Select Committee on Health Minutes of Evidence


Annex 5

ScHARR: PALLIATIVE CARE COSTS

PALLIATIVE CARE COSTS

(For a Hypothetical network of 1.5m)

  Table shows the costs to the hypothetical network of providing three different levels of each of the eight specialist palliative care service components. Costs are shown based on both the model estimates and using figures derived from the eight hospice study.


Service/
Level
  
Model
Hospice
Study

1Inpatient SPC beds
30 beds/m
4.259m
3.400m
B50 beds/m (national average)
7.080m
5.660m
C70 beds/m
9.915m
7.930m
2Community SPC Teams
A9am-5pm x 5 days/week
1.685m
1.600m
B9am-5 pm x 7 days + 24 hour telephone support2
C24 hour visiting service x 7 days
2.485m
2.360M
3Hospital SPC Support Teams
1.415m
N/A
A9am—5pm x 5 days/week
1.630m
N/A
B9am-5pm x 7 days/week + 24 hr telephone support2
2.460m
N/A
C27 hour visiting x 7 days
4Palliative Day Care
A8,000 places/m pa
0.985m
0.760m
B13,000 places/m p.a (national average)
1.575m
1.210m
C18,000 places/m pa
2.180m
1.680m
5Outpatient SPC Services
ANone
BDedicated SPC clinics only
0.085m
N/A
CSPC clinics + support to cancer MDTs
0.485m
N/A
6Marie Curie (or equivalent) Nursing Services
A6.7 wte nurses/m
0.180m
N/A
B10.7 wte nurses/m (national average)
0.285m
N/A
C16 WTE nurses/m0.430m
N/A
7Bereavement Support
A5% uptake by potential clients
0.220m
0.200m
B15% uptake by potential clients3
0.460m
0.425m
C25% uptake by potential clients
0.700m
0.645m
8Education
ABasic infrastructure only
0.100m
N/A
BInfrastructure + one programme
0.160m
N/A
CInfrastructure + two programmes
0.240m
N/A

Notes.

  1.  For several services Level B has been set at current national averages (inpatient beds; palliative day care places; Marie Curie Nursing Service provision). Level A and Level C have then been set arbitrarily. Level A for inpatient beds (30/m) corresponds approximately with the level observed in the last well served Region; at Level C the best served region in a survey in 2000.

  2.  For community SPC teams and hospital SPC support teams Level B corresponds to recommendations in the draft Supportive and Palliative Care Guidance from NICE.

  3.  For bereavement support Level B corresponds with that provided by one existing service. Levels A and C are arbitrarily lower and higher.

  4.  For education the funding available to a network of 1.5m (approx £60k pa) has been factored in as "a programme".



 
previous page contents next page

House of Commons home page Parliament home page House of Lords home page search page enquiries index

© Parliamentary copyright 2004
Prepared 26 July 2004