Table 1

Unit costs for health and social care resource use
Resource item Cost Basis of estimate
Primary care
General Practitioner (GP) surgery appointments £36.00 An 11.7 minute consultation
General Practitioner (GP) home visits £58.00 A 23.4 minute visit
Practice nurse (PN) surgery appointments £11.00 A consultation
Community/district nurse (CN) visits £26.00 A home visit
Hospital-based care
*Acute hospital bed days £213.20 A bed day of inpatient rehabilitation for an elderly person (£205 inflated by 1.04)
Day admissions £138.00 A day care service attendance for an elderly person
Accident & Emergency (A&E) attendances £111.00 An A&E treatment
Minor Injury Unit (MIU) attendances £35.00 An attendance at a non 24-hour A&E department/Casualty department
Outpatient consultant appointments £55.00 A first-attendance appointment
£71.00 A follow-up attendance appointment
^Parkinson’s Disease specialist nurse (PDNS) appointments £15.00 A 15 minute consultation (using ‘Nurse advanced [includes lead specialist, clinical nurse specialist, senior specialist])
^Parkinson’s Disease specialist nurse (PDNS) visits £16.66 A 25 minute home visit (using ‘Nurse advanced [includes lead specialist, clinical nurse specialist, senior specialist]) at £40/hour
Social care
Social worker/community care manager assessments £414.00 An hour of face-to-face contact = £138 Average length of contact (from DCC info provided to QAQoL) = 3hours
Hours of home care (per hour) £19.30 One hour of local authority organized home care
Hours of day care (per hour) £11.66 A session = £35
Estimated 3 hours per session
Days of residential care (per day) £136.86 Local authority care package for a short-term resident week = £958
Days of nursing care (per day) £93.71 Private care package cost for a short-term resident week = £656

† The unit costs of resource items were identified using 2008 cost data from the Personal Social Services Research Unit (Curtis, 2008).

* No 2008 cost data were available for acute hospital bed days, so the PSSRU 2007 cost was inflated for this item (Curtis, 2007).

^ No unit cost data were available for PDNS care, so the PSSRU 2008 costs for a ‘Nurse advanced (includes lead specialist, clinical nurse specialist, senior specialist) were used, as these relate to the same NHS pay band (Band 7) as PDNS, quoted by NICE 2006.

Fletcher et al.

Fletcher et al. BMC Health Services Research 2012 12:426   doi:10.1186/1472-6963-12-426

Open Data