Unit costs of treatment and NHS service delivery required to achieve blood pressure control in patients with uncomplicated stage 1 hypertension
| Cost type | Cost per unit, £ | Annual cost per patient, £ | |||
|---|---|---|---|---|---|
| Patients requiring no drugs | Patients requiring one drug | Patients requiring two different drugs | Patients requiring three different drugs | ||
| Drugsa | |||||
| Amlodipine 10 mg (28-tablet pack) | 1.07 (1 pack) | 0 | 13.96 | 27.92 | 41.87 |
| Ramipril 10 mg (28-capsule pack) | 1.30 (1 pack) | 0 | 16.96 | 33.92 | 50.87 |
| Indapamide 2.5 mg (28-tablet pack) | 1.40 (1 pack) | 0 | 18.26 | 36.53 | 54.79 |
| Total treatment for a patient aged <55 yearsb | - | 0 | 16.96 | 30.92 | 49.18 |
| Total treatment for a patient aged ≥55 yearsb | - | 0 | 13.96 | 30.92 | 49.18 |
| Service deliveryc,d | |||||
| Practice nurse | 45/hour | 11.25 | 22.50 | 33.75 | 45.00 |
| Nurse specialist | 81/hour | 20.25 | 40.50 | 60.75 | 81.00 |
| GP | 185/hour | 36.00 | 72.00 | 108.00 | 144.00 |
| Total cost of treatment (aged ≥55 years) | |||||
| Drug + practice nurse | - | 11.25 | 36.46 | 64.67 | 94.18 |
| Drug + nurse specialist | - | 20.25 | 54.46 | 91.67 | 130.18 |
| Drug + GP | - | 36.00 | 85.96 | 138.92 | 193.18 |
↵a Costs taken from NHS Electronic Drug Tariff database, correct as of May 2013.28
↵b As defined by the National Institute for Health and Care Excellence treatment algorithm.
↵c Costs of service delivery given per consultation (unless otherwise stated) based on a face-to-face, 15-minute nurse consultation or a 11.7-minute GP consultation.
↵d Costs taken from Unit Costs of Health and Social Care 2012.29