Skip to main content
×
×
Home

Cost and carbon burden of long-acting injections: a sustainable evaluation

  • Daniel L. Maughan (a1) (a2), Rob Lillywhite (a2) and Matthew Cooke (a2) (a3)
Abstract
Aims and method

This study explores the economic cost and carbon footprint associated with current patterns of prescribing long-term flupentixol decanoate long-acting injections. We conducted an analysis of prescription data from a mental health trust followed by economic and carbon cost projections using local and national data.

Results

A reduction of £300 000 could be achieved across England by improving prescribing behaviour, which equates to £250 per patient per year and 170 000 kg CO2e. These savings are unlikely to be released as cash from the service, but will lead to higher-value service provision at the same or lower cost. Most of these carbon emissions are attributable to the carbon footprint of the appointment – 88000 kg CO2e (including energy use and materials used) and the overprescribing of medication – 66000kg CO2e.

Clinical implications

Psychiatrists need to review their prescribing practice of long-acting injections to reduce their impact on the National Health Service financial budget and the environment.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Cost and carbon burden of long-acting injections: a sustainable evaluation
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Cost and carbon burden of long-acting injections: a sustainable evaluation
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Cost and carbon burden of long-acting injections: a sustainable evaluation
      Available formats
      ×
Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Daniel L. Maughan (daniel.maughan@sustainablehealthcare.org.uk)
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Sustainable Development Unit. Carbon Footprint Update for NHS in England 2012. SDU, 2013.
2 NHS Sustainable Development Unit. Goods and Services Carbon Hotspots. NHS SDU, 2012.
3 Maughan, D, Wallace, S, Lillywhite, R. Sustainability: get in step with the NHS carbon footprint target. Health Serv J 2014; 124: 23–5.
4 Yarlagadda, S, Maughan, D, Lingwood, S, Davison, P. Sustainable psychiatry in the UK. Psychiatr Bull 2014; 38: 285–90.
5 NHS Business Services Authority. Antipsychotic drugs. Available from: http://www.nhsbsa.nhs.uk/Documents/Apr_-_Jun_2009_-_Antipsychotic_drugs.pdf (accessed June 2015).
6 Taylor, D, Paton, C, Kapur, S. The Maudsley Prescribing Guidelines in Psychiatry. Wiley-Blackwell, 2012.
7 David, A, Adams, CE, Quraishi, SN. Depot flupenthixol decanoate for schizophrenia or other similar psychotic disorders? Cochrane Database Syst Rev 1999; CD001470.
8 Reed, P, Fanshawe, T. The effects of dose of flupentixol decanoate on relapse rates in schizophrenia. Psychiatrist 2011; 35: 293–6.
9 Curtis, L. Unit Costs of Health and Social Care 2013. Personal Social Services Resarch Unit, 2013.
10 The World Bank. CO2 emissions (metric tons per capita). The World Bank, 2015. Available at: http://data.worldbank.org/indicator/EN.ATM.CO2E.PC.
11 Gray, JAM. How to Get Better Value Healthcare, Second Edition. Offox, 2011.
12 Taylor, D. Psychopharmacology and adverse effects of antipsychotic long-acting injections: a review. Br J Psychiatry 2009; 195: S139.
13 Department for Environment, Food & Rural Affairs. 2013 Government GHG Conversion Factors for Company Reporting: Methodology Paper for Emission Factors. DEFRA, 2013.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 2
Total number of PDF views: 16 *
Loading metrics...

Abstract views

Total abstract views: 65 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 22nd July 2018. This data will be updated every 24 hours.

Cost and carbon burden of long-acting injections: a sustainable evaluation

  • Daniel L. Maughan (a1) (a2), Rob Lillywhite (a2) and Matthew Cooke (a2) (a3)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *