capital Costs (Including VAT)* Accommodation TOTAL COSTS † By the end of year 5 it is assumed that all high CVD risk patients have been identified and are managed according to SIGN 97.0 Costs (£) 0 0 0 0 0 Costs (£) 0 £0 Year 2 Whole Time Equivalent 0. .0 0.0 Costs (£) 0 0 0 0 0 Costs (£) 0 £0 Year 4 Whole Time Equivalent 0.0 0.0 0. * No additional capital is required in years 2 and 3 as the accommodation provided in year 1 is sufficient to manage the patient numbers.0 0. As patients require more time in the primary setting in the first year of treatment there is spare capacity in the following years.0 Costs (£) 0 0 0 0 0 Costs (£) 0 £0 0 £0 Costs (£) 0 £0 0 0 0 0 0 Year 1 Whole Time Equivalent 0.0 0. Therefore the data in year 6 represents steady state resource requirements and costs.0 0.0 Costs (£) 0 0 0 0 0 Costs (£) 0 £0 Year 3 Whole Time Equivalent 0.0 0.0 Costs (£) 0 0 0 0 0 Costs (£) Year 5 Whole Time Equivalent 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 1 Greater Glasgow and Clyde = Glasgow Health Board + (Argyll and Clyde Health Board .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.0 0.0 0.0 0.Argyll and Bute Council Area).0 0.0 0.0 0.0 0.0 0.0 0.SIGN .0 0.0 0.0 0.000 5.0 0. .560 # # # # # # # # # # # # Expected proportion of patients Staff numbers Patient numbers GP Practice nurse Administrator 0.0 0.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 1 Health Board Estimated Patient Numbers by Health Board # # 5.0 0.0 0.0 0.0 0.0 0.0 0.0 Dietician £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Practice nurse Staff Costs Administrators £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 Dietician £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 Smoking Cessation Services Capital Rooms 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 Costs 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 370 370 1.0 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 0.110 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 0.0 0.0 0.0 0.

0 0.Argyll and Bute Council Area).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 £0 £0 1 Greater Glasgow and Clyde = Glasgow Health Board + (Argyll and Clyde Health Board .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.660 8.0 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. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Dietician £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Practice nurse Staff Costs Administrators £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 Dietician £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 Smoking Cessation Services Capital Rooms 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 Costs 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 570 570 1.0 0.510 # # # # # # # # # # # # Expected proportion of patients Staff numbers Patient numbers GP Practice nurse Administrator 0.0 0. .SIGN .0 0.0 0.700 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.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 2 Health Board Estimated Patient Numbers by Health Board # # 7.0 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 0.Argyll and Bute Council Area).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 0.290 # # # # Expected proportion of patients Staff numbers Patient numbers GP Practice nurse 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 £0 £0 £0 £0 £0 £0 £0 £0 £0 £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 .0 0.0 0.0 0. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.0 0.0 0.0 0.SIGN .0 0.0 0.0 0.0 0.0 0.0 0.0 Dietician £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Practice nurse Staff Costs Administrators £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 Dietician £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 Smoking Cessation Services Capital Rooms 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 Costs 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 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.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 3 Health Board Estimated Patient Numbers by Health Board # # # # # # # # # # # 760 760 2.0 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.SIGN .0 0.0 0.0 0.0 0.0 Dietician £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Practice nurse Staff Costs Administrators £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 Dietician £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 Smoking Cessation Services Capital Rooms 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 Costs 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 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.Argyll and Bute Council Area).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 1 Greater Glasgow and Clyde = Glasgow Health Board + (Argyll and Clyde Health Board .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 0.0 0.0 0.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 4 Health Board Estimated Patient Numbers by Health Board # # # # # # # # # # # 960 960 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.880 # # # # Expected proportion of patients Staff numbers Patient numbers GP Practice nurse Administrator 0.0 0.0 0. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.0 0.0 0.0 0.0 0.

0 0.0 0.0 0.0 0.0 0.0 0.160 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 5 Health Board Estimated Patient Numbers by Health Board # # # # # # # # # # # 1.0 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 £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 .0 0.470 # # # # Expected proportion of patients Staff numbers Patient numbers GP Practice nurse Administrator 0. .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.SIGN .0 Dietician £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Practice nurse Staff Costs Administrators £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 Dietician £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 Smoking Cessation Services Capital Rooms 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 Costs 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 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 0.160 3.0 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.Argyll and Bute Council Area).

470 578.530 75.Argyll and Bute Council Area).0 0.0 0.140 38.360 38.0 0.0 0.0 0. .620 17.660 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.160 48.0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Staff Costs Administrators £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 Total £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 GP Consumables Health Board £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 Lab £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 £0 Total Rooms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Capital 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 1 Greater Glasgow and Clyde Highland 2 Lanarkshire Lothian Orkney Shetland Tayside Western Isles Scotland 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 .0 0.820 77.0 0.0 0.0 0.0 0.0 0. 2 Highland = Highland Health Board + Argyll and Bute Council Area.0 0.160 1.0 0.190 154.0 0.Cost and Resource Impact Assessment Cost and resource impact of SIGN 97: Risk estimation and the prevention of cardiovascular disease YEAR 6 and subsequent years Health Board Estimated Patient Numbers by Health Board 41.610 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.SIGN .0 0.190 34.0 0.800 1.0 0.020 3.0 Administrator 0.490 31.0 0.0 0.