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Multidisciplinary supportive care in cancer: cost analysis
  1. Daniel Monnery1,
  2. Yan Liu2,
  3. Ann Griffiths1,
  4. Jill Lockhart3,
  5. Seamus Coyle1,4 and
  6. Anna Olsson-Brown5,6
  1. 1 Palliative Medicine, Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK
  2. 2 NHS Digital, Leeds, UK
  3. 3 NHS England Specialised Commissioning Improving Value Team, London, UK
  4. 4 Liverpool Head and Neck Centre, University of Liverpool, Liverpool, UK
  5. 5 Department of Clinical and Molecular Pharmacology, University of Liverpool, University of Liverpool, Liverpool, UK
  6. 6 Medical Oncology, The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Dr Daniel Monnery, Palliative Medicine, Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool L7 8YA, UK; daniel.monnery{at}


Purpose Enhanced supportive care (ESC) is the early implementation of supportive care in cancer. In England, this model is being developed to support patients with treatable but not curable cancer and implements a multiprofessional approach.

Objective To describe the workforce and cost-effectiveness of an outpatient ESC service in a tertiary cancer centre in England.

Methods Workforce costs to deliver ESC to 265 patients was collected. Service impact on secondary care usage in the last year of life was compared against the regional and national average derived from the National Health Service Digital Secondary Uses Service dataset.

Results Our ESC service required the input of seven professional groups and cost £125 542 for 12 months. ESC patients had an average of 1.72 fewer admissions per patient per last year of life than the national average. Length of stay was reduced from an average of 9.2 days to 4.78 days per admission in the last year of life. The reduced secondary care usage saved £2 398 537.68.

Conclusions Outpatient ESC in this cohort required an multidisciplinary team approach and saved money through secondary care use reduction.

  • Cancer
  • Supportive care

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  • Contributors All authors have contributed to the authorship of this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.