Table 2

Costs

ParameterBase case valuesRange tested
1. Cost of interventionsNICE21
 TST£16£16–£64
 IGRA£44.78£30–£120
 Chest radiograph£28
Cambridge TB Service 2010 NHS National Tariff22
 TB treatment£16370.5–2 times
 Contact tracing£4260.5–2 times
 LTBI treatment£6470.5–2 times
 Hepatitis treatment£6400.5–2 times
2. Healthcare worker costsCambridge TB Service 2010 NHS Pay 2/201023
 Time to attend for TB treatment£6620.5–2 times
 Time to attend for contact tracing£950.5–2 times
 Time to attend for LTBI treatment£1720.5–2 times
 Time for hepatitis treatment£1140.5–2 times
3. Discount rate0.05
  • TB treatment costs are derived from the NHS National Tariff 2010–201122 applied to the Cambridge TB service. Healthcare worker costs are derived from the NHS Pay Circular (AforC) 2/2010,23 point 26 £30 460, plus 22% overheads £37 161 per annum, applied to the Cambridge TB service. Total model costs for TB treatment are TB treatment, plus contact tracing ×5 contacts per case,19 plus healthcare worker time costs, £4908; for LTBI, LTBI treatment plus healthcare worker time costs, £819 and for hepatitis, hepatitis treatment plus healthcare worker time costs, £755 (supplementary table 1).

  • IGRA, interferon-gamma release assay; LTBI, latent tuberculosis infection; TB, tuberculosis; TST, tuberculin skin test.