Table S2.
Costs of visual impairment
| Item | Proportion of blind population requiring service (%) | Annual unit cost of service (£) | Mean cost per person (£) | Source calculations/assumptions |
|---|---|---|---|---|
| Low vision aids | 33.0 | 167.38 | 55 | • Shyangdan et al44 • 2003/04 cost inflated to 2010/11 cost using the HCHS index45 • Inflated cost is divided by two, assuming that the service applies every 2 years |
| Low vision rehabilitation | 11.0 | 426.40 | 47 | • PSSRU 201146 • Community occupational therapist (local authority) • Cost per hour of client contact including training =£82 • Length of contact per care episode =5.2 hours (PSSRU 2003)47 • Inflated cost is divided by two, assuming that the service applies every 2 years |
| Residential care | 30.0 | 51,090.00 | 15,327 | • PSSRU 201146 • Health authority residential care for older people • £982.50 establishment cost per permanent resident week • Costs assumed 52 weeks per year |
| Community care | 6.0 | 10,005.84 | 600 | • PSSRU 201146 • Home care worker • Typical home care package =12.4 hours per week • Based on a study of community care packages, it has been estimated that 6.76 hours are worked, on average, during weekdays (6.6 between 9 am and 5 pm and 0.16 hours 5 pm). On average, 0.55 hours are worked each on Saturday and Sunday • Costs =£22 per hour face-to-face weekday contact (£27 per hour weekday evenings; £33 per hour Saturdays; £45 per hour Sundays) • Total annual cost per care package =£192.42 per week ×52 |
| Depression | 38.6 | 2,291.00 | 884 | • McCrone et al48 • Cost per patient aged 65–74 = £2,000 per annum • 2005/06 cost inflated to 2010/11 cost using the HCHS index45 |
| Hip replacement | 5.0 | 6,617.00 | 331 | • NHS reference costs 2010/1145 • NHS Trusts Elective Inpatient HRG data43 • HRG HB12B major hip procedures for non-trauma Category 1 with complications49 |
| Blind registration | 94.5 | 86.00 | 81 | • Shyangdan et al44 • 2003/04 cost inflated to 2010/11 cost using the HCHS index45 • Inflated cost is divided by two, assuming that the service applies every 2 years |
| Total | 17,325 | |||
| Total in subsequent years | 17,245 |
Abbreviations: HCHS, Hospital and Community Health Services; HRG, Health Care Resource Group; NHS, National Health Service; PSSRU, Personal Social Services Research Unit.