Table 1.
Unit costs applied to NHS resource use in the PIPPC study
| Resource use item | Value (£) | Unit | Source/comments |
|---|---|---|---|
| Intervention costs | |||
| Pharmacist training | Prescribing: £10.85 Review: £10.67 |
Per patient | PSSRU 2009/201013 2 days (ie16 h) @ £40/h (includes travel)=£40×16=£640, this cost being apportioned over the number of patients in each intervention group |
| Intervention delivery | Prescribing: £66.7 Review: £44 |
Per patient | PSSRU 2009/201013 £40/h (includes travel) Prescribing: mean duration 100 min; Review: mean duration 66 min |
| Pharmacist follow-up appointments | Prescribing: £6.18 Review: £0 |
Per patient | PSSRU 2009/201013 £40/h Prescribing: 45/53 (84.9%) patients received follow-up appointments: 0 (15.1%); 1 (62.3%) mean duration 11 min; 2 (15.1%) mean duration 10 min, 3 (7.5%) mean duration 12 min. Most were conducted by phone. Weighted average cost=£6.18 Review: no follow-up appointments |
| GP review | £45.9 | Per patient | PSSRU 2009/201013 £106/h of GMS activity. Mean duration 26 min |
| Primary care costs | |||
| GP-home | £108 | Per consultation | PSSRU 2009/201013 |
| GP-surgery | £32 | Per consultation | PSSRU 2009/201013 |
| GP-telephone | £20 | Per consultation | PSSRU 2009/201013 |
| Nurse-home | £20 | Per consultation | PSSRU 2009/201013 |
| Nurse-surgery | £12 | Per consultation | PSSRU 2009/201013 |
| Nurse-telephone | £7.50 | Per consultation | PSSRU 2009/201013 (based on an assumed multiplier for telephone consultations for nurse and healthcare assistant of 0.625, that is, 20/32 |
| Other-home | £9 | Per consultation | PSSRU 2009/201013 (clinical support worker nursing—community) |
| Healthcare assistant-surgery consultation | £7.50 | Per consultation | Based on an assumed multiplier for telephone consultations for nurse and healthcare assistant of 0.625, that is, 20/32 |
| Hospital costs | |||
| Inpatient stay | Orthopaedics=£873 General medicine=£395 |
Per bed day | ISD Scotland, Scottish Health Service Costs, NHS Grampian, year ended 31 March 201012 R040 (&LS)—Specialty Group Costs—Inpatients |
| Day case | Pain relief=£541 | (Net) per case | ISD Scotland, Scottish Health Service Costs, NHS Grampian, year ended 31 March 201012 R042—Specialty Costs—Day Cases |
| Outpatient clinic—consultant led | Pain relief=£122 | Per attendance | ISD Scotland, Scottish Health Service Costs, NHS Grampian, year ended 31 March 201012 R044—Specialty Costs—Consultant Outpatient Clinics |
| Outpatient clinic—other (eg, physiotherapist) | Pain relief=£37 | Per attendance | ISD Scotland, Scottish Health Service Costs, NHS Grampian, year ended 31 March 201012 R046—Specialty Costs—AHP Outpatient Clinics |
| Medications | Varied by medication | Dose, duration, pack size, number supplied etc | BNF 61, March 201111 |
PIPPC study, Pharmacist-led management of chronic pain in primary care; PSSRU, Personal Social Services Research Unit; NHS National Health Service.