Table 8.
Annual cost of National Health Service (NHS) resource use attributable to managing 3.8 million patients with a wound (£ million at 2017/2018 prices).
| Abscess | Burn | Diabetic foot ulcer | Leg ulcer (arterial) | Leg ulcer (mixed) | Leg ulcer (unspecified) | Leg ulcer (venous) | Open wound | Pressure ulcer | Surgical wound | Trauma | Unspecified | Total | ||
| District/community nurse visits | £48.12 | £95.58 | £469.94 | £40.29 | £198.51 | £274.19 | £785.66 | £35.88 | £260.52 | £125.61 | £10.57 | £103.74 | £2448.61 | (29%) |
| GP office visits | £46.78 | £28.29 | £180.31 | £8.58 | £86.81 | £81.60 | £729.28 | £36.79 | £88.50 | £72.74 | £21.65 | £105.38 | £1486.71 | (18%) |
| Healthcare assistant visits | £28.90 | £33.38 | £276.69 | £26.52 | £121.45 | £180.62 | £458.11 | £20.91 | £99.84 | £79.23 | £6.19 | £63.00 | £1394.84 | (17%) |
| Hospital admissions without surgery | £30.25 | £22.51 | £24.91 | £0.00 | £11.06 | £61.67 | £201.92 | £42.82 | £33.86 | £76.53 | £29.36 | £99.31 | £634.20 | (8%) |
| Hospital outpatient visits with a nurse | £16.65 | £16.66 | £56.65 | £1.99 | £68.90 | £18.47 | £356.69 | £4.26 | £0.00 | £27.86 | £1.77 | £58.28 | £628.18 | (8%) |
| Practice nurse visits | £15.65 | £10.18 | £71.99 | £3.94 | £40.71 | £26.86 | £303.68 | £11.45 | £23.71 | £25.56 | £6.10 | £49.49 | £589.32 | (7%) |
| Wound care products | £10.81 | £12.65 | £92.48 | £5.80 | £38.14 | £39.24 | £225.10 | £10.68 | £19.05 | £33.57 | £5.50 | £38.36 | £531.38 | (6%) |
| Prescribed medication | £12.90 | £3.68 | £45.55 | £3.74 | £22.67 | £27.76 | £84.36 | £10.00 | £27.09 | £14.30 | £2.79 | £20.90 | £275.74 | (3%) |
| Hospital admissions with surgery | £9.67 | £13.38 | £20.69 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £73.12 | £7.33 | £0.00 | £124.19 | (1%) |
| Accident and emergency attendances | £9.16 | £7.44 | £24.15 | £1.64 | £7.65 | £3.05 | £39.89 | £4.87 | £6.46 | £9.28 | £2.12 | £5.74 | £121.45 | (1%) |
| Hospital outpatient visits with a physician/surgeon | £2.44 | £0.00 | £8.23 | £0.91 | £1.36 | £3.80 | £5.53 | £1.91 | £5.37 | £5.35 | £2.43 | £0.72 | £38.05 | (<1%) |
| GP home visits | £0.69 | £0.87 | £1.80 | £0.00 | £2.07 | £0.00 | £7.56 | £0.65 | £4.90 | £1.36 | £0.23 | £2.94 | £23.07 | (<1%) |
| Ambulance services | £0.35 | £0.00 | £1.49 | £0.00 | £0.52 | £0.00 | £6.27 | £0.00 | £0.00 | £0.71 | £0.00 | £0.81 | £10.15 | (<1%) |
| Podiatrist visits | £0.31 | £0.00 | £1.34 | £1.85 | £2.31 | £0.00 | £0.00 | £0.12 | £1.82 | £0.25 | £0.04 | £0.00 | £8.04 | (<1%) |
| Day cases | £0.84 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £0.00 | £1.37 | £0.00 | £0.66 | £2.87 | (<1%) |
| Specialist nurse visits* | £0.00 | £0.00 | £1.11 | £0.00 | £0.66 | £0.00 | £0.00 | £0.00 | £0.86 | £0.06 | £0.00 | £0.24 | £2.93 | (<1%) |
| Diagnostic tests | £0.00 | £0.01 | £0.03 | £0.00 | £0.06 | £0.09 | £0.00 | £0.01 | £0.00 | £0.03 | £0.01 | £0.04 | £0.28 | (<1%) |
| Total cost | £233.52 | £244.63 | £1277.36 | £95.26 | £602.88 | £717.35 | £3204.05 | £180.35 | £571.98 | £546.93 | £96.09 | £549.61 | £8320.01 | (100%) |
| 95% confidence intervals around the total cost† | £233.17 to £241.31 | £233.97 to £253.68 | £1250.56 to £1292.10 | £86.78 to £97.85 | £563.53 to £594.45 | £704.66 to £740.45 |
£2973.68; to £3261.84 | £175.64 to £182.46 |
£501.67 to £577.57 |
£540.69 to £555.76 |
£93.10 to £97.87 |
£539.47 to £571.17 |
£7,896.93 to £8466.51 |
|
Percentage of total cost in parentheses.
*Includes tissue viability nurses and diabetic nurse specialists.
†Based on 100 bootstrapped samples.
GP, general practitioner.