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| Global Background | |
| Appendix One | |
| Appendix Two | |
| Appendix Three | |
| Appendix Four | |
| Site Map | |
| What are we doing? | Why are we doing it? |
Appendix
Three
The bigger picture
Behind the financial scenes
Cost of contraception to the NHS:
* Contraceptive
pill supply – £0.65 to £5.50/month. (*18) (Not including
overheads.)
* Intra Uterine Device (IUD) +/- £10 each – lasts 5 –
8 years.(*18)(Not including overheads.)
* Intra Uterine System (IUS) – £90 each or £1.50/month
– lasts 5 yrs.(*18)(Not including overheads.)
* Implant – +/- £90 each or £2.50 /month – lasts
3 yrs.(*18)(Not including overheads.)
* Male condom – £0.08 – 20p each.
* Female condom – 50p
* Family Planning or Genito–Urinary Medicine Clinic consultation
– before investigations or treatment costs – £60-70
* Approx cost of Genito–Urinary screening – from £150
per person.
* Abortion – £400 - £900 per termination.
* Cost of an ultrasound to Family Planning service – £65 each.(*16)
* Blood test for liver function – +/- £18.50 each.(*17)
* Blood tests for infertility profile – male and female – £70-90
each.(*17)
* Blood test for hepatitis A, B or C – £50 – £127
each - depending on test.(*17)
* Semen analysis – £36 (*17)
* Ante-natal laboratory screening – £126 each (*17)
* Urine for culture, cells or chemistry £21 (*17)
* Pregnancy test – urine – £14 (*17)
* Laboratory cost per swab £18 upwards. (*14)
* Microbiology swabs – cervical, urethral, vaginal and wound £23.50
each. (*17)
* Blood test for syphilis – £28 each.(*17)
* Blood test for HIV £22 – £169 depending on test.(*17)
* Blood test for Hepatitis C – £90 (*17)
* Cervical smear test – £25 (*17)
* Chlamydia test – £34.50 (*17)
* Patient requiring a liver transplant for Hep C associated liver cirrhosis
– with patient surviving 5 years post transplant £2.8 million.
* The average lifetime treatment cost for an HIV positive individual is
calculated to be between £135,000 and £181,000 (*8), and the
monetary value of preventing a single onward transmission is estimated
to be somewhere between £1/2 and £1 million in terms of individual
health benefits and treatment costs.
* The prevention of unplanned pregnancy by NHS contraceptive services
probably saves the NHS over £2.5 billion a year already. (*1)
* We can also reduce dramatically the costs associated with preventable
infertility. (*1)
* Cost of child care – variable.
The financial case for prevention is strong