Multidisciplinary supportive care in cancer: cost analysis

Daniel Monnery; Yan Liu; Ann Griffiths; Jill Lockhart; Seamus Coyle; Anna Olsson-Brown

doi:10.1136/spcare-2022-004135

Multidisciplinary supportive care in cancer: cost analysis

Daniel Monnery
, Yan Liu
, Ann Griffiths
, Jill Lockhart
, Seamus Coyle
, Anna Olsson-Brown

Cork University Dental School and Hospital

Consultant in Palliative Medicine
NHS Digital
NHS England Specialised Commissioning Improving Value Team

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	E512-E515
Journal	BMJ Supportive and Palliative Care
Volume	14
Issue number	e1
DOIs	https://doi.org/10.1136/spcare-2022-004135
Publication status	E-pub ahead of print - 29 Dec 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1136/spcare-2022-004135

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title = "Multidisciplinary supportive care in cancer: cost analysis",

abstract = "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.",

author = "Daniel Monnery and Yan Liu and Ann Griffiths and Jill Lockhart and Seamus Coyle and Anna Olsson-Brown",

note = "{\textcopyright} Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.",

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T1 - Multidisciplinary supportive care in cancer

T2 - cost analysis

AU - Monnery, Daniel

AU - Liu, Yan

AU - Griffiths, Ann

AU - Lockhart, Jill

AU - Coyle, Seamus

AU - Olsson-Brown, Anna

PY - 2022/12/29

Y1 - 2022/12/29

N2 - 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.

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.

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DO - 10.1136/spcare-2022-004135

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JO - BMJ Supportive and Palliative Care

JF - BMJ Supportive and Palliative Care

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ER -

Multidisciplinary supportive care in cancer: cost analysis

Abstract

UN SDGs

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