RT Journal Article
SR Electronic
T1 Multidisciplinary supportive care in cancer: cost analysis
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP spcare-2022-004135
DO 10.1136/spcare-2022-004135
A1 Daniel Monnery
A1 Yan Liu
A1 Ann Griffiths
A1 Jill Lockhart
A1 Seamus Coyle
A1 Anna Olsson-Brown
YR 2022
UL http://spcare.bmj.com/content/early/2022/12/28/spcare-2022-004135.abstract
AB 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.