Unit Costs of Health and Social Care 2006

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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. (2006) Unit Costs of Health and Social Care 2006, Personal Social Services Research Unit, University of Kent, Canterbury.


This is the fourteenth 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 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 and to improve unit cost estimates over time, drawing on material as it becomes available, including ongoing and specially commissioned research and quoting sources and assumptions so users can adapt the information for their own purposes.

The Unit Costs report starts this year with a preface in which new developments and new services are discussed. This is followed, for the first time this year, by a guest editorial by Anita Patel on conducting and interpreting multi-national economic evaluations (Patel, 2006). Then, as in previous years, we have included four short articles which provide background to user services, descriptions of cost methodology or use of cost estimates.

In putting the report together, we rely 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 Jane Barlow, Barbara Barrett, Rosalyn Bass, Jennifer Beecham, Nick Brawn, Sarah Byford, Vanessa Davey, Usama Edoo, Beverley Gainey, Jennifer Heigham and Richard Hughes. Thanks also to Glen Harrison, Ben Hickman, Bernard Horan, Nick Janvier, David Lloyd, Katrina Maclaine, Emma McIntosh, Steve Onyett, Neil Parkinson, Anita Patel, Hemal Peiris, Jeremy Pickard, Tony Rees, Stephen Richards, Richard Robinson, Renée Romeo, Elisabeth Scott, Bulwinder Singh, David Stevens, Mary
Stewart, Rob Stones, Marian Taylor, Jill Tidmarsh, Alison Tingle, David Wall, Helen Weatherly, Philip Witcherley and Raphael Wittenberg.

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.

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 if errors are discovered. A log of these corrections can be found here.

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Lesley Curtis

Guest Editorial: Conducting and interpreting multi-national economic evaluations: the measurement of costs
Anita Patel

The costs of an intensive home visiting programme for vulnerable families
Emma McIntosh and Jane Barlow

Direct payments rates in England
Vanessa Davey

Training costs of Person Centred Planning
Renée Romeo, Martin Knapp, Barbara McIntosh, Helen Sanderson, Paul Swift, Janet Robertson, Eric Emerson, Martin Routledge, Peter Oakes, Johan Elliott, Emma Krijenen-Kemp, Christine Towers, Chris Hatton and Theresa Joyce

The Baker’s Dozen: unit costs and funding
Secretariat to the Older People’s Enquiry into ‘That Bit of Help’


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

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 younger adults with physical and sensory impairments
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
PSS pay index: methodology and results
Agenda for Change pay bands
Index of references
Index of services