Table 47Cost of providing the MDT at the Specialist Centre

HCPCost/annumCost/hourSource (bands informed by the committee)
Core MDT
Specialist CF Clinician£190,408a£105bPSSRU 2016: Hospital-based doctors, medical consultant
Specialist Nurse£83,628c£53dPSSRU 2016: Band 7, hospital-based nurses
Specialist Dietitian£85,739f£54ePSSRU 2016: Band 7, scientific and professional staff
Specialist Physiotherapist£87,381g£55ePSSRU 2016: Band 7, scientific and professional staffh
Specialist Pharmacist£101,367i£64ePSSRU 2016: Band 8a, scientific and professional staff
Specialist Psychologist£101,367i£64ePSSRU 2016: Band 8a, scientific and professional staff
Specialist Social worker£61,730j£40kPSSRU 2016: Social worker (adult services)
Specialist Social worker£58,947l£39kPSSRU 2016: Social worker (children’s services)
Extended MDT
Paediatric Diabetic Medicine£253 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance Follow-up, Consultant-led, Paediatric Diabetic Medicine 263
Diabetic Medicine£159 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance Follow-up, Consultant-led, Diabetic Medicine 307
Paediatric ENT surgeon£103 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance, Follow-up, Consultant led, Paediatric Ear Nose And Throat 215
ENT surgeon£89 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance, Follow-up, Consultant led, Ear Nose And Throat 120
Obstetrician£121 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance, Follow-up, Consultant-led, Obstetrics 501
General surgeon£123 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance, Follow-up, Consultant led, General Surgery 100
Gastroenterologist/hepatologist£253 per attendanceNHS Reference Costs 2015/16: WF01A, Non-Admitted Face to Face Attendance, Follow-up, Consultant led, Hepatology 306

CF, cystic fibrosis; ENT, ear, nose and throat; HCP, heath care professional; MDT, multidisciplinary team; PSSRU, Personal Social Services Research Unit

(a)

Including wages/salary £87,449; salary oncosts £23,198; management, admin and estates staff overheads £26,777; non-staff overheads £47,689 and capital overheads £5,295

(b)

Working time 42.3 weeks (1,838 hours) per year 43.3 hours per week

(c)

Including wages/salary £38,550; salary oncosts £9,605; management, admin and estates staff overheads £11,653; non-staff overheads £20,755 and capital overheads £3,065

(d)

Working time 42 weeks (1,572 hours) per year, 37.5 hours per week

(e)

Working time 42.7 weeks (1,603 hours) per year, 37.5 hours per week

(f)

Band 7 Dietitian. Including wages/salary £38,786; salary oncosts £9,670; management, admin and estates staff overheads £11,726; non-staff overheads £20,885 and capital overheads £4,672

(g)

Band 7 Physiotherapist. Including wages/salary £38,786; salary oncosts £9,670; management, admin and estates staff overheads £11,726; non-staff overheads £20,885 and capital overheads £6,314

(h)

Specialist Centre must be led by a Principal CF Physiotherapy Practitioner (Band 8)

(i)

Band 8a. Including wages/salary £46,095; salary oncosts £11,702; management, admin and estates staff overheads £13,987; non-staff overheads £24,911 and capital overheads £4,672

(j)

Including wages/salary £31,288; salary oncosts £9,463; direct overheads £11,818; indirect overheads £6,520 and capital overheads £2,641

(k)

Working time 41 weeks (1,517) 37 hours per week

(l)

Including wages/salary £29,854; salary oncosts £8,978; direct overheads £11,261; indirect overheads £6,213 and capital overheads £2,641

From: Appendix K, Health Economics

Cover of Cystic Fibrosis
Cystic Fibrosis: Diagnosis and management.
NICE Guideline, No. 78.
National Guideline Alliance (UK).
Copyright © NICE 2017.

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