Table 36Base case results – costs and cost effectiveness (per 1000 presentations)

BaselineRAT versus BaselineExtended access to therapy in ED versus baselineExtended hours for consultants in AMU versus baselineDaily consultant review on medical wards versus baselineExtended access to therapy on medical wards versus baseline
Intervention£0£8,401.36£4,240.26£1,808.13£12,456.74£17,441.29
ED, CDU & AMMU£120,164£2.27−£0.20−£0.15−£0.15£0.19
AMU£52,090−£612.93−£378.83−£336.19£3.50−£8.23
GMW£328,429£14.01£42.79£28.03−£1,096.84−£12,805.16
Medical outlier£12,131£175.71£77.40−£217.23−£3,100.84−£11,505.11
Rehabilitation£54,970−£30.57£20.39−£20.41£63.77£10.64
ICU/HDU£35,305£81.86£117.53−£135.93−£815.82−£563.96
HCU£50,141£24.86£9.60−£10.99£26.26−£2.71
Post-discharge£2,000,700−£63.36−£19.19£6.10£167.30£224.60
TOTAL cost£2,653,937£7,993.24£4,109.58£1,121.56£7,704.10−£7,209.19
Quality-adjusted life-years10823−0.10−0.12−0.020.070.85
Incremental cost per QALY gained- no QALY gain no QALY gain no QALY gain £106,503.90 Dominant
AMU bed occupancy88.24%−1.01%−0.61%−0.56%0.00%−0.03%
GMW bed occupancy98.87%0.00%0.00%−0.01%−0.24%−3.48%

From: Chapter 41, Cost-effectiveness analyses

Cover of Emergency and acute medical care in over 16s: service delivery and organisation
Emergency and acute medical care in over 16s: service delivery and organisation.
NICE Guideline, No. 94.
National Guideline Centre (UK).
Copyright © NICE 2018.

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