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Supporting data on the weekly cost of care homes
are available from the website bettercaring.co.uk,
with estimates based on a sample of UK regions.
Private care homes are reported to have a mean
weekly cost of £280 (range £248–326) and
voluntary care homes £303 per week (range
£253–361). Private care homes with nursing had a
mean weekly cost of £370 (range £318–481) and
voluntary care homes with nursing £385 (range
£313–473). These data show a range of annual
costs between £14,584 and £20,039.
Netten and colleagues present information on the
breakdown of people who were publicly and
privately funded in residential care. In the
permanent stay category there were 8194 residents
classed as publicly funded with 3155 classed as
privately funded. There were similar proportions
of patients in these funding categories that were
classed as severely cognitively impaired, 29 and
27%, respectively. This indicates that in the
severely impaired group around 35% of people are
privately funded. This may be an important factor,
as it shows that not all residential care for severely
affected AD patients will be the responsibility of
the NHS and PSS budget. Netten and colleagues
also present findings to show that there is a similar
distribution of setting of residential care for
publicly and privately funded persons (e.g. 44% of
publicly funded and 38% of privately funded
persons are expected to be in nursing homes),
although the latter group are less likely to be
residents in a local authority home.
Health Technology Assessment 2006; Vol. 10: No. 1
TABLE 62 Weekly prices (£) charged for residential care in England (1998–99 prices), reported by Netten and colleagues 130
© Queen’s Printer and Controller of HMSO 2006. All rights reserved.
Private Voluntary Dual-registered Nursing homes
residential residential homes
homes homes
All residents 247 259 322 349
Severely cognitively impaired residents 248 274 333 344
TABLE 63 Direct and indirect 3-month costs (£) of controls and patients with AD (non-institutionalised)
Costs Controls Mild AD Moderate AD Severe AD
(n = 38) (n = 42) (n = 48)
Direct medical costs 199 1,220 3,165 3,387
Total direct non-medical costs 188 474 636 902
Indirect costs – 4,922 6,449 9,304
Total cost 387 6,616 10,250 13,593
Costs in 1993 UK£. Costs not all related to AD.
Source: Data presented by Souêtre and colleagues. 158
Souêtre and colleagues 158 present findings from a
UK cross-sectional multicentre study examining
costs associated with different severities of AD, in
non-institutionalised patients (n = 128), and
matched controls (n = 56). Data were collected by
interview (during 1994), across patients stratified
by MMSE score into mild AD (score >18),
moderate AD (score 10–18) and severe AD (score