Business case Lap Colorectal -2
Financial comparison of cost of open and laparoscopic surgery – as calulated by North Bristol NHS Trust Finance Dept. 2005
57 Anterior resections rectum (TME)
|
OPEN (n=26) |
LAPAROSCOPIC (n=31) |
| Theatre time cost |
£ 1,344 |
£ 1,083 |
| Length of stay |
£ 2,041 |
£ 623 |
| Consumables |
£ 422 |
£ 1,233 |
| TOTAL COST/CASE |
£ 3,807 |
£ 2,939 |
Activity data
| Time in theatre (hrs) |
3.95 |
3.18 |
| Length of stay (days) |
17 |
5 |
Unit costs
Critical care cost list/anum £ 49,700
Surgeon costs £ 12,244 (based on 1.25 Pas)
No. lists/year 52
Hours/list 3.5
ie., Cost/theatre hr £ 340
Ward costs
Cost ward 207 £948,224
Medical staff costs £ 58,770
No beds 28
Days/anum 365 At 85% occupancy
Ward cost/bed day £116
Facilities (catering/cleaning etc) £6
ie., Cost/bed day £122
Consumables
Harmonic scalpel £238, ATW45 £317, Haem-o-lock clips £20, ATG45 = £115, Disposable ports = £ 90, Epidural = £260, CDH29 Common to both approaches (NB. These are local costs determined by usage/volume)
(NB. BLA believe the £122 to be grossly short of a true inpatient stay cost (approx £350).
Financial comparison of cost of open and laparoscopic surgery – North Bristol NHS Trust Finance Dept. 2005
Right hemicolectomy (n=59)
|
OPEN (n=24) |
LAPAROSCOPIC (n=35) |
| Theatre time cost |
£ 699 |
£ 360 |
| Length of stay |
£ 978 |
£ 488 |
| Consumables |
£ 260 |
£ 335 |
| TOTAL COST/CASE |
£ 1,940 |
£ 1,183 |
Activity data
| Time in theatre (hrs) |
2.05 |
1.18 |
| Length of stay (days) |
8 |
4 (3 days 2005/6) |
Unit costs
Critical care cost list/anum £ 49,700
Surgeon costs £ 12,244 (based on 1.25 Pas)
No. lists/year 52
Hours/list 3.5
Cost/theatre hr £ 340
Ward costs
Cost ward 207 £948,224
Medical staff costs £ 58,770
No beds 28
Days/anum 365 At 85% occupancy
Ward cost/bed day £116
Facilities (catering/cleaning etc) £6
Cost/bed day £122
Consumables
Harmonic scalpel £238, Haem-O-lock clips £20, Disposable ports £ 90, Epidural £260 (NB these are local costs based on usage/volume).
|