Tomous wrote:Carlos wrote:I've always wondered where the costs come from. I know that's a bit of a daft question but I'd like to see a breakdown of, for example why it costs £1500 to have Wisdom Teeth out. The Dentist gets paid either way so labour costs are out. If the equipment used and chemicals required costs so much I'd love to see what manufacturers charge and where they get those figures from.
Im not trying to sound like it should be cheaper; I'd just like to know the breakdown of where that money is going.
I imagine the labour is included in the number, using some kind of cost allocation method. It wouldn't make sense not to really.
https://www.england.nhs.uk/publication/ ... #heading-1There are tariffs for each procedure which each trust uses to charge the local CCG (I think that's who they charge, don't really know, but they charge SOMEONE
). There's a spreadsheet on that page I linked to with some prices. So, for instance, on p8 of that document, if a smoker gets admitted to a ward and they take up an offer of smoking cessation, the trust can charge the CCG about £100 (£400 if the patient is pregnant) for provision of that service. That price has to cover both the equipment used/given and the workforce's time to provide and administer that service. It's why trusts hate operating theatres having dead time - they're paying a surgeon, anaesthetist and scrub nurses etc to be there but they aren't going to be able to charge the CCG to pay for them!
Prices for drugs are in the British National Formulary -
https://bnf.nice.org.uk/. Some of the prices are outrageous - until the other day my son was on medicine that was over £450 per bottle. It was in the top ten of most expensive things in our house and the GP once rang us up to make sure he needed it (like this was our idea and not a prescription from a consultant at Alder Hey
). Some patients with wet macular degeneration will be on intravitreal injections costing the best part of a grand, and will have racked up dozens of injections in each eye. The NHS, being an absolutely
humongous customer, will obviously try to get bulk discounts on drugs to try and keep costs down.