Imperial College London
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PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
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Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
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Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{El-Osta:2017:10.1136/bmjopen-2016-015494,
author = {El-Osta, A and Woringer, M and Pizzo, E and Verhoef, T and Dickie, C and Ni, Z and Huddy, J and Soljak, M and Hanna, G and Majeed, A},
doi = {10.1136/bmjopen-2016-015494},
journal = {BMJ Open},
title = {Does use of point of care testing improve cost effectiveness of the NHS Health Checks programme in the primary care setting? A cost minimisation analysis},
url = {http://dx.doi.org/10.1136/bmjopen-2016-015494},
volume = {7},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: To determine if use of Point of Care Testing (POCT) is less costly than laboratory testing  to  the  NHS  in  delivering  the  NHS  Heath  Check  (NHSHC)  programme  in  the  primary care setting Design: Observational  study  and  theoretical  mathematical  model  with  micro-costing approachSetting: We collected data on NHSHC delivered at 9 general practices (7 using POCT; 2 not using POCT). Participants:  We  recruited  9  general  practices  offering  NHSHC,  and  a  Pathology  Services Laboratory in the same area.  Methods: We conducted mathematical modelling with permutations in the following fields: provider  type  (HCA  or  nurse),  type  of  test  performed  (total  cholesterol  with  either  lab fasting  glucose  or  HbA1c),  consumables  costs  and  variable  uptake  rates  including  rate  of non-response  to  invite  letter  and  rate  of  missed  (DNA)  appointments.  We  calculated  Total Expected Cost (TEC) per 100 invites, number of NHSHC conducted per 100 invites and costs for   completed   NHSHC   for   laboratory   and   POCT-based   pathways.   A   univariate   and probabilistic  sensitivity  analysis  was  conducted  to  account  for  uncertainty  in  the  input parameters. Main outcome measures: We collected data on cost, volume and type of pathology services performed at seven general practices using POCT and a Pathology Services Laboratory. We collected data on response to the NHSHC invitation letter and DNA rates from two general practices.  Results: TEC  of  using  POCT  to  deliver  a  routine  NHSHC  is  lower  than  the  laboratory-led pathway  with  savings  of  £29  per  100  invited  patients  up  the  point  of  CVD  risk-score presentation.  Use  of  POCT  can  deliver  NHSHC  in  one sitting,  whereas  the  laboratory pathway offers patients several opportunities to DNA appointment.  Conclusions:  TEC  of  using  POCT  to  deliver  an  NHSHC  in  the  primary  care  setting  is  lower than  the  laboratory-led  pat
AU  - El-Osta,A
AU  - Woringer,M
AU  - Pizzo,E
AU  - Verhoef,T
AU  - Dickie,C
AU  - Ni,Z
AU  - Huddy,J
AU  - Soljak,M
AU  - Hanna,G
AU  - Majeed,A
DO  - 10.1136/bmjopen-2016-015494
PY  - 2017///
SN  - 2044-6055
TI  - Does use of point of care testing improve cost effectiveness of the NHS Health Checks programme in the primary care setting? A cost minimisation analysis
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2016-015494
UR  - http://hdl.handle.net/10044/1/48618
VL  - 7
ER  -
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