As a guide, specialist lymphoedema services could expect each 1.0WTE lymphoedema therapist to hold a caseload of 200-220 patients/year but this is dependent on the availability of administrative support and clinical assistants. Based on the estimated prevalence (see Appendix 1) and the cost per patient per year of £951, the cost of the service is estimated to be: xxx patients x £951 per year = £xxx,xxx Total cost per year [INSERT SUMMARY based on CCG/STP calculations] The savings from reduced admissions (estimated to be 87% reduction in hospital admissions due to lymphoedema), and improved effectiveness of prescribing are estimated to be: [Local data] [INSERT SUMMARY based on CCG/STP calculations] 4.2 Option appraisal The following options should be considered (see Figure 3): Figure 3: Options appraisal Advantages Disadvantages Option 1: Do nothing None The benefits shown in Figure 2 will not be realised Option 2: Develop a The benefits shown in Figure Project implementation comprehensive lymphoedema 2 will be realised requires set up costs and service at CCG level management capacity Service is more adaptable to local needs More difficult to recruit to small services and less skill mix Small services are less resilient Fewer patients can access service Option 3: Develop a The benefits shown in Figure Project implementation comprehensive lymphoedema 2 will be realised requires set up and service at STP level management capacity Larger service footprint covers more patients Set up phase for a larger service may take longer Larger services are more resilient Easier to recruit and better skill-mix
As a guide, specialist lymphoedema services could expect each 1.0WTE lymphoedema therapist to hold a caseload of 200-220 patients/year but this is dependent on the availability of administrative support and clinical assistants. Based on the estimated prevalence (see Appendix 1) and the cost per patient per year of £951, the cost of the service is estimated to be: xxx patients x £951 per year = £xxx,xxx Total cost per year [INSERT SUMMARY based on CCG/STP calculations] The savings from reduced admissions (estimated to be 87% reduction in hospital admissions due to lymphoedema), and improved effectiveness of prescribing are estimated to be: [Local data] [INSERT SUMMARY based on CCG/STP calculations] 4.2 Option appraisal The following options should be considered (see Figure 3): Figure 3: Options appraisal Advantages Disadvantages Option 1: Do nothing None The benefits shown in Figure 2 will not be realised Option 2: Develop a comprehensive lymphoedema service at CCG level The benefits shown in Figure 2 will be realised Service is more adaptable to local needs Project implementation requires set up costs and management capacity More difficult to recruit to small services and less skill mix Small services are less resilient Fewer patients can access service Option 3: Develop a comprehensive lymphoedema service at STP level The benefits shown in Figure 2 will be realised Larger service footprint covers more patients Larger services are more resilient Easier to recruit and better skill-mix Project implementation requires set up and management capacity Set up phase for a larger service may take longer
Template-business-case-lymphoedema-servicesFINAL.docx