Table 6.
Estimating the impact on the cost of estimated change in practice in the UK (with 95% CI)
| Before | After | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| i) National presentations and costs | ii) Estimated change (from data in Table 1) | iii) Estimated % impact of estimated change nationally | iv) Estimated numbers of patients nationally | v) Overall estimated costs | ||||||||||||
| Cost £/patient | Number | Original %* | Cost £ | Change | Lower CI | Upper CI | New % | Lower CI | Upper CI | Number | Lower CI | Upper CI | Cost £ | Lower CI | Upper CI | |
| Overall | 90 000 | – | – | 8.9% | 1.9% | 16.2% | – | – | – | 98 010 | 91 710 | 104 580 | – | – | – | |
| Discharged from ED | 137 | 45 000 | 50.0% | 6 165 000 | −7.1% | −4.0% | −10.2% | 42.9% | 46.0% | 39.8% | 42 046 | 45 085 | 39 008 | 5 760 302 | 6 176 645 | 5 344 096 |
| Admitted and treated | 768 | 33 120 | 36.8% | 25 436 160 | 13.2% | 10.0% | 16.4% | 50.0% | 46.8% | 53.2% | 49 005 | 45 869 | 52 141 | 37 635 840 | 35 227 392 | 40 044 288 |
| Admitted and not treated | 709 | 11 880 | 13.2% | 8 422 920 | – | – | – | 7.1% | 7.0% | 7.2% | 6 959 | 6 861 | 7 057 | 4 933 931 | 5 003 413 | 4 864 449 |
| Total costs £ | 40 024 080 | 48 330 073 | 46 407 450 | 50 252 833 | ||||||||||||
| Increase in costs £ | 8 305 993 | 6 383 370 | 10 228 753 | |||||||||||||
Notes: First column costs per episodes (see Methods). Before: (I) Costs applied to national estimates before change. After: (ii) illustrates impact of the changes found in this study as %; (iii) application of these data to the national data in (i) as % change; (iv) impact of estimated changes on total number of presentations, discharged, treated and patients nationally; (v) Total estimated costs post change on patients discharged, treated and untreated.