Organs and Stem Cells: Transplant Surgery
(asked on 25th June 2018) - View Source
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many hospital bed days were used by patients waiting for (a) organ and (b) stem cell transplants in each of the last three years.
NHS Improvement publishes reference cost data relating to kidney transplants, which can be found at the following link:
https://improvement.nhs.uk/resources/reference-costs/
Reference costs are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year. The information relating to kidney transplants is collected in two ways, the actual transplant episodes and the preparatory and follow-up screening and examinations in the case of live donor transplants. Reference costs for 2016-17 are given in the following tables.
Reference costs for kidney transplant episodes 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Kidney Transplant, 19 years and over, from Cadaver Non-Heart-Beating Donor | 645 | £12,167 | £7,847,829 |
Kidney Transplant, 18 years and under, from Cadaver Non-Heart-Beating Donor | 11 | £5,780 | £63,576 |
Kidney Transplant, 19 years and over, from Cadaver Heart-Beating Donor | 1,171 | £12,888 | £15,092,002 |
Kidney Transplant, 18 years and under, from Cadaver Heart-Beating Donor | 40 | £15,157 | £606,268 |
Kidney Transplant, 19 years and over, from Live Donor | 708 | £13,854 | £9,808,873 |
Kidney Transplant, 18 years and under, from Live Donor | 60 | £15,149 | £908,964 |
| 2,635 | £13,028 | £34,327,513 |
Source: NHS Improvement
Notes:
- Reference costs for acute care are collected by healthcare resource group (HRG).
Reference cost data for pre and post-transplant episodes for activities associated with kidney transplants 2016-17
| Total | ||
HRG1 Description | Activity | Unit Cost | Total Cost |
Live Kidney Donor Screening | 1,083 | £215 | £232,565 |
Kidney Pre-Transplantation Workup of Live Donor | 2,422 | £270 | £654,200 |
Kidney Pre-Transplantation Workup of Recipient, 19 years and over | 9,150 | £271 | £2,483,885 |
Kidney Pre-Transplantation Workup of Recipient, 18 years and under | 27 | £991 | £26,750 |
Examination for Post-Transplantation of Kidney of Recipient, 19 years and over | 75,261 | £239 | £18,010,518 |
Examination for Post-Transplantation of Kidney of Recipient, 18 years and under | 396 | £250 | £99,024 |
Examination for Post-Transplantation of Kidney of Live Donor | 2,809 | £173 | £487,293 |
| 91,148 | £241 | £21,994,236 |
Source: NHS Improvement
Notes:
- Reference costs for acute care are collected by HRG.
There are additional costs associated with a kidney transplant for immunosuppressant therapy, at an average cost of £6,000 per patient per year, and ongoing outpatient follow up but this information will depend on the individual patient and is not collected centrally.
Information on hospital bed days used by patients waiting for organ or stem cell transplants is not centrally collected.