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
|
|
| 1 | | Inpatient SPC beds
| | |
| | 30 beds/m
| 4.259m | 3.400m
|
| B | 50 beds/m (national average)
| 7.080m | 5.660m
|
| C | 70 beds/m
| 9.915m | 7.930m
|
| 2 | | Community SPC Teams
| | |
| A | 9am-5pm x 5 days/week
| 1.685m | 1.600m
|
| B | 9am-5 pm x 7 days + 24 hour telephone support2
| | |
| C | 24 hour visiting service x 7 days
| 2.485m | 2.360M
|
| 3 | | Hospital SPC Support Teams
| 1.415m | N/A
|
| A | 9am—5pm x 5 days/week
| 1.630m | N/A
|
| B | 9am-5pm x 7 days/week + 24 hr telephone support2
| 2.460m | N/A
|
| C | 27 hour visiting x 7 days
| | |
| 4 | | Palliative Day Care
| | |
| A | 8,000 places/m pa
| 0.985m | 0.760m
|
| B | 13,000 places/m p.a (national average)
| 1.575m | 1.210m
|
| C | 18,000 places/m pa
| 2.180m | 1.680m
|
| 5 | | Outpatient SPC Services
| | |
| A | None
| — |
|
| B | Dedicated SPC clinics only
| 0.085m | N/A
|
| C | SPC clinics + support to cancer MDTs
| 0.485m | N/A
|
| 6 | | Marie Curie (or equivalent) Nursing Services
| | |
| A | 6.7 wte nurses/m
| 0.180m | N/A
|
| B | 10.7 wte nurses/m (national average)
| 0.285m | N/A
|
| C | 16 WTE nurses/m0.430m
| N/A | |
| 7 | | Bereavement Support
| | |
| A | 5% uptake by potential clients
| 0.220m | 0.200m
|
| B | 15% uptake by potential clients3
| 0.460m | 0.425m
|
| C | 25% uptake by potential clients
| 0.700m | 0.645m
|
| 8 | | Education
| | |
| A | Basic infrastructure only
| 0.100m | N/A
|
| B | Infrastructure + one programme
| 0.160m | N/A
|
| C | Infrastructure + 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".
| 
