Table 4.

Cost estimates per patient for the community-based and hospital-based diagnostic pathways

Expense		Cost per patient
		Hospital pathway	Outreach pathway
Referral triage time		£3.44	£3.44
Sleep study	Description	2017/2018 national tariff	2017/2018 national tariff
	Cost	£408	£408
Clinic appointment	Description	2017/2018 national tariff cost for 1 new OPA and 1 F/U OPA	4-hour community clinic run by band 7+2 hour admin. using AfC (midnodal)
	Total cost/patient	£302	£14.87
MDT	Cost	£16.58	£11.05
MDT administrative costs	Description	15 min/patient band 4	15 min/patient band 7
	Cost	£2.79	£4.95
	Total	£732.81	£442.31

For the community clinic, costs are calculated based on eight patients being seen per clinic. Hospital clinic costs are calculated based on our data demonstrating an average two attendances (one new and one follow-up).¹¹

AfC, Agenda for Change; F/U, follow-up appointment; MDT, multidisciplinary team; OPA, outpatient appointment.