Table 2

Cost of coronary heart disease

Type of resource used	Unit of measurement	Units of resources consumed	Average unit cost (£)	Total cost (million £s)	Sources of data used (reference number)
Direct health care cost
Prevention	–	–	–	12.60	20
Primary care	Doctor consultations at clinic	2 138 948	12.74	18.50	25, 27
	Doctor consultations at home	485 901	60.00	29.15	25, 27
	Nurse consultations at clinic	49 800	10.00	0.50	25, 27
	Nurse consultations at home	29 766	22.00	0.65	25, 27
Accident and emergency dept	Attendances	297 447	55.60	16.54	28, 33
Hospital outpatient care	Attendances	457 703	72.79	33.32	24, 26, 33
Hospital inpatient care	Inpatient bed days	1 967 985	466.08	917.25	28, 34
Hospital day case	Day cases	54 530	293.50	16.00	28, 34
Drug treatment	Prescriptions	53 457 249	8.90	558.17	1, 2
	Dispensing	53 457 249	1.54	24.20	1, 2, 35
Cardiac rehabilitation	Rehabilitation programmes completed	48 246	501.51	28.40	1, 26, 30, 31, 32
Community health/social services	–	–	–	74.80	2
Direct health care cost subtotal				1 730.07

Productivity loss
Mortality	Working years lost (men)	135 066	22 706	653.36	24, 39, 40
	Working years lost (women)	15 499	16 023	47.84	39, 40
Morbidity	Certified incapacity days from CHD	65 400 000	79.77	2207.51	39, 41
Productivity loss subtotal				2908.71

Informal care cost
Hours of informal care for CHD	Hours of caring by economically active carers per annum	29 550 000	8.32	245.94	36, 37, 39
	Hours of caring by economically inactive carers per annum	378 870 000	5.73	2170.51	36, 37, 39
Informal care cost subtotal				2416.51

Total economic burden				7055.29