Better Sooner More Convenient Primary Care - New Zealand Doctor

12 Organisational accountabilities
No change in current accountabilities until, and if, notional budget holding for investigations (in
particular ultrasounds) is developed.
13 Costs
The changes in service delivery proposed for the implementation phase and year one, can be
done within current budgets and resources. Currently $321,400 allocated for primary referred
radiology. At approx 5000 investigations p.a., that is $64.28 per investigation.
There will be some development costs (included in the „Implementing Service Strategies‟ aspect
of the Investing in Change budget, Section 11.1 in the Business Case) as follows:
Implementation Year one
phase
Project management, support for
$10,000 $10,000
guideline developments, education
sessions, audits etc
Multidisciplinary team members time to
$1,600
develop guidelines: locum cover
Development of electronic referral
$2,000
templates
Cost of educational activities $100 $100
TOTAL $11,700 $12,100
In years two and three the following costs will be calculated:
cost savings due to decreased FSAs for CTs
cost of any overall increase in CT volumes
volumes and costs of current community ultrasounds, with a view to moving to devolved
budget holding and opening access to shoulder ultrasounds
any savings from decreased volumes in plain films resulting auditing practice volumes and
providing educational initiatives.
Business case appendices V12 AC 25Feb2010 Page 78