Table 2.

Cost Analysis and Cost Reduction for VJRC vs Orthopedic Outpatient Appointment.

Resources/staff	Cost (British pounds)	Resources/staff	Cost (British pounds)
Cost Estimate of VJRC Appointment		Cost Estimate of a General Orthopedic Clinic Routine Outpatient Appointment
APS teleclinic	18.59	Orthopedic consultant	25
APS administration	7.20	Nursing/healthcare assistants	10
Administration team	5.19	Physiotherapy	11
Consultant (X-ray review in approximately 2 min)	2.86	Laboratory services	8
Plain radiographs	25	Plain radiographs	25
Corporate overheads	14.70	Medications	2
Indirect cost estimate of patients who subsequently need a face-to-face clinic review appointment	5.47	Outpatient and estate costs	25
		Corporate overheads	23
		Others (including secondary commissioning and interest payments)	6
Total cost per appointment	79	Total cost per appointment	135
Estimated total cost for VJRC appointments for the 1523 patients	120,317	Estimated cost if these 1523 patients had a face-to-face orthopedic outpatient follow-up	205,605
Total estimated savings of VJRC	85,288 (42,644/y)

Virtual Joint Replacement Clinic; APS, arthroplasty physiotherapy specialist.