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Prosecco - I agree they will negotiate hard. This is also why I think Home trial results (if good) will be quite pivotal in Synairgens journey and maybe be the true catalyst they need. P3 and Active2 obviously great but if they can prove they can prevent hospital admissions it should generate a lot of attention.
Americas use of it would be interesting. I think (if approved) they will use it much more freely given its not tax payers money.
For example if it is proven to prevent long covid - Theyd more likely use it for this indication too meaning they may just give it to almost anyone who is symptomatic with covid and not just at risk groups.
I feel helpless talking to long covid patients just nothing i can do for them.
Bright1232 - thanks for your thought from a GP perspective. Good to know the sort of things NICE would look at from cost/benefit analysis.
We know from RM they are looking at price tag if circa $3000, so not far off £2,300. Although I also expect NHS / NICE to negotiate hard. And UK with single buyer often get much better drug prices v in US with multiple, smaller hospital groups.
Thinshins - ever hear of diplomacy ? I thought not.
Had the AZ jab this morning at my GP surgery, very well executed contrary to the usual s*itshow they run.
Bright1232 - As Mr Prosecco states it would be great to hear your thoughts on the potential of SNG from a GPs perspective.
I was actually giving this a think the other day. I cant give a precise answer (now i feel like a policitician). I think it will depend on the home study and how efficacious it is in preventing admissions. - This is key.
They say an average bed day in NHS costs around £200 but in reality i think its closer to £400 and an ITU bed can go up to £2000/day. The average over 65 admitted with pneumonia costs about £5000 per admission in total.
However I am not aware of how much the average cost is for covid pneuominitis specifically.
So if it does prove to be efficacious in preventing admissions, i imagine it will be prioritised for the at risk groups and be given in the community/ home as the cost benefit analysis should show that NHS should save money ( maybe even at cost of 2000 per treatment). ( i know i have assumed everyone at risk with covid will be admitted - which is of course not true)
I also imagine everyone admitted would get the treatment providing there are no contrindications.
Im sure theres a lot more to it but I would these are the kind of questions NICE/ commisioning groups will be asking.
Thanks doc - still young(ish) myself so plenty of time to watch SNG grow to where they should be. Just had the E111 cards through or whatever they’re called, before the deadline expired, plastered in the Union Jack! Vaxports would be a good idea
Bright1232 - as you’re a GP, interested in your view: assuming SNG is approved, do you see this as being used:
- primarily in hospital?
- primarily for outpatients, prescribed by GPs?
- some other mix?
- if outpatient use, do you think it would be restricted to at risk groups?
Given your knowledge on NICE and nhs budgets, what sort of price would be sustainable for outpatient use?
Yes we have been experiencing somethin similar with surgery I work at (im a gp) I think alot of it is to do with the coding of patients and so they can accidently be given a different priority.
Had my vaccine this morning. Superb!
Felldown, yeah I've heard of that too and it makes sense but the chap did say to me that I'm being offered the jab as I'm in priority group 6 which is "Adults aged 16 to 65 years in an at-risk group" but I don't have any medical or mental conditions to be considered at risk.
Very strange, I did say to him that there seems to some error here and that I'm not entirely comfortable taking a vaccine from someone who is actually high-risk. However he said I wouldn't be doing anything wrong if I accepted so I did.
I may be wrong, but that has happened round here and I believe it is because they get the vaccine ready and a lot of people just don't turn up. So they try any one local who would have it at short notice so as not to waste it. Good luck to them. ALB.
ThinShins
A daughter of our neighbours had a similar experience yesterday. She is 30 and has no health issues or other threatening conditions. In fact, she is a picture of health. She is not in any NHS, or supporting, role either. Rotto
To my surprise I am apparently eligible to be vaccinated as part of priority group 6, booked in tomorrow via GP.
Strange as I'm in my 20s with no serious health/mental conditions, asked the admin how this is possible he didn't know he was just calling people on a list.
Anyone else had something similar?