Clinical Guideline 042. Dementia: supporting people with dementia and their carers. Costing template. Implementing NICE-SCIE guidance in England

Transcription

1 Clinical Guideline 042 Dementia: supporting people with dementia and their carers Costing template Implementing NICE-SCIE guidance in England November 2006

2 NICE [title] - Cost Impact Assessment Cost impact of the NICE guideline on Dementia How to use this costing template Step 1. Select local population Introduction The template allows an estimate of the local cost of fully implementing the guidance by feeding in local population figures. To select the population, click on the tab at the bottom of This report aims to help organisations in England plan for the financial implications of implementing the screen that NICE says clinical STEP guideline 1. Select on Local Dementia Population. You then need to select your local population in one of the following ways. Estimates of both the national and local cost impact based on assumptions made about current practice and predication of how current practice might change following implementation To select a population are included. of You one are or able more to primary modify the care assumptions trusts (PCTs) and variables, using the instructions Select the below, row for to tailor the relevant the local PCT cost and impact change to your the figure circumstances. in the % column from 0.00% to %. You can do this for more than one PCT at a time to reflect joint Index commissioning. This costing tool is made up of the following worksheets: To select a population that is a percentage of a strategic health authority Title Rows page can contain figures for each strategic be health printed authority. as cover Adjust for reports the % produced How column to use in this these document.. rows to obtain the relevant this percentage page includes of the strategic introduction health and instructions authority population. STEP 1.Select Local Population.. used to tailor local cost impact calculations as For service providers that serve a number of detailed different in the PCTs instructions below Varying proportions of a number of PCTs can be entered. An example of a situation STEP 2.Costing Template. provides background to estimates made and where this method may be useful is, say, if can United be Bristol used to Healthcare reflect local Trust circumstances served 100% of the population of North Bristol and 20% of Bath and North East Somerset. STEP 3.Costing Report.. summarizes the results, if you don't want to amend local circumstances then If you know your population, or if you have more recent prevalence figures click here to go direct to this summary. A population figure can be entered into cell F369. Where to find the guidance contains links to full guidance Printing a local population page To print just a record of the population selected, without the rows that are set at 0%: click on the down arrow to the right of the Selected heading. select (Custom ) - This displays the Custom Autofilter box. Select is greater than in the top left field from the drop-down menu and key 0 into the top right field. Then click the OK button then print. To re-display all rows, click on the down arrow to the right of the Selected heading and Select (All).

3 NICE [title] - Cost Impact Assessment select (Custom ) - This displays the Custom Autofilter box. Select is greater than in the top left field from the drop-down menu and key 0 into the top right field. Then click the OK button then print. To re-display all rows, click on the down arrow to the right of the Selected heading and Select (All).

4 NICE [title] - Cost Impact Assessment Step 2. Adapt the costing template to reflect local circumstances To adapt the costing template click on the tab at the bottom of the screen that says STEP 2. Costing Assumptions. The worksheet is divided into three sections: The left section The left section describes the model developed some of these fields contain references to footnotes that indicate the data source or how the assumptions had been made. The middle section This section contains the model used to estimate the national cost of implementing the guidance. Figures in this section represent the estimated national average. The right section The population selected in step 1 will be used for the calculations in this section and the other variables are initially set the same as the national model. The worksheet is protected to prevent formulae being inadvertently changed, but any shade cell can be changed to reflect local circumstances. For example: Prevalence and incidence If more detailed statistics about local prevalence and incidence are available, these can be used in place of the national estimate. Activity costs The national tariff has been used for activities such as outpatient attendances and admissions. This has been uplifted by the average market forces factor (1.1208) for figures based on Payment by Results, but individual areas of the country will be subject to different uplifts. Step 3. Review the costing report To view the costing report click on the tab at the bottom of the screen that says STEP 3. Costing Summary. This worksheet summarises the national and local costing template without the detail of the calculations. It also contains information about how this tool was developed, and other costing issues relevant to the topic that should be considered. The description of the locality entered in step 1 is used in the title for the local costing report, but this cell can be updated independently if required. You may wish to print this sheet and use it as a briefing report to discuss the costing exercise with non-finance staff, or as part of a business case for funds for implementation.

5 NICE [title] - Cost Impact Assessment This document is written in the following context This costing template and costing report represents the view of the Institute, which was arrived at after careful consideration of the available data and through consulting healthcare and finance professionals. It should be read in conjunction with the NICE guideline. This document is an implementation tool it indicates the likely cost of fully implementing the guidance, but these costs are not absolute figures. Assumptions used in the report are based on assessment of the national average. Local practice may differ from this, but the template can be adapted to reflect these differences in order to estimate the cost of implementing the guidance locally. National Institute for Health and Clinical Excellence MidCity Place 71 High Holborn London WC1V 6NA Copyright National Institute for Health and Clinical Excellence, November All rights reserved. This material may be freely reproduced for educational and not-for-profit purposes within the NHS. No reproduction by or for commercial organisations is allowed without the express written permission of the National Institute for Health and Clinical Excellence. Send feedback and suggestions about this template to: costing@nice.org.uk

6 NICE [title] - Cost Impact Assessment Cost impact of the NICE guideline on Dementia Step 1. Selection of local population Change the % in the yellow cells to select local populations: e.g. 100% for a whole PCT; or a Trust may select 90% of one PCT and 25% of another. SHA areas are indicated as blue coloured cells. There are three green coloured cells at the bottom to manually input populations if required. When you have added the appropriate populations go to Step 2, the assumptions page, using the tabs at the bottom of the workbook. Males 0-34 Males Males Males Males Males Males 85+ Females 0-34 Females Females Females Females 75- Females Females 85+ All of England 49,878,931 11,183,250 9,754,433 1,080, , , , ,683 10,939,127 10,001,726 1,155,502 1,043, , , ,827 49,878,930 Selected Population England/ Wales Strategic health authority (SHA) Primary care trust % Total Total population population Males 0-34 Males Males Males Males Males Males 85+ Females 0-34 Females Females Females Females 75- Females Females 85+ England Avon, Gloucestershire and Wiltshire Bath and North East Somerset 0.00% 179, England Avon, Gloucestershire and Wiltshire Bristol North 0.00% 209, England Avon, Gloucestershire and Wiltshire Bristol South and West 0.00% 196, England Avon, Gloucestershire and Wiltshire Cheltenham and Tewkesbury 0.00% 160, England Avon, Gloucestershire and Wiltshire Cotswold and Vale 0.00% 190, England Avon, Gloucestershire and Wiltshire Kennet and North Wiltshire 0.00% 191, England Avon, Gloucestershire and Wiltshire North Somerset 0.00% 190, England Avon, Gloucestershire and Wiltshire South Gloucestershire 0.00% 233, England Avon, Gloucestershire and Wiltshire South Wiltshire 0.00% 115, England Avon, Gloucestershire and Wiltshire Swindon 0.00% 186, England Avon, Gloucestershire and Wiltshire West Gloucestershire 0.00% 218, England Avon, Gloucestershire and Wiltshire West Wiltshire 0.00% 118, England Bedfordshire and Hertfordshire Bedford 0.00% 146, England Bedfordshire and Hertfordshire Bedfordshire Heartlands 0.00% 248, England Bedfordshire and Hertfordshire Dacorum 0.00% 143, England Bedfordshire and Hertfordshire Hertsmere 0.00% 86, England Bedfordshire and Hertfordshire Luton 0.00% 180, England Bedfordshire and Hertfordshire North Hertfordshire and Stevenage 0.00% 184, England Bedfordshire and Hertfordshire Royston, Buntingford and Bishop's Sto 0.00% 77, England Bedfordshire and Hertfordshire South East Hertfordshire 0.00% 175, England Bedfordshire and Hertfordshire St Albans and Harpenden 0.00% 129, England Bedfordshire and Hertfordshire Watford and Three Rivers 0.00% 169, England Bedfordshire and Hertfordshire Welwyn Hatfield 0.00% 96, England Birmingham and the Black Country Dudley Beacon and Castle 0.00% 103, England Birmingham and the Black Country Dudley South 0.00% 198, England Birmingham and the Black Country Eastern Birmingham 0.00% 228, England Birmingham and the Black Country Heart of Birmingham Teaching 0.00% 252, England Birmingham and the Black Country North Birmingham 0.00% 177, England Birmingham and the Black Country Oldbury and Smethwick 0.00% 99, England Birmingham and the Black Country Rowley Regis and Tipton 0.00% 86, England Birmingham and the Black Country Solihull 0.00% 201, England Birmingham and the Black Country South Birmingham 0.00% 353, England Birmingham and the Black Country Walsall Teaching 0.00% 247, England Birmingham and the Black Country Wednesbury and West Bromwich 0.00% 112, England Birmingham and the Black Country Wolverhampton City 0.00% 240, England Cheshire & Merseyside Bebington and West Wirral 0.00% 103, England Cheshire & Merseyside Birkenhead and Wallasey 0.00% 208, England Cheshire & Merseyside Central Cheshire 0.00% 251, England Cheshire & Merseyside Central Liverpool 0.00% 253, England Cheshire & Merseyside Cheshire West 0.00% 159, England Cheshire & Merseyside Eastern Cheshire 0.00% 187, England Cheshire & Merseyside Ellesmere Port and Neston 0.00% 82, England Cheshire & Merseyside Halton 0.00% 116, England Cheshire & Merseyside Knowsley 0.00% 149, England Cheshire & Merseyside North Liverpool 0.00% 107, England Cheshire & Merseyside South Liverpool 0.00% 93, England Cheshire & Merseyside South Sefton 0.00% 155, England Cheshire & Merseyside Southport and Formby 0.00% 119, England Cheshire & Merseyside St Helens 0.00% 185, England Cheshire & Merseyside Warrington 0.00% 191, England County Durham and Tees Valley Darlington 0.00% 96, England County Durham and Tees Valley Derwentside 0.00% 82, England County Durham and Tees Valley Durham and Chester-le-Street 0.00% 146, England County Durham and Tees Valley Durham Dales 0.00% 85, England County Durham and Tees Valley Easington 0.00% 95, England County Durham and Tees Valley Hartlepool 0.00% 89,

7 NICE [title] - Cost Impact Assessment England County Durham and Tees Valley Langbaurgh 0.00% 97, England County Durham and Tees Valley Middlesbrough 0.00% 178, England County Durham and Tees Valley North Tees 0.00% 184, England County Durham and Tees Valley Sedgefield 0.00% 91, England Cumbria and Lancashire Blackburn with Darwen 0.00% 149, England Cumbria and Lancashire Blackpool 0.00% 140, England Cumbria and Lancashire Burnley, Pendle and Rossendale 0.00% 243, England Cumbria and Lancashire Carlisle and District 0.00% 115, England Cumbria and Lancashire Chorley and South Ribble 0.00% 210, England Cumbria and Lancashire Eden Valley 0.00% 73, England Cumbria and Lancashire Fylde 0.00% 67, England Cumbria and Lancashire Hyndburn and Ribble Valley 0.00% 112, England Cumbria and Lancashire Morecambe Bay 0.00% 308, England Cumbria and Lancashire Preston 0.00% 135, England Cumbria and Lancashire West Cumbria 0.00% 131, England Cumbria and Lancashire West Lancashire 0.00% 106, England Cumbria and Lancashire Wyre 0.00% 107, England Dorset and Somerset Bournemouth Teaching 0.00% 157, England Dorset and Somerset Mendip 0.00% 108, England Dorset and Somerset North Dorset 0.00% 91, England Dorset and Somerset Poole 0.00% 161, England Dorset and Somerset Somerset Coast 0.00% 141, England Dorset and Somerset South and East Dorset 0.00% 148, England Dorset and Somerset South Somerset 0.00% 147, England Dorset and Somerset South West Dorset 0.00% 136, England Dorset and Somerset Taunton Deane 0.00% 105, England Essex Basildon 0.00% 100, England Essex Billericay, Brentwood and Wickford 0.00% 140, England Essex Castle Point and Rochford 0.00% 164, England Essex Chelmsford 0.00% 123, England Essex Colchester 0.00% 164, England Essex Epping Forest 0.00% 104, England Essex Harlow 0.00% 79, England Essex Maldon and South Chelmsford 0.00% 82, England Essex Southend on Sea 0.00% 161, England Essex Tendring 0.00% 133, England Essex Thurrock 0.00% 147, England Essex Uttlesford 0.00% 72, England Essex Witham, Braintree and Halstead 0.00% 138, England Greater Manchester Ashton, Leigh and Wigan 0.00% 300, England Greater Manchester Bolton 0.00% 265, England Greater Manchester Bury 0.00% 180, England Greater Manchester Central Manchester 0.00% 170, England Greater Manchester Heywood and Middleton 0.00% 74, England Greater Manchester North Manchester 0.00% 151, England Greater Manchester Oldham 0.00% 220, England Greater Manchester Rochdale 0.00% 129, England Greater Manchester Salford 0.00% 220, England Greater Manchester South Manchester 0.00% 144, England Greater Manchester Stockport 0.00% 282, England Greater Manchester Tameside and Glossop 0.00% 223, England Greater Manchester Trafford North 0.00% 87, England Greater Manchester Trafford South 0.00% 122, England Hampshire and Isle of Wight Blackwater Valley and Hart 0.00% 176, England Hampshire and Isle of Wight East Hampshire 0.00% 182, England Hampshire and Isle of Wight Eastleigh and Test Valley South 0.00% 149, England Hampshire and Isle of Wight Fareham and Gosport 0.00% 183, England Hampshire and Isle of Wight Isle of Wight 0.00% 137, England Hampshire and Isle of Wight Mid-Hampshire 0.00% 170, England Hampshire and Isle of Wight New Forest 0.00% 176, England Hampshire and Isle of Wight North Hampshire 0.00% 186, England Hampshire and Isle of Wight Portsmouth City Teaching 0.00% 176, England Hampshire and Isle of Wight Southampton City 0.00% 235, England Kent and Medway Ashford 0.00% 105, England Kent and Medway Canterbury and Coastal 0.00% 168, England Kent and Medway Dartford, Gravesham and Swanley 0.00% 224, England Kent and Medway East Kent Coastal 0.00% 230, England Kent and Medway Maidstone Weald 0.00% 238, England Kent and Medway Medway 0.00% 264, England Kent and Medway Shepway 0.00% 97, England Kent and Medway South West Kent 0.00% 181, England Kent and Medway Swale 0.00% 94, England Leicestershire, Northamptonshire and RutlanCharnwood and North West Leicesters 0.00% 232, England Leicestershire, Northamptonshire and RutlanDaventry and South Northamptonshire 0.00% 101, England Leicestershire, Northamptonshire and RutlanEastern Leicester 0.00% 161,

8 NICE [title] - Cost Impact Assessment England Leicestershire, Northamptonshire and RutlanHinckley and Bosworth 0.00% 101, England Leicestershire, Northamptonshire and RutlanLeicester City West 0.00% 140, England Leicestershire, Northamptonshire and RutlanMelton, Rutland and Harborough 0.00% 142, England Leicestershire, Northamptonshire and RutlanNorthampton 0.00% 208, England Leicestershire, Northamptonshire and RutlanNorthamptonshire Heartlands 0.00% 275, England Leicestershire, Northamptonshire and RutlanSouth Leicestershire 0.00% 149, England Norfolk, Suffolk and Cambridgeshire Broadland 0.00% 116, England Norfolk, Suffolk and Cambridgeshire Cambridge City 0.00% 136, England Norfolk, Suffolk and Cambridgeshire Central Suffolk 0.00% 98, England Norfolk, Suffolk and Cambridgeshire East Cambridgeshire and Fenland 0.00% 146, England Norfolk, Suffolk and Cambridgeshire Great Yarmouth 0.00% 92, England Norfolk, Suffolk and Cambridgeshire Huntingdonshire 0.00% 147, England Norfolk, Suffolk and Cambridgeshire Ipswich 0.00% 143, England Norfolk, Suffolk and Cambridgeshire North Norfolk 0.00% 99, England Norfolk, Suffolk and Cambridgeshire North Peterborough 0.00% 101, England Norfolk, Suffolk and Cambridgeshire Norwich 0.00% 130, England Norfolk, Suffolk and Cambridgeshire South Cambridgeshire 0.00% 102, England Norfolk, Suffolk and Cambridgeshire South Peterborough 0.00% 93, England Norfolk, Suffolk and Cambridgeshire Southern Norfolk 0.00% 202, England Norfolk, Suffolk and Cambridgeshire Suffolk Coastal 0.00% 97, England Norfolk, Suffolk and Cambridgeshire Suffolk West 0.00% 226, England Norfolk, Suffolk and Cambridgeshire Waveney 0.00% 123, England Norfolk, Suffolk and Cambridgeshire West Norfolk 0.00% 143, England North and East Yorkshire and Northern LincoCraven, Harrogate and Rural District 0.00% 203, England North and East Yorkshire and Northern LincoEast Yorkshire 0.00% 148, England North and East Yorkshire and Northern LincoEastern Hull 0.00% 120, England North and East Yorkshire and Northern LincoHambleton and Richmondshire 0.00% 111, England North and East Yorkshire and Northern LincoNorth East Lincolnshire 0.00% 162, England North and East Yorkshire and Northern LincoNorth Lincolnshire 0.00% 155, England North and East Yorkshire and Northern LincoScarborough, Whitby and Ryedale 0.00% 156, England North and East Yorkshire and Northern LincoSelby and York 0.00% 271, England North and East Yorkshire and Northern LincoWest Hull 0.00% 151, England North and East Yorkshire and Northern LincoYorkshire Wolds and Coast 0.00% 147, England North Central London Barnet 0.00% 326, England North Central London Camden 0.00% 221, England North Central London Enfield 0.00% 262, England North Central London Haringey Teaching 0.00% 234, England North Central London Islington 0.00% 181, England North East London Barking and Dagenham 0.00% 163, England North East London City and Hackney Teaching 0.00% 222, England North East London Havering 0.00% 233, England North East London Newham 0.00% 253, England North East London Redbridge 0.00% 232, England North East London Tower Hamlets 0.00% 207, England North East London Waltham Forest 0.00% 227, England North West London Brent Teaching 0.00% 278, England North West London Ealing 0.00% 315, England North West London Hammersmith and Fulham 0.00% 175, England North West London Harrow 0.00% 196, England North West London Hillingdon 0.00% 238, England North West London Hounslow 0.00% 217, England North West London Kensington and Chelsea 0.00% 193, England North West London Westminster 0.00% 229, England Northumberland, Tyne & Wear Gateshead 0.00% 194, England Northumberland, Tyne & Wear Newcastle 0.00% 258, England Northumberland, Tyne & Wear North Tyneside 0.00% 200, England Northumberland, Tyne & Wear Northumberland 0.00% 310, England Northumberland, Tyne & Wear South Tyneside 0.00% 151, England Northumberland, Tyne & Wear Sunderland Teaching 0.00% 276, England Shropshire and Staffordshire Burntwood, Lichfield and Tamworth 0.00% 147, England Shropshire and Staffordshire Cannock Chase 0.00% 123, England Shropshire and Staffordshire East Staffordshire 0.00% 121, England Shropshire and Staffordshire Newcastle-under-Lyme 0.00% 101, England Shropshire and Staffordshire North Stoke 0.00% 123, England Shropshire and Staffordshire Shropshire County 0.00% 281, England Shropshire and Staffordshire South Stoke 0.00% 132, England Shropshire and Staffordshire South Western Staffordshire 0.00% 180, England Shropshire and Staffordshire Staffordshire Moorlands 0.00% 101, England Shropshire and Staffordshire Telford and Wrekin 0.00% 159, England South East London Bexley 0.00% 207, England South East London Bromley 0.00% 301, England South East London Greenwich Teaching 0.00% 232, England South East London Lambeth 0.00% 280, England South East London Lewisham 0.00% 247, England South East London Southwark 0.00% 239,

9 NICE [title] - Cost Impact Assessment England South West London Croydon 0.00% 334, England South West London Kingston 0.00% 165, England South West London Richmond and Twickenham 0.00% 182, England South West London Sutton and Merton 0.00% 362, England South West London Wandsworth 0.00% 268, England South West Peninsula Central Cornwall 0.00% 200, England South West Peninsula East Devon 0.00% 112, England South West Peninsula Exeter 0.00% 132, England South West Peninsula Mid Devon 0.00% 103, England South West Peninsula North and East Cornwall 0.00% 159, England South West Peninsula North Devon 0.00% 151, England South West Peninsula Plymouth Teaching 0.00% 243, England South West Peninsula South Hams and West Devon 0.00% 99, England South West Peninsula Teignbridge 0.00% 106, England South West Peninsula Torbay 0.00% 137, England South West Peninsula West of Cornwall 0.00% 151, England South Yorkshire Barnsley 0.00% 228, England South Yorkshire Doncaster Central 0.00% 98, England South Yorkshire Doncaster East 0.00% 87, England South Yorkshire Doncaster West 0.00% 105, England South Yorkshire North Sheffield 0.00% 117, England South Yorkshire Rotherham 0.00% 242, England South Yorkshire Sheffield South West 0.00% 113, England South Yorkshire Sheffield West 0.00% 136, England South Yorkshire South East Sheffield 0.00% 153, England Surrey and Sussex Adur, Arun and Worthing 0.00% 213, England Surrey and Sussex Bexhill and Rother 0.00% 78, England Surrey and Sussex Brighton and Hove City 0.00% 257, England Surrey and Sussex Crawley 0.00% 113, England Surrey and Sussex East Elmbridge and Mid Surrey 0.00% 262, England Surrey and Sussex East Surrey 0.00% 151, England Surrey and Sussex Eastbourne Downs 0.00% 167, England Surrey and Sussex Guildford and Waverley 0.00% 235, England Surrey and Sussex Hastings and St Leonards 0.00% 89, England Surrey and Sussex Horsham and Chanctonbury 0.00% 120, England Surrey and Sussex Mid-Sussex 0.00% 135, England Surrey and Sussex North Surrey 0.00% 200, England Surrey and Sussex Surrey Heath and Woking 0.00% 191, England Surrey and Sussex Sussex Downs and Weald 0.00% 151, England Surrey and Sussex Western Sussex 0.00% 177, England Thames Valley Bracknell Forest 0.00% 101, England Thames Valley Cherwell Vale 0.00% 121, England Thames Valley Chiltern and South Bucks 0.00% 157, England Thames Valley Milton Keynes 0.00% 221, England Thames Valley Newbury and Community 0.00% 101, England Thames Valley North East Oxfordshire 0.00% 72, England Thames Valley Oxford City 0.00% 167, England Thames Valley Reading 0.00% 200, England Thames Valley Slough 0.00% 112, England Thames Valley South East Oxfordshire 0.00% 75, England Thames Valley South West Oxfordshire 0.00% 187, England Thames Valley Vale of Aylesbury 0.00% 191, England Thames Valley Windsor, Ascot and Maidenhead 0.00% 160, England Thames Valley Wokingham 0.00% 143, England Thames Valley Wycombe 0.00% 136, England Trent Amber Valley 0.00% 128, England Trent Ashfield 0.00% 80, England Trent Bassetlaw 0.00% 105, England Trent Broxtowe and Hucknall 0.00% 129, England Trent Central Derby 0.00% 116, England Trent Chesterfield 0.00% 108, England Trent Derbyshire Dales and South Derbyshir 0.00% 89, England Trent East Lincolnshire 0.00% 277, England Trent Erewash 0.00% 97, England Trent Gedling 0.00% 90, England Trent Greater Derby 0.00% 153, England Trent High Peak and Dales 0.00% 102, England Trent Lincolnshire South West Teaching 0.00% 188, England Trent Mansfield District 0.00% 89, England Trent Newark and Sherwood 0.00% 121, England Trent North Eastern Derbyshire 0.00% 153, England Trent Nottingham City 0.00% 294, England Trent Rushcliffe 0.00% 114, England Trent West Lincolnshire 0.00% 215, England West Midlands South Coventry Teaching 0.00% 319,

10 NICE [title] - Cost Impact Assessment England West Midlands South Herefordshire 0.00% 174, England West Midlands South North Warwickshire 0.00% 174, England West Midlands South Redditch and Bromsgrove 0.00% 159, England West Midlands South Rugby 0.00% 85, England West Midlands South South Warwickshire 0.00% 255, England West Midlands South South Worcestershire 0.00% 275, England West Midlands South Wyre Forest 0.00% 120, England West Yorkshire Airedale 0.00% 117, England West Yorkshire Bradford City Teaching 0.00% 129, England West Yorkshire Bradford South and West 0.00% 143, England West Yorkshire Calderdale 0.00% 194, England West Yorkshire East Leeds 0.00% 140, England West Yorkshire Eastern Wakefield 0.00% 182, England West Yorkshire Huddersfield Central 0.00% 126, England West Yorkshire Leeds North East 0.00% 147, England West Yorkshire Leeds North West 0.00% 184, England West Yorkshire Leeds West 0.00% 107, England West Yorkshire North Bradford 0.00% 91, England West Yorkshire North Kirklees 0.00% 169, England West Yorkshire South Huddersfield 0.00% 88, England West Yorkshire South Leeds 0.00% 145, England West Yorkshire Wakefield West 0.00% 148, England Avon, Gloucestershire and Wiltshire All PCT's in SHA 0.00% 2,190, England Bedfordshire and Hertfordshire All PCT's in SHA 0.00% 1,639, England Birmingham and the Black Country All PCT's in SHA 0.00% 2,301, England Cheshire & Merseyside All PCT's in SHA 0.00% 2,365, England County Durham and Tees Valley All PCT's in SHA 0.00% 1,148, England Cumbria and Lancashire All PCT's in SHA 0.00% 1,916, England Dorset and Somerset All PCT's in SHA 0.00% 1,198, England Essex All PCT's in SHA 0.00% 1,612, England Greater Manchester All PCT's in SHA 0.00% 2,574, England Hampshire and Isle of Wight All PCT's in SHA 0.00% 1,774, England Kent and Medway All PCT's in SHA 0.00% 1,606, England Leicestershire, Northamptonshire and RutlanAll PCT's in SHA 0.00% 1,513, England Norfolk, Suffolk and Cambridgeshire All PCT's in SHA 0.00% 2,203, England North and East Yorkshire and Northern LincoAll PCT's in SHA 0.00% 1,629, England North Central London All PCT's in SHA 0.00% 1,227, England North East London All PCT's in SHA 0.00% 1,541, England North West London All PCT's in SHA 0.00% 1,845, England Northumberland, Tyne & Wear All PCT's in SHA 0.00% 1,392, England Shropshire and Staffordshire All PCT's in SHA 0.00% 1,473, England South East London All PCT's in SHA 0.00% 1,509, England South West London All PCT's in SHA 0.00% 1,313, England South West Peninsula All PCT's in SHA 0.00% 1,599, England South Yorkshire All PCT's in SHA 0.00% 1,282, England Surrey and Sussex All PCT's in SHA 0.00% 2,545, England Thames Valley All PCT's in SHA 0.00% 2,149, England Trent All PCT's in SHA 0.00% 2,655, England West Midlands South All PCT's in SHA 0.00% 1,552, England West Yorkshire All PCT's in SHA 0.00% 2,117, Wales Wales Anglesey LHB 0.00% 63, Wales Wales Blaenau Gwent LHB 0.00% 72, Wales Wales Bridgend LHB 0.00% 139, Wales Wales Caerphilly LHB 0.00% 172, Wales Wales Cardiff LHB 0.00% 318, Wales Wales Carmarthenshire LHB 0.00% 167, Wales Wales Ceredigion LHB 0.00% 94, Wales Wales Conwy LHB 0.00% 109, Wales Wales Denbighshire LHB 0.00% 98, Wales Wales Flintshire LHB 0.00% 142, Wales Wales Gwynedd LHB 0.00% 121, Wales Wales Merthyr Tydfil LHB 0.00% 53, Wales Wales Monmouthshire LHB 0.00% 90, Wales Wales Neath Port Talbot LHB 0.00% 130, Wales Wales Newport LHB 0.00% 135, Wales Wales Pembrokeshire LHB 0.00% 111, Wales Wales Powys LHB 0.00% 132, Wales Wales Rhondda Cynon Taf LHB 0.00% 231, Wales Wales Swansea LHB 0.00% 226, Wales Wales Torfaen LHB 0.00% 90, Wales Wales Vale Of Glamorgan LHB 0.00% 114, Wales Wales Wrexham LHB 0.00% 136,

11 NICE [title] - Cost Impact Assessment MANUAL INPUT 0.00% 0 - Source of data: Based on the patient lists of GPs in practices affiliated to each PCO.Lists extracted from the ADS2005 and reconciled to ONS mid 2004 estimates for PCOs (minus special populations: armed forces; dependents of foreign armed forces; and con

12 NICE [title] - Cost Impact Assessment Cost impact of the NICE guideline on Dementia Costing assumptions Make any necessary alterations to the costing assumptions (highlighted in blue) by clicking on the appropriate cells and inputting a new number. Go National population Standard assumptions Selected population Standard assumptions Local assumptions Male population (by age band) ,183, ,754, ,080, , , , over , Female population (by age band) ,939, ,001, ,155, ,043, , , over , Total population 49,878, Prevalence - male (by age band) % - 0.0% - 0.0% % 3, % - 0.0% % 23, % - 2.2% % 41, % - 4.6% % 34, % - 5.0% % 58, % % - over % 75, % % - Prevalence - female (by age band) % - 0.0% - 0.0% % 3, % - 0.0% % 12, % - 1.1% % 40, % - 3.9% % 61, % - 6.7% % 105, % % - over % 202, % % - Total prevalence 664, Annual incidence - male (by age band) % 0 0.0% 0 0.0% % 0 0.0% 0 0.0% % % 0 0.4% % % 0 0.9% % % 0 1.4% % % 0 2.3% 0 over % % 0 4.5% 0 Annual incidence - female (by age band) % 0 0.0% 0 0.0% % 0 0.0% 0 0.0% % % 0 0.4% % % 0 0.6% % % 0 1.7% % % 0 4.4% 0 over % % 0 6.0% 0 Total annual incidence 147, Carers offered psychological therapy Prevalence of Dementia 664, Number of carers per person with dementia Total number of carers 564, Current Practice Proportion of carers currently receiving psychological 11% 11% 11% therapy Number of carers currently receiving psychological therapy 62, Proportion of carers with mild psychological distress 36% 36% 36% Number of carers with mild psychological distress 22, Proportion of carers with moderate to severe psychological 64% 64% 64% distress Number of carers with severe psychological distress 39,

13 NICE [title] - Cost Impact Assessment Proportion of mild cases of psychological distress receiving 50% 50% 50% self help Number of mild cases receiving self help 11, Number of visits per self help course Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Average number of sessions per carer Length of sessions in minutes Number of treatment hours for self help course Equivalent cost per hour spent with patient Unit cost of self help booklet Total unit cost of a self help course Total cost of self help courses 396, Proportion of mild cases receiving short term psychological 50% 50% 50% Number of mild cases receiving short term psychological therapy 11, Number of subsequent visits for short term interventions Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Average number of subsequent sessions per carer Length of sessions in minutes Number of treatment hours for short term psychological sessions Equivalent cost per hour spent with carer Total unit cost of short term psychological intervention Total cost of short term psychological intervention 2,101, Number of treatment hours per CBT course Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Number of treatment hours per CBT course Average cost per hour with a carer Average cost per patient of CBT treatment No of carers with moderate to severe psychological distress 39, Total cost of psychological for moderate to severe 19,392, Total cost of current psychological therapy 21,889, Future Practice Proportion of carers accepting therapy 75% 75% 75% Number of carers accepting therapy 423, Proportion of carers identified with psychological distress 33% 33% 33% Number of carers identified with psychological distress 139, Proportion of carers with mild psychological distress 36% 36% 36% Numbers of carers with mild psychological distress 50, Proportion of mild cases receiving self help 50% 50% 50% Number of mild cases receiving self help 25, Number of visits per self help course Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Average number of sessions per patient Length of sessions in minutes Number of treatment hours for self help course Equivalent cost per hour spent with patient Unit cost of self help booklet Total unit cost of a self help course Total cost of self help courses 880, Mild cases receiving short term psychological interventions 50% 50% 50% Mild cases receiving short term psychological interventions 25, Number of subsequent visits for short -term psychological interventions Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Average number of sessions per patient Length of sessions in minutes Number of treatment hours for short term psychological interventions Equivalent cost per hour spent with patient Total unit cost of short term psychological Total cost of short term psychological intervention 4,727,

14 NICE [title] - Cost Impact Assessment Proportion of carers with moderate to severe psychological distress 64% 64% 64% Numbers of carers with moderate to severe psychological distress 89, Number of treatment hours per CBT course Proportion of carers who do not complete course 18% 18% 18% Average number of sessions carers will have completed Number of treatment hours per CBT course Average cost per hour with a patient Average cost per patient of CBT treatment Total cost of psychological for CBT 43,632, Total estimated cost of future psychological therapy 49,239, Net cost of psychological therapy for carers 27,350, Use of structural imaging to confirm diagnosis Current Practice Number of people eligible for scan 221, Proportion of people suitable to be scanned 85% 85% 85% Number of people to be scanned 188, Proportion of people currently being scanned using MRI 2% 2% 2% Number of people being scanned using MRI 3, Proportion of people currently being scanned using CT 30% 30% 30% Number of people being scanned using CT 56, Unit cost of MRI scan Unit cost of CT scan Cost of MRI scanning 1,299, Cost of CT scanning 10,218, Current cost of structural imaging 11,517, Future Practice Number of people eligible for scan 221, Proportion of people suitable to be scanned 85% 85% 85% Number of people to be scanned 188, Proportion of people estimated to be scanned using MRI 20% 20% 20% Number of people estimated to be scanned using MRI 37, Proportion of people estimated to be scanned using CT 55% 55% 55% Number of people estimated to be scanned using CT 103, Unit cost of MRI scan Unit cost of CT scan Estimated cost of MRI scanning 12,989, Estimated cost of CT scanning 18,733, Estimated cost of future structural imaging 31,722, Net cost of structural imaging 20,205, Reduction in the use of electroencephalogram (EEG) Number of people eligible for EEG 221, Current Proportion of EEG carried out 15% 15% 15% Number of EEG carried out 33, Unit cost of EEG Current cost of EEG 7,497, Future Proportion of EEG continuing to be undertaken 7.5% 7.5% 7.5% Number of EEG continuing to be undertaken 2, Unit cost of EEG Future cost of EEG 562, Total savings - EEG - 6,935, Net cost of key cost drivers 40,621,

15 NICE [title] - Cost Impact Assessment Cost impact of the NICE guideline on Dementia Costing summary The annual revenue costs of changes arising from implementing the guideline are summarised below for the national population and for the selected PCT population's). Two sets of PCT costs are shown below; one shows the costs incurred following the standard assumptions included in the cost report, the other shows the costs incurred after local assumptions are taken into account. Estimated costs of implementing guideline Costs National population Standard assumptions Standard assumptions Selected population Local assumptions millions Carers offered psychological therapy Current provision Future provision Resource impact Structural imaging Current provision Future provision Resource impact Savings Electroencephalogram Current provision Future provision Resource impact Net cost impact of implementing dementia guideline Send feedback and suggestions about this template to: costing@nice.org.uk

16 The Information Centre for health and social care Primary Care Organisations - GP Membership Populations Based on the patient lists of GPs in practices affiliated to each PCO Lists extracted from the ADS2005 and reconciled to ONS mid 2004 estimates for PCOs (minus special populations: armed forces; dependants of foreign armed forces; and convicted prisoners, who have been inmates for 6 months or more.) PCO SHA Code PCO Code PCO Name All males Order and females England 272 Avon, Glouce 5FL 273 Avon, Glouce 5JF 274 Avon, Glouce 5JG 275 Avon, Glouce 5KW 276 Avon, Glouce 5KY 277 Avon, Glouce 5K4 278 Avon, Glouce 5M8 279 Avon, Glouce 5A3 280 Avon, Glouce 5DJ 281 Avon, Glouce 5K3 282 Avon, Glouce 5KX 283 Avon, Glouce 5DH 151 Bedfordshire 5GD BATH AND NORTH EAST SOMERSET PCT BRISTOL NORTH PCT BRISTOL SOUTH AND WEST PCT CHELTENHAM AND TEWKESBURY PCT COTSWOLD AND VALE PCT KENNET AND NORTH WILTSHIRE PCT NORTH SOMERSET PCT SOUTH GLOUCESTERSHIRE PCT SOUTH WILTSHIRE PCT SWINDON PCT WEST GLOUCESTERSHIRE PCT WEST WILTSHIRE PCT BEDFORD PCT Bedfordshire 5GE BEDFORDSHIRE HEARTLANDS PCT Bedfordshire 5GW DACORUM PCT Bedfordshire 5CP HERTSMERE PCT Bedfordshire 5GC LUTON PCT Bedfordshire 5GH NORTH HERTFORDSHIRE AND STEVENAGE PCT Bedfordshire 5GK ROYSTON, BUNTINGFORD AND BISHOP'S STORTFORD PCT Bedfordshire 5GJ SOUTH EAST HERTFORDSHIRE PCT Bedfordshire 5GX ST ALBANS AND HARPENDEN PCT Bedfordshire 5GV WATFORD AND THREE RIVERS PCT Bedfordshire 5GG WELWYN HATFIELD PCT Birmingham a5hv 122 Birmingham a5ht 123 Birmingham a5my 124 Birmingham a5mx 125 Birmingham a5mw 126 Birmingham a5mg 127 Birmingham a5mh 128 Birmingham a5d1 129 Birmingham a5m1 130 Birmingham a5m3 131 Birmingham a5mj 132 Birmingham a5mv 17 Cheshire & M5F8 18 Cheshire & M5H2 DUDLEY BEACON AND CASTLE PCT DUDLEY SOUTH PCT EASTERN BIRMINGHAM PCT HEART OF BIRMINGHAM TEACHING PCT NORTH BIRMINGHAM PCT OLDBURY AND SMETHWICK PCT ROWLEY REGIS AND TIPTON PCT SOLIHULL PCT SOUTH BIRMINGHAM PCT WALSALL TEACHING PCT WEDNESBURY AND WEST BROMWICH PCT WOLVERHAMPTON CITY PCT BEBINGTON AND WEST WIRRAL PCT BIRKENHEAD AND WALLASEY PCT

17 19 Cheshire & M5H4 CENTRAL CHESHIRE PCT Cheshire & M5HA CENTRAL LIVERPOOL PCT Cheshire & M5H3 CHESHIRE WEST PCT Cheshire & M5H5 EASTERN CHESHIRE PCT Cheshire & M5H6 ELLESMERE PORT AND NESTON PCT Cheshire & M5J1 HALTON PCT Cheshire & M5J4 KNOWSLEY PCT Cheshire & M5G9 NORTH LIVERPOOL PCT Cheshire & M5HC SOUTH LIVERPOOL PCT Cheshire & M5M5 SOUTH SEFTON PCT Cheshire & M5F9 SOUTHPORT AND FORMBY PCT Cheshire & M5J3 ST HELENS PCT Cheshire & M5J2 WARRINGTON PCT County Durha5J9 DARLINGTON PCT County Durha5KA DERWENTSIDE PCT County Durha5KC DURHAM AND CHESTER-LE-STREET PCT County Durha5J8 DURHAM DALES PCT County Durha5KD EASINGTON PCT County Durha5D9 HARTLEPOOL PCT County Durha5KN LANGBAURGH PCT County Durha5KM MIDDLESBROUGH PCT County Durha5E1 NORTH TEES PCT County Durha5KE SEDGEFIELD PCT Cumbria and 5CC BLACKBURN WITH DARWEN PCT Cumbria and 5HP BLACKPOOL PCT Cumbria and 5G8 BURNLEY, PENDLE AND ROSSENDALE PCT Cumbria and 5D4 CARLISLE AND DISTRICT PCT Cumbria and 5F2 CHORLEY AND SOUTH RIBBLE PCT Cumbria and 5D5 EDEN VALLEY PCT Cumbria and 5HE FYLDE PCT Cumbria and 5G7 HYNDBURN AND RIBBLE VALLEY PCT Cumbria and 5DD MORECAMBE BAY PCT Cumbria and 5HD PRESTON PCT Cumbria and 5D6 WEST CUMBRIA PCT Cumbria and 5F3 WEST LANCASHIRE PCT Cumbria and 5DR WYRE FOREST PCT Dorset and So5CE BOURNEMOUTH TEACHING PCT Dorset and So5FX MENDIP PCT Dorset and So5CD NORTH DORSET PCT Dorset and So5KV POOLE PCT Dorset and So5FW SOMERSET COAST PCT Dorset and So5FN SOUTH AND EAST DORSET PCT Dorset and So5K1 SOUTH SOMERSET PCT Dorset and So5FP SOUTH WEST DORSET PCT Dorset and So5K2 TAUNTON DEANE PCT Essex 5GR BASILDON PCT Essex 5GP BILLERICAY, BRENTWOOD AND WICKFORD PCT Essex 5JP CASTLE POINT AND ROCHFORD PCT Essex 5JN CHELMSFORD PCT Essex 5GM COLCHESTER PCT Essex 5AJ EPPING FOREST PCT Essex 5DC HARLOW PCT Essex 5GL MALDON AND SOUTH CHELMSFORD PCT Essex 5AK SOUTHEND ON SEA PCT Essex 5AH TENDRING PCT Essex 5GQ THURROCK PCT

18 173 Essex 5GN UTTLESFORD PCT Essex TAG WITHAM, BRAINTREE AND HALSTEAD CARE TRUST Greater Manc5HG ASHTON, LEIGH AND WIGAN PCT Greater Manc5HQ BOLTON PCT Greater Manc5JX BURY PCT Greater Manc5CL CENTRAL MANCHESTER PCT Greater Manc5F4 HEYWOOD AND MIDDLETON PCT Greater Manc5CR NORTH MANCHESTER PCT Greater Manc5J5 OLDHAM PCT Greater Manc5JY ROCHDALE PCT Greater Manc5F5 SALFORD PCT Greater Manc5AA SOUTH MANCHESTER PCT Greater Manc5F7 STOCKPORT PCT Greater Manc5LH TAMESIDE AND GLOSSOP PCT Greater Manc5F6 TRAFFORD NORTH PCT Greater Manc5CX TRAFFORD SOUTH PCT Hampshire an5g6 BLACKWATER VALLEY AND HART PCT Hampshire an5fd EAST HAMPSHIRE PCT Hampshire an5ly EASTLEIGH AND TEST VALLEY SOUTH PCT Hampshire an5lx FAREHAM AND GOSPORT PCT Hampshire an5dg ISLE OF WIGHT PCT Hampshire an5e9 MID-HAMPSHIRE PCT Hampshire an5a1 NEW FOREST PCT Hampshire an5df NORTH HAMPSHIRE PCT Hampshire an5fe PORTSMOUTH CITY TEACHING PCT Hampshire an5l1 SOUTHAMPTON CITY PCT Kent and Med5LL ASHFORD PCT Kent and Med5LM CANTERBURY AND COASTAL PCT Kent and Med5CM DARTFORD, GRAVESHAM AND SWANLEY PCT Kent and Med5LN EAST KENT COASTAL PCT Kent and Med5L2 MAIDSTONE WEALD PCT Kent and Med5L3 MEDWAY PCT Kent and Med5LP SHEPWAY PCT Kent and Med5FF SOUTH WEST KENT PCT Kent and Med5L4 SWALE PCT Leicestershire5JC CHARNWOOD AND NORTH WEST LEICESTERSHIRE PCT Leicestershire5AC DAVENTRY AND SOUTH NORTHAMPTONSHIRE PCT Leicestershire5EY EASTERN LEICESTER PCT Leicestershire5JA HINCKLEY AND BOSWORTH PCT Leicestershire5EJ LEICESTER CITY WEST PCT Leicestershire5EH MELTON, RUTLAND AND HARBOROUGH PCT Leicestershire5LW NORTHAMPTON PCT Leicestershire5LV NORTHAMPTONSHIRE HEARTLANDS PCT Leicestershire5JD SOUTH LEICESTERSHIRE PCT Norfolk, Suffo5JL BROADLAND PCT Norfolk, Suffo5JH CAMBRIDGE CITY PCT Norfolk, Suffo5JT CENTRAL SUFFOLK PCT Norfolk, Suffo5JK EAST CAMBRIDGESHIRE AND FENLAND PCT Norfolk, Suffo5GT GREAT YARMOUTH PCT Norfolk, Suffo5GF HUNTINGDONSHIRE PCT Norfolk, Suffo5JQ IPSWICH PCT Norfolk, Suffo5JM NORTH NORFOLK PCT Norfolk, Suffo5AF NORTH PETERBOROUGH PCT Norfolk, Suffo5A2 NORWICH PCT Norfolk, Suffo5JJ SOUTH CAMBRIDGESHIRE PCT Norfolk, Suffo5AG SOUTH PETERBOROUGH PCT 93333

19 187 Norfolk, Suffo5G1 SOUTHERN NORFOLK PCT Norfolk, Suffo5JR SUFFOLK COASTAL PCT Norfolk, Suffo5JW SUFFOLK WEST PCT Norfolk, Suffo5JV WAVENEY PCT Norfolk, Suffo5CY WEST NORFOLK PCT North and Ea 5KJ CRAVEN, HARROGATE AND RURAL DISTRICT PCT North and Ea 5E3 EAST YORKSHIRE PCT North and Ea 5E5 EASTERN HULL PCT North and Ea 5KH HAMBLETON AND RICHMONDSHIRE PCT North and Ea 5AN NORTH EAST LINCOLNSHIRE PCT North and Ea 5EF NORTH LINCOLNSHIRE PCT North and Ea 5KK SCARBOROUGH, WHITBY AND RYEDALE PCT North and Ea 5E2 SELBY AND YORK PCT North and Ea 5E6 WEST HULL PCT North and Ea 5E4 YORKSHIRE WOLDS AND COAST PCT North Central 5A9 BARNET PCT North Central 5K7 CAMDEN PCT North Central 5C1 ENFIELD PCT North Central 5C9 HARINGEY TEACHING PCT North Central 5K8 ISLINGTON PCT North East Lo5C2 BARKING AND DAGENHAM PCT North East Lo5C3 CITY AND HACKNEY TEACHING PCT North East Lo5A4 HAVERING PCT North East Lo5C5 NEWHAM PCT North East Lo5NA REDBRIDGE PCT North East Lo5C4 TOWER HAMLETS PCT North East Lo5NC WALTHAM FOREST PCT North West Lo5K5 BRENT TEACHING PCT North West Lo5HX EALING PCT North West Lo5H1 HAMMERSMITH AND FULHAM PCT North West Lo5K6 HARROW PCT North West Lo5AT HILLINGDON PCT North West Lo5HY HOUNSLOW PCT North West Lo5LA KENSINGTON AND CHELSEA PCT North West Lo5LC WESTMINSTER PCT Northumberla5KF GATESHEAD PCT Northumberla5D7 NEWCASTLE PCT Northumberla5D8 NORTH TYNESIDE PCT NorthumberlaTAC NORTHUMBERLAND CARE TRUST Northumberla5KG SOUTH TYNESIDE PCT Northumberla5KL SUNDERLAND TEACHING PCT Shropshire an5dq BURNTWOOD, LICHFIELD AND TAMWORTH PCT Shropshire an5mm CANNOCK CHASE PCT Shropshire an5ml EAST STAFFORDSHIRE PCT Shropshire an5hw NEWCASTLE-UNDER-LYME PCT Shropshire an5me NORTH STOKE PCT Shropshire an5m2 SHROPSHIRE COUNTY PCT Shropshire an5mf SOUTH STOKE PCT Shropshire an5mn SOUTH WESTERN STAFFORDSHIRE PCT Shropshire an5hr STAFFORDSHIRE MOORLANDS PCT Shropshire an5mk TELFORD AND WREKIN PCT South East LoTAK BEXLEY CARE TRUST South East Lo5A7 BROMLEY PCT South East Lo5A8 GREENWICH TEACHING PCT South East Lo5LD LAMBETH PCT South East Lo5LF LEWISHAM PCT

20 217 South East Lo5LE SOUTHWARK PCT South West L 5K9 CROYDON PCT South West L 5A5 KINGSTON PCT South West L 5M6 RICHMOND AND TWICKENHAM PCT South West L 5M7 SUTTON AND MERTON PCT South West L 5LG WANDSWORTH PCT South West P5KT CENTRAL CORNWALL PCT South West P5FT EAST DEVON PCT South West P5FR EXETER PCT South West P5FV MID DEVON PCT South West P5KR NORTH AND EAST CORNWALL PCT South West P5FQ NORTH DEVON PCT South West P5F1 PLYMOUTH TEACHING PCT South West P5CV SOUTH HAMS AND WEST DEVON PCT South West P5FY TEIGNBRIDGE PCT South West PTAL TORBAY CARE TRUST South West P5FM WEST OF CORNWALL PCT South Yorksh 5JE BARNSLEY PCT South Yorksh 5CK DONCASTER CENTRAL PCT South Yorksh 5EK DONCASTER EAST PCT South Yorksh 5EL DONCASTER WEST PCT South Yorksh 5EE NORTH SHEFFIELD PCT South Yorksh 5H8 ROTHERHAM PCT South Yorksh 5EP SHEFFIELD SOUTH WEST PCT South Yorksh 5EN SHEFFIELD WEST PCT South Yorksh 5EQ SOUTH EAST SHEFFIELD PCT Surrey and Su5L8 ADUR, ARUN AND WORTHING PCT Surrey and Su5FH BEXHILL AND ROTHER PCT Surrey and Su5LQ BRIGHTON AND HOVE CITY PCT Surrey and Su5MA CRAWLEY PCT Surrey and Su5KP EAST ELMBRIDGE AND MID SURREY PCT Surrey and Su5KQ EAST SURREY PCT Surrey and Su5LR EASTBOURNE DOWNS PCT Surrey and Su5L5 GUILDFORD AND WAVERLEY PCT Surrey and Su5FJ HASTINGS AND ST LEONARDS PCT Surrey and Su5MC HORSHAM AND CHANCTONBURY PCT Surrey and Su5FK MID-SUSSEX PCT Surrey and Su5L6 NORTH SURREY PCT Surrey and Su5L7 SURREY HEATH AND WOKING PCT Surrey and Su5LT SUSSEX DOWNS AND WEALD PCT Surrey and Su5L9 WESTERN SUSSEX PCT Thames Valle5G2 BRACKNELL FOREST PCT Thames Valle5DV CHERWELL VALE PCT Thames Valle5G4 CHILTERN AND SOUTH BUCKS PCT Thames Valle5CQ MILTON KEYNES PCT Thames Valle5DK NEWBURY AND COMMUNITY PCT Thames Valle5DT NORTH EAST OXFORDSHIRE PCT Thames Valle5DW OXFORD CITY PCT Thames Valle5DL READING PCT Thames Valle5DM SLOUGH PCT Thames Valle5DX SOUTH EAST OXFORDSHIRE PCT Thames Valle5DY SOUTH WEST OXFORDSHIRE PCT Thames Valle5DP VALE OF AYLESBURY PCT Thames Valle5G3 WINDSOR, ASCOT AND MAIDENHEAD PCT Thames Valle5DN WOKINGHAM PCT Thames Valle5G5 WYCOMBE PCT

21 102 Trent 5ED AMBER VALLEY PCT Trent 5FA ASHFIELD PCT Trent 5ET BASSETLAW PCT Trent 5EV BROXTOWE AND HUCKNALL PCT Trent 5AL CENTRAL DERBY PCT Trent 5EA CHESTERFIELD PCT Trent 5H7 DERBYSHIRE DALES AND SOUTH DERBYSHIRE PCT Trent 5H9 EAST LINCOLNSHIRE PCT Trent 5ER EREWASH PCT Trent 5EC GEDLING PCT Trent 5EX GREATER DERBY PCT Trent 5HN HIGH PEAK AND DALES PCT Trent 5D3 LINCOLNSHIRE SOUTH WEST TEACHING PCT Trent 5AM MANSFIELD DISTRICT PCT Trent 5AP NEWARK AND SHERWOOD PCT Trent 5EG NORTH EASTERN DERBYSHIRE PCT Trent 5EM NOTTINGHAM CITY PCT Trent 5FC RUSHCLIFFE PCT Trent 5D2 WEST LINCOLNSHIRE PCT West Midland5MD COVENTRY TEACHING PCT West Midland5CN HEREFORDSHIRE PCT West Midland5MP NORTH WARWICKSHIRE PCT West Midland5MR REDDITCH AND BROMSGROVE PCT West Midland5M9 RUGBY PCT West Midland5MQ SOUTH WARWICKSHIRE PCT West Midland5MT SOUTH WORCESTERSHIRE PCT West Midland5HF WYRE PCT West Yorkshi 5AW AIREDALE PCT West Yorkshi 5CF BRADFORD CITY TEACHING PCT West Yorkshi 5CG BRADFORD SOUTH AND WEST PCT West Yorkshi 5J6 CALDERDALE PCT West Yorkshi 5HK EAST LEEDS PCT West Yorkshi 5E7 EASTERN WAKEFIELD PCT West Yorkshi 5LJ HUDDERSFIELD CENTRAL PCT West Yorkshi 5HJ LEEDS NORTH EAST PCT West Yorkshi 5HM LEEDS NORTH WEST PCT West Yorkshi 5HH LEEDS WEST PCT West Yorkshi 5CH NORTH BRADFORD PCT West Yorkshi 5J7 NORTH KIRKLEES PCT West Yorkshi 5LK SOUTH HUDDERSFIELD PCT West Yorkshi 5HL SOUTH LEEDS PCT West Yorkshi 5E8 WAKEFIELD WEST PCT Q20 AVON, GLOUCESTERSHIRE AND WILTSHIRE Q02 BEDFORDSHIRE AND HERTFORDSHIRE Q27 BIRMINGHAM AND THE BLACK COUNTRY Q15 CHESHIRE & MERSEYSIDE Q10 COUNTY DURHAM AND TEES VALLEY Q13 CUMBRIA AND LANCASHIRE Q22 DORSET AND SOMERSET Q03 ESSEX Q14 GREATER MANCHESTER Q17 HAMPSHIRE AND ISLE OF WIGHT Q18 KENT AND MEDWAY Q25 LEICESTERSHIRE, NORTHAMPTONSHIRE AND RUTLAND Q01 NORFOLK, SUFFOLK AND CAMBRIDGESHIRE Q11 NORTH AND EAST YORKSHIRE AND NORTHERN LINCOLNSHIRE

22 Q05 NORTH CENTRAL LONDON Q06 NORTH EAST LONDON Q04 NORTH WEST LONDON Q09 NORTHUMBERLAND, TYNE & WEAR Q26 SHROPSHIRE AND STAFFORDSHIRE Q07 SOUTH EAST LONDON Q08 SOUTH WEST LONDON Q21 SOUTH WEST PENINSULA Q23 SOUTH YORKSHIRE Q19 SURREY AND SUSSEX Q16 THAMES VALLEY Q24 TRENT Q28 WEST MIDLANDS SOUTH Q12 WEST YORKSHIRE B1 ANGLESEY LHB C2 BLAENAU GWENT LHB B3 BRIDGEND LHB B2 CAERPHILLY LHB A8 CARDIFF LHB B7 CARMARTHENSHIRE LHB A4 CEREDIGION LHB A7 CONWY LHB C1 DENBIGHSHIRE LHB B5 FLINTSHIRE LHB A2 GWYNEDD LHB B8 MERTHYR TYDFIL LHB A1 MONMOUTHSHIRE LHB A5 NEATH PORT TALBOT LHB B9 NEWPORT LHB A3 PEMBROKESHIRE LHB C4 POWYS LHB A9 RHONDDA CYNON TAF LHB A6 SWANSEA LHB C3 TORFAEN LHB B6 VALE OF GLAMORGAN LHB B4 WREXHAM LHB

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58 Cost impact of the NICE guideline on Dementia Assessment of sensitivity costs to a range of variables Parameter Varied Baseline value Minimum value Maximum value Baseline cost 000s Minimum cost 000s Maximum cost 000s Change 000s Prevalance of dementia 665, , ,350 40,730 37,987 43,473 5,486 Cases eligible for scanning 222, , ,349 40,730 39,400 42,060 2,660 Unit cost of CBT session ,730 36,298 45,411 9,113 Unit cost of MRI scan ,730 35,943 48,620 12,677 Unit cost of CT scan ,730 37,716 42,295 4,579 Unit cost of EEG scan ,730 42,505 39,022-3,483 Proportion of carers currently receiving psychological therapy 11.0% 6.0% 16.0% 40,730 50,703 30,757-19,946 Proportion of carers identified with psychological distress 33.0% 23.0% 43.0% 40,730 25,771 55,689 29,918 Proportion of people suitable to be scanned 85.0% 80.0% 90.0% 40,730 41,409 40,051-1,358 Proportion of people currently being scanned using MRI 2.0% 1.0% 3.0% 40,730 41,381 40,079-1,302 Proportion of people estimated to be scanned using MRI 20.0% 15.0% 25.0% 40,730 37,474 43,986 6,512 Proportion of people currently being scanned using CT 30.0% 25.0% 35.0% 40,730 42,438 39,023-3,415 Proportion of people estimated to be scanned using CT 55.0% 50.0% 60.0% 40,730 39,023 42,438 3,415 Proportion of EEG carried out 15.0% 10.0% 20.0% 40,730 43,048 38,412-4,636 Proportion of EEG continuing to be undertaken 7.5% 5.0% 10.0% 40,730 40,542 40,

59 Where to find the guidance You can download the following documents from The full guidance for this clinical guideline. A quick reference guide, which has been distributed to healthcare professionals wo in the NHS in England. A version of the guideline for people with Parkinson s disease and their carers ( Understanding NICE guidance ). For printed copies of the quick reference guide or information for the public, phone the N Response Line on and quote: N1052 (quick reference guide) N1053 (information for the public). Other implementation tools are available from implementation advice a slide set. National Institute for Health and Clinical Excellence MidCity Place 71 High Holborn Send feedback and suggestions about this template to: London WC1V 6NA