Table 3.
Unit costs
| Cost item | Unit cost | Source |
|---|---|---|
| OP appt for COPD | £137.32 | Ref costs 2012–2013 [12], consultant-led outpatient attendance: not-admitted, face-to-face attendance, follow-up. Currency code WF01A, service code 340. Worksheet CL cell F90 |
| OP appt for other | £135.00 | PSSRU 2012–2013 [13] p. 107, weighted average of all adult outpatient procedures (follow-up face-to-face attendance) |
| Daycase appt for COPD | £542.95 | Ref costs 2012–2013 [12], day cases HRG data, worksheet DC, weighted average of codes DZ19D-G |
| Daycase appt for other | £697.00 | PSSRU 2012–2013 [13] p. 107, weighted average of all stays |
| IP admission for COPD | £1,543.48 | Ref costs 2012–2013 [12], elective inpatient HRG data, worksheet EI, code weighted average DZ19D-G |
| IP admission for other | £3,283.00 | PSSRU 2012–2013 [13] p. 107, weighted average of all elective IP stays |
| A&E attendance | £115.64 | PSSRU 2011–2012 [14] A&E services not leading to admitted p. 109 inflated to 2013 prices using HCHS index (PSSRU 2012–2013 [13] p. 241) |
| GP surgery consultation | £45.00 | PSSRU 2012–2013 [13] p. 191 per surgery consultation 11.7 mins inc. direct care staff costs and qualification costs |
| GP home visit | £114.00 | PSSRU 2012–2013 [13] p. 191, per out of surgery visit 23.4 mins inc. direct care staff costs and qualification costs |
| GP phone consultation | £27.00 | PSSRU 2012–2013 [13] p. 191, per telecon 7.1 mins inc. direct care staff costs and qualification costs |
| Nurse surgery consultation | £13.43 | PSSRU 2012–2013 [13] p. 188, per hour of face-to-face contact (inc. qualifications) × 15.5 min duration of contact |
| Nurse home visit | £52.00 | PSSRU 2012–2013 [13] p. 188, per hour of face-to-face contact (inc. qualifications). Assumes home visit takes 1 h |
| Nurse phone consultation | £13.43 | Assumed same as surgery consultation |
| Health visitor surgery consultation | £19.67 | PSSRU 2012–2013 [13] p. 185, per hour of patient-related work × 20/60 (length of contact − assumed 20 min) |
| Health visitor home visit | £71.00 | PSSRU 2012–2013 [13] p. 185, per home visit (inc. qualifications). Assumes home visit takes 1 h |
| Health visitor phone consultation | £19.67 | Assumed same as surgery consultation |
| Physio surgery consultation | £47.00 | PSSRU 2012–2013 [13] p. 175, mean cost for a one-to-one contact in physiotherapy services |
| Physio home visit | £47.00 | Assumed same as surgery consultation |
| Physio phone consultation | £23.50 | Assumed half of surgery consultation |
| OT surgery consultation | £73.00 | PSSRU 2012–2013 [13] p. 176, mean cost for a one-to-one contact in OT services |
| OT home visit | £73.00 | Assumed same as surgery consultation |
| OT phone consultation | £36.50 | Assumed half of surgery consultation |
| Other AHP surgery consultation | £47.00 | Assumed same as physiotherapist |
| Other AHP home visit | £47.00 | Assumed same as physiotherapist |
| Other AHP phone consultation | £23.50 | Assumed same as physiotherapist |
| Carer home visit | £24.00 | PSSRU 2012–2013 [13] p. 202, per hour face-to-face weekday contact |
| Social worker office visit | £79.00 | PSSRU 2012–2013 [13] p. 198, per hour of client-related work (inc. qualification costs) |
| Social worker home visit | £79.00 | PSSRU 2012–2013 [13] p. 198, per hour of client-related work (inc. qualification costs) |
| Social worker phone call | £39.50 | Assumed half of home visit |
| Cleaner home visit | £8.98 | ONS Annual Survey of Hours and Earnings, 2013 [15] provisional results, Table 13, median weekly earnings by occupation; occupation group 6, caring, leisure and other service occupations. Assumed 37.5 h per week |
| Car transport to hospital | £2.70 | Assumed 6 miles × 45 p per mile |
| Car transport to GP surgery | £1.35 | Assumed half distance to hospital |
| Public transport or taxi to GP surgery | £11.57 | Estimated from study data. Adjusted to 2013 costs using CPI [16] |
| Hourly wage | £13.03 | ONS Annual Survey of Hours and Earnings, 2013 [15] provisional results, Table 3, median hourly earnings |
| Mean length of stay for IP admission for COPD (days) | 1.72 | Ref costs 2012–2013 [12], elective inpatient HRG data, worksheet EI, code weighted average LoS of DZ19D-G |
| Mean length of stay for IP admission for other (days) | 3.66 | Multiplied by same proportionate difference as unit costs |
A&E accident and emergency, AHP allied health professionals, Appt appointment, COPD chronic obstructive pulmonary disease, CPI Consumer Price Index, GP general practitioner, HCHS Hospital and Community Health Service, HRG Healthcare Resource Groups, IP inpatient, ONS Office of National Statistics, OP outpatient, OT occupational therapist, Physio physiotherapist, PSSRU Personal Social Services Research Unit ref costs, Department of Health unit costs