Business case Lap Colorectal -2

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Financial comparison of cost of open and laparoscopic surgery – as calulated by North Bristol NHS Trust Finance Dept. 2005

57 Anterior resections rectum (TME)


OPEN (n=26) LAPAROSCOPIC (n=31)
Theatre time cost  £  1,344  £  1,083
Length of stay £  2,041 £     623
Consumables £    422  £  1,233
TOTAL COST/CASE £  3,807  £ 2,939

                                                          
Activity data

Time in theatre (hrs) 3.95 3.18
Length of stay (days) 17 5
                                                  

Unit costs

  • Theatre time

Critical care cost list/anum £ 49,700

Surgeon costs £ 12,244 (based on 1.25 Pas)

No. lists/year 52

Hours/list 3.5

ie., Cost/theatre hr     £ 340



Ward costs

Cost ward 207 £948,224

Medical staff costs £ 58,770

No beds 28

Days/anum 365 At 85% occupancy

Ward cost/bed day £116

Facilities (catering/cleaning etc) £6

ie.,  Cost/bed day     £122


Consumables

Harmonic scalpel £238,  ATW45 £317, Haem-o-lock clips £20, ATG45 = £115,  Disposable ports = £ 90, Epidural = £260, CDH29 Common to both approaches (NB.  These are local costs determined by usage/volume)



(NB. BLA believe the £122 to be grossly short of a true inpatient stay cost (approx £350).







Financial comparison of cost of open and laparoscopic surgery –
North Bristol NHS Trust Finance Dept. 2005

Right hemicolectomy (n=59)

OPEN (n=24) LAPAROSCOPIC (n=35)
Theatre time cost  £   699  £   360
Length of stay  £   978  £   488
Consumables  £    260 £   335
TOTAL COST/CASE £ 1,940   £  1,183
                                                                 

 Activity data                                                   

Time in theatre (hrs) 2.05 1.18
Length of stay (days) 8 4 (3 days 2005/6)
                                                         

                                                           
Unit costs

  • Theatre time

Critical care cost list/anum £ 49,700

Surgeon costs £ 12,244 (based on 1.25 Pas)

No. lists/year 52

Hours/list 3.5

Cost/theatre hr £ 340

Ward costs

Cost ward 207 £948,224

Medical staff costs £ 58,770

No beds 28

Days/anum 365 At 85% occupancy

Ward cost/bed day £116

Facilities (catering/cleaning etc) £6

Cost/bed day £122


Consumables

Harmonic scalpel £238, Haem-O-lock clips £20, Disposable ports £ 90,  Epidural £260 (NB these are local costs based on usage/volume).


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SPIRE Hospital, Bristol. 
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