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

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

    Research output: Contribution to journalArticle

    4 Citations (Scopus)
    6 Downloads (Pure)

    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.
    Original languageEnglish
    Pages (from-to)e464-e474
    JournalJournal of Public Health
    Volume38
    Issue number4
    Early online date26 Nov 2015
    DOIs
    Publication statusPublished - 2 Feb 2017

    Fingerprint

    Secondary Care
    Health Resources
    Health Services
    Primary Health Care
    Costs and Cost Analysis
    Wounds and Injuries
    Multiple Trauma
    Hip Fractures
    Lower Extremity
    Age Groups

    Bibliographical note

    This article is currently in press. Full citation details will be updated once available.
    This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record Kellezi, B.L. , Baines, D. , Coupland, C. , Beckett, K. , Barnes, J. , Sleney, J. , Christie, N. and Kendrick, D. (2015) The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS. Journal of Public Health, volume (38) is available online at: https://academic.oup.com/jpubhealth/article/38/4/e464/2966939
    http://dx.doi.org/10.1093/pubmed/fdv173

    Funder

    This research was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care for Nottinghamshire, Derbyshire and Lincolnshire (CLAHRC NDL)

    Keywords

    • costs
    • primary care
    • secondary care
    • service use
    • unintentional injuries

    Cite this

    Kellezi, B. L., Baines, D., Coupland, C., Beckett, K., Barnes, J., Sleney, J., ... Kendrick, D. (2017). The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS. Journal of Public Health, 38(4), e464-e474. https://doi.org/10.1093/pubmed/fdv173

    The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS. / Kellezi, B.L.; Baines, Darrin; Coupland, C.; Beckett, K.; Barnes, J.; Sleney, J.; Christie, N.; Kendrick, D.

    In: Journal of Public Health, Vol. 38, No. 4, 02.02.2017, p. e464-e474.

    Research output: Contribution to journalArticle

    Kellezi, BL, Baines, D, Coupland, C, Beckett, K, Barnes, J, Sleney, J, Christie, N & Kendrick, D 2017, 'The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS' Journal of Public Health, vol. 38, no. 4, pp. e464-e474. https://doi.org/10.1093/pubmed/fdv173
    Kellezi, B.L. ; Baines, Darrin ; Coupland, C. ; Beckett, K. ; Barnes, J. ; Sleney, J. ; Christie, N. ; Kendrick, D. / The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS. In: Journal of Public Health. 2017 ; Vol. 38, No. 4. pp. e464-e474.
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    N2 - 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.

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