Kidneys: Transplant Surgery

Department of Health and Social Care written question – answered on 3rd July 2018.

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Photo of Eleanor Smith Eleanor Smith Labour, Wolverhampton South West

To ask the Secretary of State for Health and Social Care, what the average cost to the NHS is of providing a kidney transplant.

Photo of Eleanor Smith Eleanor Smith Labour, Wolverhampton South West

To ask the Secretary of State for Health and Social Care, how many hospital bed days were used by patients waiting for (a) organ and (b) stem cell transplants in each of the last three years.

Photo of Jackie Doyle-Price Jackie Doyle-Price The Parliamentary Under-Secretary for Health and Social Care

NHS Improvement publishes reference cost data relating to kidney transplants, which can be found at the following link:

https://improvement.nhs.uk/resources/reference-costs/

Reference costs are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year. The information relating to kidney transplants is collected in two ways, the actual transplant episodes and the preparatory and follow-up screening and examinations in the case of live donor transplants. Reference costs for 2016-17 are given in the following tables.

Reference costs for kidney transplant episodes 2016-17

Total

HRG1 Description

Activity

Unit Cost

Total Cost

Kidney Transplant, 19 years and over, from Cadaver Non-Heart-Beating Donor

645

£12,167

£7,847,829

Kidney Transplant, 18 years and under, from Cadaver Non-Heart-Beating Donor

11

£5,780

£63,576

Kidney Transplant, 19 years and over, from Cadaver Heart-Beating Donor

1,171

£12,888

£15,092,002

Kidney Transplant, 18 years and under, from Cadaver Heart-Beating Donor

40

£15,157

£606,268

Kidney Transplant, 19 years and over, from Live Donor

708

£13,854

£9,808,873

Kidney Transplant, 18 years and under, from Live Donor

60

£15,149

£908,964

2,635

£13,028

£34,327,513

Source: NHS Improvement

Notes:

  1. Reference costs for acute care are collected by healthcare resource group (HRG).

Reference cost data for pre and post-transplant episodes for activities associated with kidney transplants 2016-17

Total

HRG1 Description

Activity

Unit Cost

Total Cost

Live Kidney Donor Screening

1,083

£215

£232,565

Kidney Pre-Transplantation Workup of Live Donor

2,422

£270

£654,200

Kidney Pre-Transplantation Workup of Recipient, 19 years and over

9,150

£271

£2,483,885

Kidney Pre-Transplantation Workup of Recipient, 18 years and under

27

£991

£26,750

Examination for Post-Transplantation of Kidney of Recipient, 19 years and over

75,261

£239

£18,010,518

Examination for Post-Transplantation of Kidney of Recipient, 18 years and under

396

£250

£99,024

Examination for Post-Transplantation of Kidney of Live Donor

2,809

£173

£487,293

91,148

£241

£21,994,236

Source: NHS Improvement

Notes:

  1. Reference costs for acute care are collected by HRG.

There are additional costs associated with a kidney transplant for immunosuppressant therapy, at an average cost of £6,000 per patient per year, and ongoing outpatient follow up but this information will depend on the individual patient and is not collected centrally.

Information on hospital bed days used by patients waiting for organ or stem cell transplants is not centrally collected.

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