Table 4.
Budgetary Impact Results
| Standard of Care | PRB Introduction | Difference | |
|---|---|---|---|
| Patients in treatment (n) | |||
| Methadone | 150 | 105 | −45 |
| Prolonged-release buprenorphine | 0 | 45 | +45 |
| Annual costs (£) | |||
| Direct service cost | |||
| Medication cost | 29,484 | 151,515 | 122,031 |
| Dispensing system fee | 3600 | 2520 | −1080 |
| Staff cost | |||
| Prison Officer | 94,098 | 65,869 | −28,229 |
| Nurse | 49,566 | 36,820 | −12,746 |
| Pharmacy technician | 51,779 | 37,838 | −13,940 |
| Pharmacist | 37,617 | 30,647 | −6,970 |
| Prescriber | 26,277 | 22,335 | −3941 |
| Total direct service | £292,420 | £347,544 | £55,124 |
| Indirect health-care costs | |||
| Diversion-related medication review | 13,260 | 9282 | −3978 |
| Overdose (staff resource) | 30,420 | 25,857 | −4563 |
| Naloxone | 1273 | 1082 | −191 |
| Ambulance callout | 255 | 217 | −38 |
| Drug-related death (in custody) | 2494 | 2120 | −374 |
| Drug-related death (postrelease) | 48,930 | 41,591 | −7340 |
| Total indirect health care | £96,632 | £80,148 | –£16,484 |
| Indirect security/criminal justice costs | |||
| Adjudication: drug-related violence | 1572 | 1431 | −142 |
| Adjudication: diversion | 23,400 | 16,380 | −7020 |
| Sentence extension: drug-related violence | 475 | 432 | −43 |
| Arrests | 135,280 | 108,554 | −26,726 |
| Court Appearances | 67,698 | 54,323 | −13,374 |
| Total indirect security/criminal justice | £228,425 | £181,120 | –£47,305 |
| Total | £617,477 | £608,813 | –£8665 |