Unit Costs of Health and Social Care 2009

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Compiled by Lesley Curtis

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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. (2009) Unit Costs of Health and Social Care 2009, Personal Social Services Research Unit, University of Kent, Canterbury.

New in this edition

This year the Unit Costs report starts with a preface which discusses new developments and introduces a guest editorial and three brief articles. The guest editorial discusses how systematic reviews and economic evaluations of interventions inform health and social care policy and practice. The first article presents the costs of support organisations for people with direct payments and personal budgets. The second article describes the work of the Social Care Institute for Excellence on economics and the importance of valuing unpaid care, and the third article describes the National Dementia Strategy published in 2009 which aims to ensure significant improvements are made to dementia services.


This is the seventeenth 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.

To a greater or lesser degree, the costs reported always reflect 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 information that is detailed and comprehensive, 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.

In putting the report together, there are a large number of individuals who have provided direct input in the form of data, permission to use material and background information and advice.

Grateful thanks are extended especially to Ann Netten and Jennifer Beecham who have been an invaluable source of support in the preparation of this report. I would also like to extend special thanks to Glen Harrison and Nick Brawn for taking expert charge of the design and typesetting. Thanks are also due to Jacques Ashley, James Barlow, Sarah Byford, Adriana Castelli, Vanessa Davey, Jane Dennett and Keith Derbyshire. Thanks also to Ben Hickman, Sarah Horne, Martin Knapp, David Lloyd, David McDaid, Miranda Mugford, Neil Parkinson, Stephen Richards, Katherine Robbins, Tim Roast, Renee Romeo, Ian Shemilt, David Stevens, Rob Stones, Marian Taylor, Helen Weatherly, Richard Wistow 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
Ian Shemilt and Miranda Mugford

Estimating unit costs for Direct Payments Support Organisations
Vanessa Davey, Francesco d’Amico and Martin Knapp

The National Dementia Strategy: potential costs and impacts
Jennifer Beecham

SCIE’s work on economics and the importance of informal care
Jennifer Francis and David McDaid


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. Hospital and other services

II Community-based health care staff

7. Scientific and professional
8. Nurses and doctors

III Community-based social care staff

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

IV Hospital-based health care staff

11. Scientific and professional
12. Nurses
13. Doctors

V Miscellaneous

Inflation indices
Agenda for Change pay bands
Index of references
List of useful sources
List of items from previous volumes not included in this volume
Index of services