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Table 1 Unit costs for health and social care resource use

From: An exercise intervention to prevent falls in Parkinson’s: an economic evaluation

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

  1. † The unit costs of resource items were identified using 2008 cost data from the Personal Social Services Research Unit (Curtis, 2008).
  2. * No 2008 cost data were available for acute hospital bed days, so the PSSRU 2007 cost was inflated for this item (Curtis, 2007).
  3. ^ 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.