Table 5.
Staff costs to deliver ACP
| Resource use category | Staff time in minutes (SD) | Mean staff costs (SD) | Training fees |
|---|---|---|---|
| Nephrologist introducing ACP per patient – completing patients a | 16.3 (10.4) | £29.34 (18.72)i | |
| Nephrologist introducing ACP per patient – withdrawing patients b | 13.8 (8.0) | £24.84 (14.4)i | |
| Nurse introducing ACP per patient – completing patients c | 19.0 (9.4) | £14.30 (7.08)j | |
| Nurse introducing ACP per patient – withdrawing patients d | 13.8 (9.6) | £10.38 (7.23)j | |
| Nurse delivering ACP per patient e | 73.5 (15) | £55.33 (11.29)j | |
| Training time per staff participant f | 270 | £365.26 | £80 (n = 10) |
| Training time per expert patient g | 120 | £100 | £40 (n = 5) |
| Compensation per expert patient h | £50 |
adata from 11 patients
bdata from 12 patients
cdata from 17 patients
ddata from 20 patients
edata from 13 patients (9 immediate and 4 deferred ACP)
f3 nephrologists and 7 nurses
g5 expert patients
h1 expert patient
iCost per hour, 48-h week of a hospital based medical consultant - £108
jWeighted average of hourly rate of hospital based nurses. ACP Nurse pay bands: one band 7, four band 6, and one band 5 (one nurse was trained but did not implement ACP) [48]