Smoking and mental health - NCSCT

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Smoking and mental health Table 8.6 Smoking-attributable costs for outpatient attendance and primary care among mental health patients Male Female All adults No. of Costs No. of Costs No. of Costs activities activities activities GP consultations 1,250,664 £41,071,804 1,863,256 £61,189,323 3,113,920 £102,261,127 GP prescriptions 7,419,253 £70,705,483 11,361,460 £108,274,711 18,780,713 £178,980,193 Practice nurse consultations 572,186 £5,721,864 828,437 £8,284,366 1,400,623 £14,006,230 Outpatient attendances 358,997 £35,181,734 367,940 £36,058,093 726,937 £71,239,828 Total 9,601,101 £152,680,885 14,421,092 £213,806,493 24,022,193 £366,487,378 170 © Royal College of Physicians 2013
The economic cost of smoking in people with mental disorders 8 Practice nurse consultations £14 million, 2% Outpatient attendances £71 million, 10% GP prescription £179 million, 25% Hospital admissions £352 million, 49% GP consultations £102 million, 14% Fig 8.2 Breakdown of costs due to smoking-related diseases to the NHS among people with mental disorders [Figures may not sum to total due to rounding]. people with mental disorders in 2009–10, and their estimated costs. In total, 0.7 million outpatient visits were attributable to smoking among people with mental disorders, at a cost to the NHS of £71m. The number of GP consultations, nurse consultations and GP prescriptions attributable to smoking are 3 million, 1 million and 19 million respectively, and generate a total primary care cost of £295m per year. In contrast to hospital admission costs, these primary care and outpatient costs were higher for females than for males. Figure 8.2 summarises the total overall estimated costs to the NHS of diseases caused by smoking in people with mental disorders. The total was £719m, of which just under half was the result of inpatient episodes. 8.5 Cost savings from psychotropic drug dose reduction after smoking cessation As smoking increases the metabolism of some psychotropic drugs, smoking cessation can result in appreciable reductions in drug dose requirements (see © Royal College of Physicians 2013 171
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PDF not for circulation Smoking and
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Contents Members of the Tobacco Adv
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Contents 4.4.3 Attention deficit hy
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Contents 6.4.3 Staff knowledge 122
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Contents 10.5 Tobacco policy and me
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Contributors Anthony Aclet - Specia
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Contributors Jill Williams - Associ
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1 Mental disorders 1.1 What is a me
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Mental disorders 1 1.3 Common menta
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Mental disorders 1 1.4.4 Somatisati
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Mental disorders 1 In addition to s
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Mental disorders 1 not diagnosed un
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Mental disorders 1 Similar to many
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Mental disorders 1 12 Chang CK, Hay
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Mental disorders 1 52 Young S, Toon
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Smoking among people with mental di
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Neurobiological and behavioural mec
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Epidemiology of the association bet
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Smoking cessation interventions for
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6 Population strategies to prevent
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Population strategies to prevent sm
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Smoking and mental health - NCSCT

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