The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital

Alison Ward*, Sue Varvel, Judith Sixsmith, Stephen Spiro

*Corresponding author for this work

Research output: Contribution to conference typesPosterResearchpeer-review

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Abstract

Background. RGHC runs a Hospice at Home service providing 24/7 care. An independent study calculated the cost of a RGHC visit and the total community cost of home care, including all health care professional (HCP), carer, and family member visits. Methods. Over a period of 145 days, 550 calls and 335 visits made to/by the night team were recorded, averaging 3.79 per night. The salary cost per hour for each nurse, plus organizational add on costs, was calculated. To derive a total community cost, 35 families, considered by the nursing team to be able to consent, kept a diary for up to two-weeks, recording all HCP, carer and family support visits and duration of each visit. 17 diaries were returned. Descriptive analysis was used with the Statistical Package for the Social Sciences (SPSS v22). Costs were taken for HCPs and social care services from the PSSRU data 2015/16. Results. The average length of the diaries was 10.4 days. For 3.79 visits per night the cost per visit was £195 (taking into consideration that RGHC nurses travel in pairs). The 17 patient diaries covered a total of 177 days and showed a range of visits and complexity of care. RGHC staff provided 19% of the care at a cost of £3295; district nurses 13%, cost £2005; and formal carers 55% at a cost of £1344. 23 GPs visits comprised 4% of all visits but 15% of total costs. MacMillan/Marie Curie nurses accounted for just 2% of visits but 19% of cost as they stayed overnight. The entire cost of 177 days of care for 17 patients at end of life was £11,814; ie £66.7 per day as care was not needed every day of each diary period. Conclusions. The cost of home care seems acceptable, compared to the national average cost of a day in an inpatient specialist palliative care bed at £397-£400 (Data.Gov.UK 2015).
Original languageEnglish
Publication statusPublished - 15 Mar 2018
EventAssociation for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference - Bournemouth, United Kingdom
Duration: 15 Mar 201816 Mar 2018

Conference

ConferenceAssociation for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference
CountryUnited Kingdom
CityBournemouth
Period15/03/1816/03/18

Fingerprint

Hospice Care
Nursing Services
Home Care Services
Costs and Cost Analysis
Nurses
Caregivers
Rennie
Family Nursing
Delivery of Health Care
Hospices
Social Sciences
Salaries and Fringe Benefits
Social Work
Palliative Care

Keywords

  • Hospice at home
  • community care
  • Palliative care
  • end of life
  • Costs

Cite this

Ward, A., Varvel, S., Sixsmith, J., & Spiro, S. (2018). The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital. Poster session presented at Association for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference, Bournemouth, United Kingdom.
Ward, Alison ; Varvel, Sue ; Sixsmith, Judith ; Spiro, Stephen. / The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital. Poster session presented at Association for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference, Bournemouth, United Kingdom.
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abstract = "Background. RGHC runs a Hospice at Home service providing 24/7 care. An independent study calculated the cost of a RGHC visit and the total community cost of home care, including all health care professional (HCP), carer, and family member visits. Methods. Over a period of 145 days, 550 calls and 335 visits made to/by the night team were recorded, averaging 3.79 per night. The salary cost per hour for each nurse, plus organizational add on costs, was calculated. To derive a total community cost, 35 families, considered by the nursing team to be able to consent, kept a diary for up to two-weeks, recording all HCP, carer and family support visits and duration of each visit. 17 diaries were returned. Descriptive analysis was used with the Statistical Package for the Social Sciences (SPSS v22). Costs were taken for HCPs and social care services from the PSSRU data 2015/16. Results. The average length of the diaries was 10.4 days. For 3.79 visits per night the cost per visit was £195 (taking into consideration that RGHC nurses travel in pairs). The 17 patient diaries covered a total of 177 days and showed a range of visits and complexity of care. RGHC staff provided 19{\%} of the care at a cost of £3295; district nurses 13{\%}, cost £2005; and formal carers 55{\%} at a cost of £1344. 23 GPs visits comprised 4{\%} of all visits but 15{\%} of total costs. MacMillan/Marie Curie nurses accounted for just 2{\%} of visits but 19{\%} of cost as they stayed overnight. The entire cost of 177 days of care for 17 patients at end of life was £11,814; ie £66.7 per day as care was not needed every day of each diary period. Conclusions. The cost of home care seems acceptable, compared to the national average cost of a day in an inpatient specialist palliative care bed at £397-£400 (Data.Gov.UK 2015).",
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Ward, A, Varvel, S, Sixsmith, J & Spiro, S 2018, 'The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital' Association for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference, Bournemouth, United Kingdom, 15/03/18 - 16/03/18, .

The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital. / Ward, Alison; Varvel, Sue; Sixsmith, Judith; Spiro, Stephen.

2018. Poster session presented at Association for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference, Bournemouth, United Kingdom.

Research output: Contribution to conference typesPosterResearchpeer-review

TY - CONF

T1 - The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital

AU - Ward, Alison

AU - Varvel, Sue

AU - Sixsmith, Judith

AU - Spiro, Stephen

PY - 2018/3/15

Y1 - 2018/3/15

N2 - Background. RGHC runs a Hospice at Home service providing 24/7 care. An independent study calculated the cost of a RGHC visit and the total community cost of home care, including all health care professional (HCP), carer, and family member visits. Methods. Over a period of 145 days, 550 calls and 335 visits made to/by the night team were recorded, averaging 3.79 per night. The salary cost per hour for each nurse, plus organizational add on costs, was calculated. To derive a total community cost, 35 families, considered by the nursing team to be able to consent, kept a diary for up to two-weeks, recording all HCP, carer and family support visits and duration of each visit. 17 diaries were returned. Descriptive analysis was used with the Statistical Package for the Social Sciences (SPSS v22). Costs were taken for HCPs and social care services from the PSSRU data 2015/16. Results. The average length of the diaries was 10.4 days. For 3.79 visits per night the cost per visit was £195 (taking into consideration that RGHC nurses travel in pairs). The 17 patient diaries covered a total of 177 days and showed a range of visits and complexity of care. RGHC staff provided 19% of the care at a cost of £3295; district nurses 13%, cost £2005; and formal carers 55% at a cost of £1344. 23 GPs visits comprised 4% of all visits but 15% of total costs. MacMillan/Marie Curie nurses accounted for just 2% of visits but 19% of cost as they stayed overnight. The entire cost of 177 days of care for 17 patients at end of life was £11,814; ie £66.7 per day as care was not needed every day of each diary period. Conclusions. The cost of home care seems acceptable, compared to the national average cost of a day in an inpatient specialist palliative care bed at £397-£400 (Data.Gov.UK 2015).

AB - Background. RGHC runs a Hospice at Home service providing 24/7 care. An independent study calculated the cost of a RGHC visit and the total community cost of home care, including all health care professional (HCP), carer, and family member visits. Methods. Over a period of 145 days, 550 calls and 335 visits made to/by the night team were recorded, averaging 3.79 per night. The salary cost per hour for each nurse, plus organizational add on costs, was calculated. To derive a total community cost, 35 families, considered by the nursing team to be able to consent, kept a diary for up to two-weeks, recording all HCP, carer and family support visits and duration of each visit. 17 diaries were returned. Descriptive analysis was used with the Statistical Package for the Social Sciences (SPSS v22). Costs were taken for HCPs and social care services from the PSSRU data 2015/16. Results. The average length of the diaries was 10.4 days. For 3.79 visits per night the cost per visit was £195 (taking into consideration that RGHC nurses travel in pairs). The 17 patient diaries covered a total of 177 days and showed a range of visits and complexity of care. RGHC staff provided 19% of the care at a cost of £3295; district nurses 13%, cost £2005; and formal carers 55% at a cost of £1344. 23 GPs visits comprised 4% of all visits but 15% of total costs. MacMillan/Marie Curie nurses accounted for just 2% of visits but 19% of cost as they stayed overnight. The entire cost of 177 days of care for 17 patients at end of life was £11,814; ie £66.7 per day as care was not needed every day of each diary period. Conclusions. The cost of home care seems acceptable, compared to the national average cost of a day in an inpatient specialist palliative care bed at £397-£400 (Data.Gov.UK 2015).

KW - Hospice at home

KW - community care

KW - Palliative care

KW - end of life

KW - Costs

UR - https://spcare.bmj.com/content/8/Suppl_1/A25.1

M3 - Poster

ER -

Ward A, Varvel S, Sixsmith J, Spiro S. The cost of a night nursing service at Rennie Grove Hospice Care (RGHC), and the total community cost of care at home compared to an admission to hospital. 2018. Poster session presented at Association for Palliative Medicine Supportive & Palliative Care (APM ASP) Conference, Bournemouth, United Kingdom.