cost offset analysis

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6.2 APPENDIX II

Yearly savings exceed yearly costs by £164,000 by 4^th year of operation.

Unit pays for itself purely by decrease in inpatient bed usage by 5^th year of operation.

Trust savings (cost offset) exceed £1,000,000 by 7^th year of operation.

Control group (n=22)		days	£*
	inpatient days	506	£139,150
	suicide attempts (one inpatient day)	19	£5,225
	total	525	£144,375

Treatment group (n=22)		days	£
	inpatient days	8	£2,200
	suicide attempts	<1	£275
	total	9	£2,475

(*at current local rates, each day costs £275)

All figures per annum.

Scenario from Bateman and Fonagy, 18 month follow-up of Borderline PD patients after 18-month partial hospitalisation psychotherapeutic programme (personal communication).

Cost of unit: £190,000 pa

Cost saving on inpatient beds: £144,375 - £2,475= £141,900 pa

Costs from self-mutilations, medication use/polypharmacy, psychiatric outpatients, GP attendances, CPN/Keyworker contact and social services costs not included in analysis. All likely to be sources of major savings.

Based on 18-month treatment duration. Data covers 18-month follow-up period.