Resource | Unit cost (£2003/4) | Source |
PP per minute (within-trial work patterns and salaries) | 1.24 | SYAS and Sheffield Teaching Hospitals NHS Trust (cost per call £103) |
PP per minute (reduced utilisation and ECP salaries) | 2.23 | FRV work patterns and ECP salary (cost per call £186) |
FRV/motorbike/PTSS per minute | 4.73 | SYAS (cost per call £144) |
Emergency ambulance per minute | 3.53 | SYAS (cost per call £182) |
ED cost per minute | 0.37 | Sheffield Teaching Hospitals NHS Trust |
MIU attendance | 38 | NHS Reference Costs (discrete MIU)5 |
Hospital social care assessment | 157 | Sheffield Teaching Hospitals NHS Trust* |
Community social care assessment | 75 | Sheffield Primary Care Trust† |
Inpatient day in other specialties | Various | Sheffield Teaching Hospitals NHS Trust financial returns 2003/4 |
Subsequent ambulance attendance | 182 | SYAS |
Subsequent ED attendance | 57 | NHS reference costs, ED attendance (no treatment, referred/discharged)5 |
GP visit | 21 | PSSRU (2004)6 |
District nurse visit | 20 | PSSRU (2004)6 |
Social services visit | 36 | PSSRU, intensive case manager for older people6 |
Nursing/residential care day | 52 | PSSRU‡ (2004)6 |
*A typical patient requires 2.5 h with a social worker, 1.5 h of occupational therapy, 1.5 h of physiotherapy and one in 20 requires 0.5 h with a consultant and liaison nurse. In addition, there are management and overheads of £15 per patient. †Typical initial assessment lasts 3 h from either occupational therapist or social worker. ‡Based on short-term resident cost per week for private nursing home, private, voluntary and local authority residential homes from the Personal Social Services Research Unit (PSSRU; 2004), then weighted by type of home and type of funding from PSSRU (1998).6 7 If private costs were to be included, the unit cost would increase to £66 per day. ECP, emergency care practitioner; ED, emergency department; FRV, fast response vehicle; GP, general practitioner; MIU, minor injuries unit; NHS, National Health Service; PP, paramedic practitioner; PTSS, patient travel subsidy scheme; SYAS, South Yorkshire Ambulance Service.
*A typical patient requires 2.5 h with a social worker, 1.5 h of occupational therapy, 1.5 h of physiotherapy and one in 20 requires 0.5 h with a consultant and liaison nurse. In addition, there are management and overheads of £15 per patient. †Typical initial assessment lasts 3 h from either occupational therapist or social worker. ‡Based on short-term resident cost per week for private nursing home, private, voluntary and local authority residential homes from the Personal Social Services Research Unit (PSSRU; 2004), then weighted by type of home and type of funding from PSSRU (1998).6 7 If private costs were to be included, the unit cost would increase to £66 per day. ECP, emergency care practitioner; ED, emergency department; FRV, fast response vehicle; GP, general practitioner; MIU, minor injuries unit; NHS, National Health Service; PP, paramedic practitioner; PTSS, patient travel subsidy scheme; SYAS, South Yorkshire Ambulance Service.