scholarly journals A comparative study of the cost and uptake of community pharmacy “Stop Smoking and Emergency Contraception” services from the perspective of the National Health Service

2020 ◽  
Vol 9 (2) ◽  
pp. 73
Author(s):  
Reem Kayyali ◽  
Wail Chalati ◽  
Philip Crilly ◽  
John Fletcher
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Comparative Study ◽  
Community Pharmacy ◽  
National Health ◽  
Emergency Contraception ◽  
Stop Smoking ◽  
The Cost

scholarly journals Determining counselling communication strategies associated with successful quits in the National Health Service community pharmacy Stop Smoking programme in East London: a focused ethnography using recorded consultations

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015664 ◽  
Author(s):  
Carol Rivas ◽  
Ratna Sohanpal ◽  
Virginia MacNeill ◽  
Liz Steed ◽  
Elizabeth Edwards ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
National Health Service ◽  
Health Service ◽  
Community Pharmacy ◽  
National Health ◽  
Communication Strategies ◽  
Community Pharmacies ◽  
Service Community ◽  
Stop Smoking ◽  
The Impact

ObjectivesTo determine communication strategies associated with smoking cessation in the National Health Service community pharmacy Stop Smoking programme.Setting11 community pharmacies in three inner east London boroughs.Participants9 stop smoking advisers and 16 pairs of smokers who either quit or did not quit at 4 weeks, matched on gender, ethnicity, age and smoking intensity.Method1–3 audio-recorded consultations between an adviser and each pair member over 5–6 weeks were analysed using a mixed-method approach. First a content analysis was based on deductive coding drawn from a theme-oriented discourse analysis approach and the Roter Interaction Analysis System. Core themes were identified through this quantification to explore in detail the qualitative differences and similarities between quitters and non-quitters.ResultsQuantitative analysis revealed advisers used a core set of counselling strategies that privileged the ‘voice of medicine’ and often omitted explicit motivational interviewing. Smokers tended to quit when these core strategies were augmented by supportive talk, clear permission for smokers to seek additional support from the adviser between consultations, encouragement for smokers to use willpower. The thematic analysis highlighted the choices made by advisers as to which strategies to adopt and the impacts on smokers. The first theme ‘Negotiating the smoker–adviser relationship’ referred to adviser judgements about the likelihood the smoker would quit. The second theme, ‘Roles of the adviser and smoker in the quit attempt’, focused on advisers’ counselling strategies, while the third theme, ‘Smoker and adviser misalignment on reasons for smoking, relapsing and quitting’, concerned inconsistencies in the implementation of National Centre for Smoking Cessation and Training recommendations.DiscussionAdvisers in community pharmacies should use the advantages of their familiarity with smokers to ensure appropriate delivery of patient-centred counselling strategies and reflect on the impact on their counselling of early judgements of smoker success.

Cutting the cost of the National Health Service

BMJ ◽  
1980 ◽  
Vol 280 (6229) ◽  
pp. 1449-1449
Author(s):  
A. Smith
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Cost

scholarly journals Cutting the cost of the National Health Service.

BMJ ◽  
1980 ◽  
Vol 280 (6230) ◽  
pp. 1535-1535
Author(s):  
P V Scott
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Cost

The Cost of the National Health Service in England and Wales

Econometrica ◽  
1957 ◽  
Vol 25 (2) ◽  
pp. 372
Author(s):  
Jerome Rothenberg ◽  
Brian Abel-Smith ◽  
R. M. Titmuss
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
England And Wales ◽  
The Cost

Cost-effectiveness of Coblation compared with cold steel tonsillectomies in the UK

2018 ◽  
Vol 132 (12) ◽  
pp. 1119-1127 ◽  
Author(s):  
J F Guest ◽  
K Rana ◽  
C Hopkins
Keyword(s):  
Cost Effectiveness ◽  
National Health Service ◽  
Health Service ◽  
Clinical Outcomes ◽  
National Health ◽  
Cost Effective ◽  
Case Scenario ◽  
Paediatric Patients ◽  
The Uk ◽  
The Cost

AbstractObjectiveThis study aimed to estimate the cost-effectiveness of Coblation compared with cold steel tonsillectomy in adult and paediatric patients in the UK.MethodDecision analysis was undertaken by combining published clinical outcomes with resource utilisation estimates derived from a panel of clinicians.ResultsUsing a cold steel procedure instead of Coblation is expected to generate an incremental cost of more than £2000 for each additional avoided haemorrhage, and the probability of cold steel being cost-effective was approximately 0.50. Therefore, the cost-effectiveness of the two techniques was comparable. When the published clinical outcomes were replaced with clinicians’ estimates of current practice, Coblation was found to improve outcome for less cost, and the probability of Coblation being cost-effective was at least 0.70.ConclusionA best-case scenario suggests Coblation affords the National Health Service a cost-effective intervention for tonsillectomy in adult and paediatric patients compared with cold steel procedures. A worst-case scenario suggests Coblation affords the National Health Service an equivalent cost-effective intervention for adult and paediatric patients.

scholarly journals Impact of the Manchester Glaucoma Enhanced Referral Scheme on NHS costs

2019 ◽  
Vol 4 (1) ◽  
pp. e000278 ◽  
Author(s):  
Hannah Forbes ◽  
Matt Sutton ◽  
David F Edgar ◽  
John Lawrenson ◽  
Anne Fiona Spencer ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Observational Study ◽  
Cost Analysis ◽  
National Health ◽  
False Positive ◽  
Waiting Times ◽  
Outpatient Visits ◽  
Audit Data ◽  
The Cost

ObjectivesGlaucoma filtering schemes such as the Manchester Glaucoma Enhanced Referral Scheme (GERS) aim to reduce the number of false positive cases referred to Hospital Eye Services. Such schemes can also have wider system benefits, as they may reduce waiting times for other patients. However, previous studies of the cost consequences and wider system benefits of glaucoma filtering schemes are inconclusive. We investigate the cost consequences of the Manchester GERS.DesignObservational study.MethodsA cost analysis from the perspective of the National Health Service (NHS) was conducted using audit data from the Manchester GERS.Results2405 patients passed through the Manchester GERS from April 2013 to November 2016. 53.3% were not referred on to Manchester Royal Eye Hospital (MREH). Assuming an average of 2.3 outpatient visits to MREH were avoided for each filtered patient, the scheme saved the NHS approximately £2.76 per patient passing through the scheme.ConclusionOur results indicate that glaucoma filtering schemes have the potential to reduce false positive referrals and costs to the NHS.

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