Unit cost tables
TABLE 145
Unit costs (£) of emergency medicine treatments and investigations in the ED, MIU and walk-in centre: national average unit costs (IQR)31
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| HRG code | Descriptiona,b | ED: not leading to admitted | ED: leading to admittedc | MIU: not leading to admitted | MIU: leading to admittedc | Walk-in centre: not leading to admitted | Walk-in centre: leading to admittedc |
|---|
| VB01Z | Emergency Medicine, Any Investigation with Category 5 Treatment | 264 (132–319) | 359 (241–502) | 63 (29–29) | 175 (113–130) | 58 (58–58) | |
| VB02Z | Emergency Medicine, Category 3 Investigation with Category 4 Treatment | 257 (173–328) | 319 (267–375) | 167 (57–248) | 123 (105–107) | 49 (49–49) | |
| VB03Z | Emergency Medicine, Category 3 Investigation with Category 1–3 Treatment | 220 (184–245) | 245 (185–276) | 149 (67–177) | 111 (78–123) | 85 (45–74) | |
| VB04Z | Emergency Medicine, Category 2 Investigation with Category 4 Treatment | 191 (147–203) | 210 (181–227) | 86 (55–94) | 136 (77–151) | 66 (45–58) | |
| VB05Z | Emergency Medicine, Category 2 Investigation with Category 3 Treatment | 164 (140–187) | 183 (157–206) | 88 (44–128) | 103 (71–90) | 63 (45–48) | |
| VB06Z | Emergency Medicine, Category 1 Investigation with Category 3–4 Treatment | 114 (95–131) | 137 (114–149) | 84 (57–106) | 69 (43–107) | 40 (39–39) | 36 (36–36) |
| VB07Z | Emergency Medicine, Category 2 Investigation with Category 2 Treatment | 143 (123–157) | 162 (139–179) | 76 (50–96) | 83 (55–92) | 40 (39–39) | |
| VB08Z | Emergency Medicine, Category 2 Investigation with Category 1 Treatment | 131 (113–146) | 155 (130–175) | 94 (56–130) | 106 (50–139) | 58 (51–51) | |
| VB09Z | Emergency Medicine, Category 1 Investigation with Category 1–2 Treatment | 91 (78–103) | 114 (101–119) | 58 (42–63) | 46 (36–42) | 58 (46–79) | 35 (35–35) |
| VB10Z | Emergency Medicine, Dental Care | 68 (78–103) | 152 (151–157) | 95 (26–126) | 89 (47–110) | 43 (24–62) | |
| VB11Z | Emergency Medicine, No Investigation with No Significant Treatment | 71 (59–82) | 94 (151–98) | 51 (43–58) | 49 (21–92) | 38 (32–41) | 42 (38–42) |
HRG, Healthcare Resource Group.
- a
Examples of investigations: category 1 = urine test; category 2 = blood test, radiography; category 3 = scan.
- b
Examples of treatments: category 1 = observation, advice, cream to put on the skin, medicine to take home, bandage, sling or support; category 2 = medicine given by mouth, dressing for wound or burn, paper stitches or wound glue, splint, cast to hold broken or fractured bone in place, physiotherapy, stomach washout, local anaesthetic, tetanus injection, drip; category 3 = medicine given by injection, stitches, oxygen through mask or tube to help breathing; category 4 = manipulation of broken or fractured bone or dislocated joint, general anaesthetic, blood transfusion, chest drain, tube in throat for child who cannot breathe for him- or herself; category 5 = resuscitation.
- c
‘Admitted’ includes children observed in the ED or on the ward or who stayed in hospital overnight.
Reproduced with permission from Cooper NJ, Kendrick D, Timblin C, Hayes M, Majsak-Newman G, Meteyard K, Hawkins A, Kay B. The short-term cost of falls, poisonings and scalds occurring at home in children under 5 years old in England: multicentre longitudinal study. Injury Prevention 2016; [published online first 29 January 2016] http://dx.doi.org/10.1136/injuryprev-2015-041808.200 Copyright © 2015 by the BMJ Publishing Group Ltd. All rights reserved.
TABLE 146
Unit costs (£) of health-care and non-health-care resources
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| Resource | Unit cost (IQR) (£) | Source |
|---|
| Health-care resources |
|---|
| Long inpatient stay ≥ 2 days (average cost per episode) | 2461.00 (1771–2865) | Curtis30 |
| Short inpatient stay 0–1 day (average cost per episode) | 586.00 (386–688) | Curtis30 |
| Day case | 680.00 (460–837) | Curtis30 |
| GP visit (average length of visit 11.7 minutes) | 36.00 | Curtis30 |
| GP-based nurse visit (average length of visit 15.5 minutes) | 11.63 | Curtis30 |
| Health visitor – home visit (average length of visit 20 minutesa) | 21.00 | Curtis30 |
| Health visitor – telephone (average length of call 7.1 minutesb) | 5.08 | Curtis30 |
| Consultant outpatient visit | 139.00 | Curtis30 |
| Hospital-based nurse visit | 22.00 | Curtis30 |
| Physiotherapist | 17.00 | Curtis30 |
| Subsequent visit to ED | 155.87 | Department of Health31 |
| Prescribed medication |
| Fucidin cream | 3.64 | BNF499 |
| Paracetamol | 0.72 |
| Ibuprofen | 1.51 |
| Eye drops | 1.75 |
| Penicillin | 1.90 |
| Flucloxacillin | 13.12 |
| Yellow paraffin cream | 3.28 |
| Aqueous cream | 1.72 |
| Oilatum | 4.65 |
| Hydrocortisone | 1.71 |
| Siligel | 19.00 |
| Pressure garment | 2.86 |
| Silicon patch | 7.50 |
| Non-health-care resources |
|---|
| Over-the-counter medication |
| Paracetamol | 4.89 | Chemist Direct [www.chemistdirect.co.uk/ (accessed 2 November 2016)] |
| Ibuprofen | 3.99 |
| Sensodyne toothpaste | 3.89 |
| Sudocrem | 3.49 |
| Bio-Oil | 20.37 |
| Professional child care (per hour) | 4.05 | Family and Childcare Trust500 |
| Time off paid work (per day) |
| 16–17 years | 32.00 | Office for National Statistics501 |
| 18–21 years | 55.90 |
| 22–29 years | 82.40 |
| 30–39 years | 111.40 |
| 40–49 years | 114.50 |
| 50–59 years | 107.20 |
| 60+ years | 95.60 |
| Time off other activities, i.e. non-work (per day) | 45.70 | Department for Transport493 |
| Travel (per km assuming average speed of 56 km/h) | 0.11 | Department for Transport493 |
BNF, British National Formulary.
- a
- b
Based on average length of GP’s telephone call.
Reproduced with permission from Cooper NJ, Kendrick D, Timblin C, Hayes M, Majsak-Newman G, Meteyard K, Hawkins A, Kay B. The short-term cost of falls, poisonings and scalds occurring at home in children under 5 years old in England: multicentre longitudinal study. Injury Prevention 2016; [published online first 29 January 2016] http://dx.doi.org/10.1136/injuryprev-2015-041808.203 Copyright © 2015 by the BMJ Publishing Group Ltd. All rights reserved.
Medical record data extraction form
Unique identity code:
Q1.1 Was child admitted to hospital for their original injury?
Q1.2 Number of nights?
Q1.3 Tests carried out in ED/ward.
Q1.4 Treatments carried out in ED/ward
Observations.
Advice.
Medications by mouth.
Medications by injection.
Cream on skin.
Medications to take home.
Dressing to wound/burn.
Stitches.
Wound closure strips or glue.
Bandage/sling/support.
Splint.
Manipulation of fractured bone.
Dislocated joint.
Operation to fix fracture.
Cast/plaster of Paris.
Physiotherapy.
Stomach washout.
General anaesthetic.
Local anaesthetic.
Tetanus injection.
Drip.
Blood transfusion.
Chest drain.
Oxygen therapy.
Intubation.
Resuscitation.
Other.
Q1.5 Admissions since accident.
Q1.6 Other health professional contacts.
