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Aims: To develop a novel interactive budget impact model that assesses affordability of diabetes treatments in specific populations, and to test the model in a hypothetical scenario by estimating cost savings resulting from reduction in HbA1c from ≥69 mmol/mol (8.5%) to a target of 53 mmol/mol (7.0%) in adults with Type 1 diabetes in the UK. Methods: A dynamic, interactive model was created using the projected incidence and progression over a 5‐year horizon of diabetes‐related complications (micro‐ and macrovascular disease, severe hypoglycaemia and diabetic ketoacidosis) for different HbA1c levels, with flexible input of population size, complications and therapy costs, HbA1c distribution and other variables. The model took a National Health Service and societal perspective. Results: The model was developed, and in the proposed hypothetical situation, reductions in complications and expected costs evaluated. Achievement of target HbA1c in individuals with HbA1c ≥69 mmol/mol (8.5%) would reduce expected chronic complications from 6.8 to 1.2 events per 100 person‐years, and diabetic ketoacidosis from 14.5 to 1.0 events per 100 person‐years. Potential cumulative direct cost savings achievable in the modelled population were estimated at £687 m over 5 years (£5,585/person), with total (direct and indirect) savings of £1,034 m (£8,400/person). Conclusions: Implementation of strategies aimed at achieving target glucose levels in people with Type 1 diabetes in the UK has the potential to drive a significant reduction in complication costs. This estimate may provide insights into the potential for investment in achieving savings through improved diabetes care in the UK. What's new?: We describe a new interactive budget impact model that evaluates affordability of diabetes treatments and their independent impact on HbA1c and hypoglycaemia.We tested the model by simulating the effect of reducing HbA1c from ≥69 mmol/mol (8.5%) to 53 mmol/mol (7.0%) in an adult population with Type 1 diabetes in the UK.The model estimated that micro‐ and macro‐complications were reduced by >80%, and total cost savings of more than £8,000/person were achieved over a 5‐year period by strategies that obtain target glycaemic control.The model has potential to provide information about the affordability of diabetes treatments, and thus facilitate better resource planning, budget allocation and treatment uptake. [ABSTRACT FROM AUTHOR]

The article focuses on the study on the benefits, economic impact, and costs associated to patient and public involvement (PPI) in health policy and patient-focused health-care system. Methods were designed to measure the potential benefits of PPI including national health service (NHS) governance, designing of projects, and implementation. Results were outlined and conclude the advantages of recognizing the costs of PPI on the effective planning, execution, and evaluating organization.

Tracing the history of prescribing in the UK and why it matters in present day dispensing. [ABSTRACT FROM AUTHOR]

The article presents the principles that underlie the personal health budget pilot program of the Department of Health in Great Britain. These includes the need to inform patient on the size of the budget before the support or care planning stage. It notes that patients are encourage to play an important role in the planning process of care. It mentions allowing patient to choose how they manage their personal health budget.

The article focuses on a document titled "Frontline First: Nursing on Red Alert" which was issued in 2013 by the Royal College of Nursing in response to a report on cases of patient abuse at a National Health Service health care facility which was prepared by British attorney Robert Francis. In the article the author offers his opinions on the college's document and its impact on the nursing profession in Great Britain.

The author discusses the problems facing general practice medicine in Great Britain. He highlights the high levels of stress among general practitioners (GP) who conduct about 60 million consultations per year and the need for urgent funding or rescue package for general practice. He also discusses the factors affecting the GP problem including cuts to social care and the reduction in health care spending as a percentage of gross domestic product.

The article focuses on the advantage of the Personal Health Budgets of the Department of Health in Great Britain in 2013. According to Ray Hodgkinson of the British Healthcare Trades Association (BHTA), Personal Health Budgets can entail better value for money to the National Health Service (NHS) if people are less to be dependent on hospitals. He adds that they are pleased that the Department of Health acknowledges that the benefits of the programme are for people with the highest needs.