LELD | Food reintroduction | Weight maintenance | Across programme | Total | Note | |
---|---|---|---|---|---|---|
Number of patients starting | 91 | 54 | 52 | 91 | ||
Number of patients completing | 58 | 48 | 30 | 1 | ||
Staff contacts | ||||||
GP time | £1692.60 | £1692.60 | 2 | |||
Medical queries | £401.00 | £401.00 | 3 | |||
Practice nurse visits | 348 (n = 38) | 139 | ||||
Practice nurse time | £5279.35 | £1805.40 | £7084.75 | 4 | ||
Dietitian visits | 475 (n = 53) | 289 | 4 | |||
Dietitian time | £17 108.00 | £10 492.30 | £27 600.30 | 5 | ||
All visits | 823 | 428 | ||||
All contact time | 17 491 (n = 91) | 9041 | 26532 | |||
Telephone contacts | ||||||
Number of calls | ||||||
Time, minutes | £867.38 | £565.63 | £1433.02 | 6 | ||
Counterweight resources | £455.00 | £455.00 | 7 | |||
Orlistat, days | £8980.66 | £8980.66 | 8 | |||
LELD sachets | £40 140.00 | £8352.00 | £48 492.00 | 9 | ||
Practitioner training by Counterweight specialists | £5648.00 | 10 | ||||
£4719.00 | £10 367.00 | 11 | ||||
£944.00 | £944.00 | 12 | ||||
Practitioner teleconferences | £2748.00 | £2748.00 | 13 | |||
Counterweight specialist | £8281.00 | £8281.00 | 14 | |||
Central Counterweight data collection and analyses | £521.08 | £521.08 | 15 | |||
Total | £77 374.42 | £8352.00 | £21 843.99 | £11 430.00 | £119 000.41 |
Notes: 1) n Weight maintenance ≥15 kg weight loss. 2) 6 minutes per patient, costed per surgery minute (rate includes direct care staff + qualification costs).35 3) Costed at 2 hours practice nurse Band 7 + 1 hour consultant (rates per hour with qualification costs) + 1 hour GP general medical services.354) Time = 8335; nurse (GP practice): rate per hour of face-to-face contact (costs including qualifications).35 5) Time = 18 198; nurse (Band 7): rate per hour of client contact costs (costs including qualifications).35 6) Time = 1211; average of nurse (GP practice) and nurse (Band 7) rates above.35 Ref: PSSRU 2010/11. 7) Feasibility study rate. 8) Days = 7950; British National Formulary: orlistat 120 mg, net price 84-cap pack = £31.63; (maximum 120 mg 3 times daily).36 9) www.cambridgeweightplan.com/price.asp.10) 8 dieticians costed at nurse (Band 7) and 6 nurses (GP practice): rates per hour (with qualification costs).35 11) Includes the costs of university staff. 12) 2 × nurse (band 7): rate per hour (with qualification costs) to deliver training.3513) 4 × 1 hour; 9 dieticians costed at nurse (Band 7) and 4 nurses (GP practice): rates per hour (with qualification costs).3514) Nurse (Band 7): rate per hour of client contact cost (with qualification costs).35 15) Based on an academic daily rate to the public sector; and an hour of dietician/nurse average rate per hour (with qualification costs).35