Table 3

Disposition data and team opinion regarding likely standard care pathway and cost impact data

ActivityNumber%
Total patients seen by PRU1924100
Managed in community128967.0
Referred to hospital59731.0
Death at scene382.0
Patients who were managed in community1289100
Managed in community with follow-up56143.5
Managed in community without follow-up72856.5
Communication with general practitioner24519.0
Patients who were referred to hospital597100
Referral direct to specialist team16928.3
Conveyance by PRU11519.3
Conveyance by LAS42471.0
Unspecified conveyance (incl patient’s own)589.7
Likelihood of conveyance if PRU had not been dispatched1289100
Likely94573.3
Unsure14010.9
Unlikely20415.8
Likelihood of admission if had otherwise been conveyed1289100
Likely1269.8
Possibly17913.9
Unlikely98476.3
Cost of PRU activityUnit cost (£)NumberTotal cost (£)
Reduction in LAS activity
Presumed LAS activity with a no PRU model
See and treat or refer£192369£70 848
See, treat and convey£2521555£391 860
Total cost1924£462 708
Cost of LAS involvement in current PRU model
See, treat and refer (i.e crew request)£192393£75 456
See, treat and convey£252459£115 668
Total cost852£191 124
Net benefit of PRU model versus no PRU model£271 584 (a)
Reduction in hospital activity
ED attendances (patients deemed likely to have been otherwise conveyed to ED)£160945£151 200
Nightly cost local non-elective inpatient bed (source: Barts Health NHS Trust Business Intelligence Unit)£550126 patients
(868 bed days)
£477 400
Net benefit of PRU model to acute trusts versus no PRU model£628 600 (b)
PRU operational costs
WTE PRU fellow posts (registrar)£39 2505×0.5 WTE£196 250
Consultant sessions (PAs)£12 0006£72 000
LAS staffing enhancement£60 000
Non-recurrent costs (equipment, IT, expendables)£10 000
Rapid response vehicle lease£16 1601£16 160
Managerial support£15 667
Total operational costs of PRU£370 077 (c)
Overall net benefit ((a+b)–c)£530 107
  • Expressed as n (%) unless otherwise stated.

  • IT, information technology; PA, programmed activities; PRU, Physician Response Unit; WTE, whole time equivalent.