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       #Post#: 225--------------------------------------------------
       What is the cost of emergency admissions for ACSCs?
   DIR By: admini5
       Date: May 13, 2015, 7:46 am
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       The total cost of inpatient hospital admissions to the NHS in
       England in 2009/10 is estimated at £20.5 billion, of which
       emergency admissions alone cost about £12.2 billion (60 per
       cent) (Department of Health 2011a, NHS reference costs
       2009/104). The estimated cost to commissioners of emergency
       admissions for ACSCs is £1.42 billion (based on the National
       Tariff 2009/105), which accounts for 11.6 per cent of the total
       cost of all emergency admissions.6 This is equivalent to an
       average cost of £1,739 per ACSCs admission and an average cost
       of £170,590 for ACSCs admissions per general practice per year
       in England.
       Cost of admissions for ACSCs by condition
       •
       pneumonia (20 per cent), COPD (14 per cent), congestive heart
       failure (10 per cent) and dehydration and gastroenteritis (9 per
       cent) cost £755 million (53 per cent of the cost of all
       admissions for ACSCs).
       •
       varied from £734 for ear, nose and throat infections to £4,002
       for gangrene.
       •
       associated with patients’ age, with 40 per cent (£563 million)
       of expenditure on patients who were 75 years old and over.
       Compared with the pattern of admissions for ACSCs shown in
       Figure 2 (see p 4), the main difference in the pattern of costs
       is that these are amplified in the older age groups. One
       explanation is that older patients usually have more
       co-morbidities, so cases are often more clinically complex and
       thus more costly. The proportion of expenditure due to elderly
       patients is higher still once the cost of excess bed days8 is
       taken into account, as nearly 80 per cent of patients who stay
       in hospital for more than two weeks are those who are 65 years
       old and above (Poteliakhoff and Thompson 2011).
       For further information, please follow:
  HTML http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/data-briefing-emergency-hospital-admissions-for-ambulatory-care-sensitive-conditions-apr-2012.pdf
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