The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS

Authors: Kellezi, B., Baines, D.L., Coupland, C., Beckett, K., Barnes, J., Sleney, J., Christie, N. and Kendrick, D.

Journal: Journal of Public Health (United Kingdom)

Volume: 38

Issue: 4

Pages: e464-e471

eISSN: 1741-3850

ISSN: 1741-3842

DOI: 10.1093/pubmed/fdv173

Abstract:

Background: Injuries in working age adults are common, but few studies examine NHS resource use or costs. Methods: Costing study based on a cohort of 16- to 70-year olds admitted to hospital following unintentional injury in NHS Trusts in four UK centres. Participants completed resource-use questionnaires up to 12 months post-injury. Primary and secondary care, aids, adaptations, appliances and prescribed medications were costed. Mean costs by injury type and age group and costs per clinical commissioning group (CCG) were estimated. Results: A total of 668 adults participated. Follow-up rates ranged from 77% at 1 month to 65% at 12 months. The mean cost of injuries over 12 months was £4691 per participant. Costs were highest for hip fractures (£5159), lower limb fractures (£4969) and multiple injuries (£4969). Secondary care accounted for 87% of mean costs across all injuries and primary care for 10%. The mean cost per CCG was £7.3 million (range £1.8 million-£25.6 million). The total cost across all English CCGs was £1.53 billion. Conclusions: Unintentional injuries in working age adults result in high levels of NHS resource use and costs in the year following injury. Commissioning effective injury prevention interventions may reduce these costs.

https://eprints.bournemouth.ac.uk/31310/

Source: Scopus

The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS.

Authors: Kellezi, B., Baines, D.L., Coupland, C., Beckett, K., Barnes, J., Sleney, J., Christie, N. and Kendrick, D.

Journal: J Public Health (Oxf)

Volume: 38

Issue: 4

Pages: e464-e471

eISSN: 1741-3850

DOI: 10.1093/pubmed/fdv173

https://eprints.bournemouth.ac.uk/31310/

Source: PubMed

The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS

Authors: Kellezi, B., Baines, D.L., Coupland, C., Beckett, K., Barnes, J., Sleney, J., Christie, N. and Kendrick, D.

Journal: JOURNAL OF PUBLIC HEALTH

Volume: 38

Issue: 4

Pages: E464-E471

eISSN: 1741-3850

ISSN: 1741-3842

DOI: 10.1093/pubmed/fdv173

https://eprints.bournemouth.ac.uk/31310/

Source: Web of Science (Lite)

The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS.

Authors: Kellezi, B., Baines, D.L., Coupland, C., Beckett, K., Barnes, J., Sleney, J., Christie, N. and Kendrick, D.

Journal: Journal of public health (Oxford, England)

Volume: 38

Issue: 4

Pages: e464-e471

eISSN: 1741-3850

ISSN: 1741-3842

DOI: 10.1093/pubmed/fdv173

https://eprints.bournemouth.ac.uk/31310/

Source: Europe PubMed Central

The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS

Authors: Kellezi, B., Baines, D., Coupland, C., Beckett, K., Barnes, J., Sleney, J., Christie, N. and Kendrick, D.

Journal: Journal of Public Health

Volume: 38

Issue: 4

Pages: e464-e471

ISSN: 1741-3842

Abstract:

© The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. Background: Injuries in working age adults are common, but few studies examine NHS resource use or costs. Methods: Costing study based on a cohort of 16- to 70-year olds admitted to hospital following unintentional injury in NHS Trusts in four UK centres. Participants completed resource-use questionnaires up to 12 months post-injury. Primary and secondary care, aids, adaptations, appliances and prescribed medications were costed. Mean costs by injury type and age group and costs per clinical commissioning group (CCG) were estimated. Results: A total of 668 adults participated. Follow-up rates ranged from 77% at 1 month to 65% at 12 months. The mean cost of injuries over 12 months was £4691 per participant. Costs were highest for hip fractures (£5159), lower limb fractures (£4969) and multiple injuries (£4969). Secondary care accounted for 87% of mean costs across all injuries and primary care for 10%. The mean cost per CCG was £7.3 million (range £1.8 million-£25.6 million). The total cost across all English CCGs was £1.53 billion. Conclusions: Unintentional injuries in working age adults result in high levels of NHS resource use and costs in the year following injury. Commissioning effective injury prevention interventions may reduce these costs.

https://eprints.bournemouth.ac.uk/31310/

Source: BURO EPrints