Table 3. Cost Estimates: Model 1 (“minimal service input”).
| Area | Asthma Counselling (£) | COPD Counselling (£) | Nonadherent Patients, n | Additional GP Appointments Costs (£) | Total (£) | Total (£) |
|---|---|---|---|---|---|---|
| Model 1: 0% of Patients Nonadherent, Requiring Additional Counselling | ||||||
| pMDIs only – England | 9 314 082 | 1 914 739 | - | - | 12 347 793 | |
| pMDIs and DPIs – England | 337 508 | 781 463 | - | - | ||
| pMDIs only – 50,000 patients PCN | 8274 | 1701 | - | - | 10 969 | |
| PMDIs and DPIs – 50,000 patients PCN | 300 | 694 | - | - | ||
| Model 1a: 20% of Patients Nonadherent, Requiring Additional Counselling | ||||||
| pMDIs only – England | 9 314 082 | 1 914 739 | 499 059 | 19 578 073 | 30 806 894 | 33 876 855 |
| pMDIs and DPIs – England | 337 508 | 781 463 | 49 732 | 1 950 989 | 3 069 961 | |
| pMDIs only – 50,000 patients PCN | 8274 | 1701 | 443 | 17 391 | 27 366 | 30 093 |
| PMDIs and DPIs – 50,000 patients PCN | 300 | 694 | 44 | 1733 | 2727 | |
| Model 1b: 40% of Patients Nonadherent, Requiring Additional Counselling | ||||||
| pMDIs only – England | 9 314 082 | 1 914 739 | 998 117 | 39 156 146 | 50 384 967 | 55 405 917 |
| pMDIs and DPIs – England | 337 508 | 781 463 | 99 464 | 3 901 978 | 5 020 950 | |
| pMDIs only – 50,000 patients PCN | 8274 | 1701 | 887 | 34 783 | 44 757 | 49 217 |
| PMDIs and DPIs – 50,000 patients PCN | 300 | 694 | 88 | 3466 | 4460 | |
Abbreviations: DPI, dry powder inhaler; PCN, primary care network; pMDI, pressurised metered-dose inhaler.