FOI request - London Specialised Commission - HIV Budget for 2009/10, 2010/11 and 2011/12 (if known)
Today I have submitted a Freedom of Information request to LSG asking:
With regards to our previous communications and the LSG response http://benefits.tcell.org.uk/sites/default/files/documents/London%20Consortium%200809.pdf< , I write to further to enquire what is the London Specialist Commission HIV budget is for the period 09/10, 10/11 and 11/12 (if known) and could you advise in what area’s this budget has been spent.
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I submitted a request to the Health Protection Agengcy to enquire about the suggested costs of treatment for someone living with HIV.
My request: Dear HPA, I understand that the HPA is quoting a treatment figure of someone with HIV over a lifetime to be £360K, please could you provide you details to substatiate this as my figures suggest I have asked NAT to clafity it treatment value of £360K, based upon http://benefits.tcell.org.uk/sites/default/files/Reply%20Letter%20061010...< London budget of £236m supporting a mimium of 50,000 people (45,000 of though living within London) costs £4,720 x 25 years = £118K. Thank you.
HPA response: Thank you for your interest in our initial calculations of the lifetime costs of HIV infection.
In the 2009 annual HIV report the HPA estimated the HIV-related life-time costs for diagnosed
individuals; this calculation was preliminary and based on literature that suggests the ART
cost for an individual represented between 56% and 73% of the overall cost.
Using these proportions as a baseline we were able to take current ART costs and extrapolate
the figure to represent the total cost for an individual. The overall figure of between 280K and 360K
was calculated assuming that an individual diagnosed at 36 years (median age at diagnosis)
would have a 37 year treatment period, using current rates of ARV coverage.
We are working with modellers and academics to refine our estimates.
This overall figure is not comparative to the London budget due to a range of reasons.
The estimated figure produced by the HPA is a generalised figure based on ART costs.
Not all people living with a diagnosed HIV infection receive ART
- current guidelines suggest treatment begins once CD4 cells drop below 350 cells.
In your calculation you assume that all individuals are on treatment.
In addition ART costs within London are not comparable to ART costs elsewhere in the UK.
Finally we calculated that an individual diagnosed at 36 years will have 37 years on treatment.
The £236K (should read £236m) which you are comparing to the estimated 280K-360K is the budget
received to treat all individuals for 2009/2010 and not for one individuals life time cost.
Central London Community Healthcare NHS Trust publishes first Quality Account
Central London Community Healthcare NHS Trust (CLCH) recently published its first Quality Account covering the 2010/11 year. Quality Accounts are annual reports to the public about the quality of NHS services.
Chief Executive James Reilly said, “We welcome the opportunity to report to the public on the quality of our services, what we are doing well, where we have identified areas for improvement and what we plan to do to improve.
“We are committed to providing the best possible community healthcare services for local people. We received some really positive feedback from our patients about the quality of our services over the last year, particularly around treating patients with politeness, dignity and respect.
“To make sure that our improvement priorities reflect the priorities of our patients, the wider public and the people we work with, we involved different groups to help us put the report together. We involved patient and community representatives, our commissioners and our staff.
“We feel that the focus on getting our improvement priorities and forward-looking actions right has provided us with an excellent platform for embedding a culture of continuous quality improvement here at CLCH.”
The priority areas identified in the CLCH Quality Account focus on: improving discharge processes from hospitals to the community, strengthening results of clinical and patient reported outcomes, involving patients more in designing their own care, improving service models and developing integrated pathways of care, and developing a more detailed understanding of patient experience in order to improve quality.
CLCH provides community healthcare services, including community nursing and health visiting, across the boroughs of Hammersmith and Fulham, Kensington and Chelsea, Westminster, and – from 1 April this year – Barnet. It is the first year that community healthcare providers have been required to produce Quality Accounts and coincides with CLCH becoming a NHS Trust.
The CLCH Quality Account can be found on the Trust’s website, www.clch.nhs.uk<. For more information, or to request a hard copy, contact the CLCH Communications team via email to firstname.lastname@example.org<.
Refer LSCG published accounts http://www.londonspecialisedcommissioning.nhs.uk/news_and_publications<
Duration: December 2011 - May 2012
As part of a larger review of HIV services in London, the London Specialised Commissioning Group< (SCG) has commissioned Sigma Research to investigate the views of people with diagnosed HIV about the NHS HIV services provided to them. The research will consist of a survey and qualitative focus groups.
The self-completion survey is available to complete online now at www.mycareicare.org.uk<. The survey will also be promoted by London advocacy and AIDS service organisations. In addition paper copies of the survey will also administered by dedicated fieldworkers in all the 28 specialist HIV clinics in Greater London.
The survey will cover: demographics, current service use, motivations for service choice, aspirations for service development and broader social care needs. Sampling and recruitment will be controlled to ensure a sample broadly representative of the population of people using HIV clinical services in London and ensure representation from all 28 London clinics. Focus groups with key groups of people with HIV will investigate in more detail motivations for service use, satisfaction with services and aspirations and suggestions for service development.
Funded by the London Specialised Commissioning Group< the research will be conducted between December 2011 and May 2012. Survey and qualitative fieldwork will take place between February and April and a full public report will be available in June 2012.
Key contact: Peter Keogh<
THE NEW APPROACH TO THE NHS, PUBLIC HEALTH AND SOCIAL CARE - NAT