Table 6.
Costs of services received £2010b : Comparison of RRS users (N = 247) and non-users (N = 441), by days in the study
| Median (inter- quartile range, 75th – 25th), | Days in study (time between referral to hospice and death) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 0-2 days | 3-14 days | 15-30 days | 31-60 days | >60 days | ||||||
| Study group | Non-user | User | Non-user | User | Non-user | User | Non-user | User | Non-user | User |
| Number in group | 31 | 9 | 76 | 42 | 66 | 52 | 100 | 47 | 168 | 97 |
| All GP/primarycontacts | 65 (65) | 65 (120) | 120 (123) | 123 (117)a | 189 (69) | 189 (48) | 339 (217) | 339 (240) | 525 (273) | 525 (218)a |
| All community contacts | 27 (108) | 189 (135)a | 0 (133) | 302 (375)a | 63 (200) | 364 (390)a | 209 (378) | 378 (814)a | 331 (773) | 737 (777)a |
| All acute (hospital) contacts | 0 (0) | 0 (0) | 0 (54)a | 0 (0) | 0 (274) | 0 (137) | 93 (2718) | 72 (1700) | 1064 (4025) | 900 (2943) |
| All Marie Curie visits | 0 (0) | 0 (0) | 0 (0) | 0 (0)a | 0 (0) | 0 (0)a | 0 (0) | 0 (0)a | 0 (0) | 0 (0)a |
| All Out-of-hours contacts | 0 (0) | 0 (0) | 0 (0) | 0 (41)a | 0 (0) | 0 (81)a | 0 (0) | 0 (41)a | 0 (33) | 0 (122)a |
| All hospice contacts, not RRS | 90 (324) | 90 (45) | 504 (2056) | 241 (365) | 2512(5056)a | 274 (511) | 360 (1889) | 605 (2919) | 1694 (8016) | 1172 (5707) |
| All social services | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0)a | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| Hospice RRS visits | 0 (0) | 160 (240)a | 0 (0) | 440 (721)a | 0 (0) | 380 (951)a | 0 (0) | 480 (1161)a | 0 (0) | 560 (1181)a |
| Total of 8 services | 367 (262) | 690 (291)a | 1372 (2102) | 1548 (1278) | 3790 (4409) | 2204 (2523) | 3809 (6859) | 5110 (5461) | 7298(11327) | 7324 (7951) |
aMann Whitney U test, significantly higher than the other group, p < 0.05
bUnit costs of health care, inclusive of oncosts and overheads, applied to service utilisation [19]. GP/Primary: GP/nurse surgery consultations £36/£7.75, GP home visits £120. Community: home visit by nurse/long term conditicns or intermediate care team £27/£31.40, telephone call by long term conditions or intermediate care team £10.00. Acute: A&E £114, outpatient consultation £72, day hospital £194, inpatient night £425. Marie Curie health care assistant/nurse visit: £32/£64. Out-of hours: GP/home visit £180 / £40.50, GP telephone advice £33, walk-in clinic £37, ambulance £90. Hospice costs (based on NHS costs following discussion with hospice finance director), inclusive of oncosts and overheads: home visits by consultant/associate director/nurse/physician/associate practitioner/social worker or chaplain/physiotherapist or occupational therapist: £355/£132/£90/£324/£40/£172/£225/£58; outpatient consultations with consultant/nurse/physician/associate practitioner/social worker: £213.40/£28/£140/£5.25/£106.50; inpatient days: £425; day hospice: £194; counselling: £53.25; breathlessness therapy: £38; complementary therapies (varied): £25.75; RRS: £40 per visit (two visits counted when two HCAs attended)