National Services Division (NSD) is part of NHS Scotland. Strictly speaking it is a division within NHS National Services Scotland (NSS).
NSD receives top-sliced, ring-fenced funding from the Scottish Government Health and Social Care Directorates (SGHSCD) to commission and performance manage nationally designated specialist services and screening programmes. They use this money to ensure the provision of high quality, effective, specialist health and screening services to meet the needs of the population of Scotland. Because Haemophilia Services are Specialist Services this makes them very important in the provision of Haemophilia treatment and care.
There are 14 regional Health Boards in Scotland and only 6 Haemophilia Centres. It wouldn’t be fair if the costs of buying clotting factor products, which quite expensive, had to be met only by the Health Boards with a Haemophilia Centre. To deal with this problem the Health Boards have all agreed to take part in a Risk Sharing Agreement for Recombinant Coagulant Factor Products – one of only four such arrangements in Scotland.
Figure 1 – How much do the regional Health Boards pay into the Haemophilia Risk Sharing Agreement for clotting factor products?
|NHS Board||Recombinant and Commercial Factor Concentrates Usage 2011/12 (£s)|
|Ayrshire & Arran||1,309,694|
|Dumfries & Galloway||426,907|
|Greater Glasgow & Clyde||7,136,957|