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Costing E-Mails From Finance Directorate

From:        Sharon Gregory

Sent:        10 July 2002 17:12

To:        Ian Harris

Cc:        Ian Perkin; Suzie Bailey; Ian Hamilton

Subject:        RE: Costing for SLAs - draft tariff - further information

 

Importance:        High

Could I please have an extension and submit my comments to you by end of play Friday?  I am out of the office all day tomorrow and comments from my clinicians are still trickling in....

 

Thanks Ian

 

 -----Original Message-----

From:         Ian Harris 

Sent:        10 July 2002 16:13

To:        Jon Scott; Suzie Bailey; Karen Larcombe; Sharon Gregory; Daniel Elkeles; Gillian Lovesey; Shaun Stacey

Cc:        Ian Hamilton; Marie Grant; Kevin Harbottle; Ian Perkin

Subject:        Costing for SLAs - draft tariff - further information

 

Dear All,

 

further to the information that was sent to you on Monday evening I attach an additional file  which may help to focus your deliberations. The attached file contains two spreadsheets which show the average cost per unit of cost driver at both full and variable cost levels. These unit costs when combined with weightings for each product form the basis of the tariffs sent to you earlier.

 

To clarify if an elective procedure within general surgery had an average length of stay of 3 days then the total ward cost for that procedure would be 3 times £127.85 or £383.55. This cost includes nursing, ward drugs, ward MSSE, capital charges on the ward, trust overheads attributable to that ward. The variable ward cost for that same procedure would be 3 x £19.88 or £59.64. This costs would be made up of direct ward consumables and ward drugs.

 

Please do not hesitate to call me if you have any queries or comments.

 

Regards

 

Ian Harris

 

Income Controller

xtn 1463

 

P.S.

Please note that an error has been made in the costing of gynaecology where the ward costs have been incorrectly attributed to other direct costs rather than to ward costs. This will be corrected before the publication of the next draft of costs.

 

 << File: unit cost report.xls >> 

 

-

From:                               Ian Harris

Sent:                                11 July 2002 15:33

To:                                   Karen Larcombe; Suzie Bailey; Sharon Gregory; Shaun Stacey; Gillian Lovesey; Daniel Elkeles; Jon Scott

Cc:                                   Ian Perkin; Ian Hamilton; Marie Grant; Kevin Harbottle

Subject:                           Costing for SLAs Consultation - Further Information

Dear All,

 

the attached file contains one spreadsheet which fills in the gaps between the tariff and unit cost report already sent to you.

 

I have shown only those products which account for at least 80% of the total cost to be recovered through the tariff, for each point of delivery for each specialty. This approach reduces the number of products to look at by more than 50%.

 

The spreadsheet contains three main sections: the first part list the products and descriptions by specialties and shown the unit variable and full costs as well as the activity used to calculate the tariff; the second part lists the weights for each product for each cost pool; the third part lists the weights and unit costs of the materials used in calculating some of the unit costs as well as the total material cost for each product. Materials is jargon used by the costing software to describe items which are applied to procedures directly rather than through the cost pools. These are defined by us and include some catheter lab consumables, pacemakers and some orthopaedic prosthetics. We still have limited time to include some additional materials if they can be identified to procedures and a cost calculated for them. If you wish to add any materials please let me know but bear in mind that they will need to be of significant value to be included at this stage.

 

The tariffs are calculated by summing the products of cost pool weights multiplied by cost pool unit costs (distributed yesterday) and adding total material value.

 

Please do not hesitate to call me if you have any questions or comments on these.

 

Thanks

 

Ian Harris

 

xtn 1463

 

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