Unit Costs of Health and Social Care 2004

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Compiled by Lesley Curtis and Ann Netten

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The PSSRU retains the copyright in the Unit Costs series. They may be freely distributed as pdf files and on paper, but quotations must be acknowledged and permission for use of longer excerpts must be obtained in advance. Please acknowledge Unit Costs of Health and Social Care as the source when using costs estimates and information from these reports.

Please note that when citing the report, the following format should be used:

Curtis, L. & Netten, A. (2004) Unit Costs of Health and Social Care 2004, Personal Social Services Research Unit, University of Kent, Canterbury.


This is the twelfth volume in a series of reports from a Department of Health-funded programme of work based at the Personal Social Services Research Unit at the University of Kent. The aim is to improve unit cost estimates over time, drawing on material as it becomes available, including ongoing and specially commissioned research.

The costs reported always reflect, to a greater or lesser degree, work in progress, as the intention is
to refine and improve estimates wherever possible, drawing on a wide variety of sources. The aim is to provide as detailed and comprehensive information as possible, quoting sources and assumptions so users can adapt the information for their own purposes. Brief articles are included to provide background to user services, descriptions of cost methodology or use of cost estimates.

The editorial identifies the new developments in estimates included and key current issues in the estimation of costs and use of the information provided in this report.

In addition, this report relies on a large number of individuals who have provided direct input in the form
of data, permission to use material and background information and advice. Thanks are due to Candida Ballantyne, Barbara Barrett, Nick Brawn, Frank Brown, Jennifer Beecham, Sarah Byford, Keith Childs, Hedy Cleaver, Cherry Cullen, Andrew Fenyo, Gyles Glover, Lisa Holmes and Richard Hughes. Thanks also to Robert Eaglesham, Helen Friedrickson, Glen Harrison, Bernard Horan, Paul McCrone, Tony Rees,
Stephen Richards, Jill Tidmarsh, David Wall and Helen Weatherly.We are particularly grateful to Becky Sandhu who has provided both general support and advice through several volumes.

If you are aware of other sources of information which can be used to improve our estimates, notice errors
or have any other comments, please contact Lesley Curtis, telephone 01227 827193, email L.A.Curtis@kent.ac.uk.

Many figures in this report have been rounded and therefore occasionally it may appear that the totals do not add up.

This electronic version is updated whenever errors are discovered. A log of these corrections can be found here.

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New developments and data sources for unit costs
Lesley Curtis and Ann Netten

Costs of adoption
Julie Selwyn, Wendy Sturgess, David Quinton and
Catherine Baxter

The cost of undertaking core assessments
Hedy Cleaver and Steve Walker with Pam Meadows

The development of unit costs for social work processes
Harriet Ward, Lisa Holmes and Jean Soper

Estimating the unit costs for Home-Start support
Michelle Sleed, Jennifer Beecham, Martin Knapp, Colette McAuley and Nyree McCurry

Costs of family support services
Jill Tidmarsh and Justine Schneider


For a detailed list of services covered in these sections, see the contents pages or the index
of services
by client group.

I Services

1. Services for older people
2. Services for people with mental health problems
3. Services for people who misuse drugs/alcohol
4. Services for people with learning disabilities
5. Services for disabled people
6. Services for children and their families
7. Hospital and other services

II Community-based health care staff

8. Professionals allied to medicine
9. Nurses and doctors

III Community-based social care staff

10. Social care staff
11. Health and social care teams

IV Hospital-based health care staff

12. Professionals allied to medicine
13. Nurses
14. Doctors

V Miscellaneous

Inflation indices
Index of references
Index of services by client group