Table 4

Comparison of NPCS-estimated mean per annum costs for ‘Needs’ (predicted at discharge) versus ‘Gets’ (the cost of services provided) at 6 months postdischarge (n=211)

NPCSCost of predicted needs*Cost of service provision*Difference95% CIPaired t testSignificanceEffect size
ItemsMeanSDMeanSDMean(2-tailed)Uppertdf
Medical care£523£431£539£446£15−£60£910.402090.690.03
Nursing care£709£1426£748£1501£38−£203£2800.312070.750.03
Personal care£22988£33063£37566£52972£14578£8759£203974.94205<0.0010.44
Personal enabler£11481£9566£6032£8040−£5449−£7010−£3889−6.89206<0.001−0.57
Therapy£4078£2167£2487£2059−£1565−£1935−£1195−8.35208<0.001−0.72
Vocational rehab£398£576£133£377−£263−£347−£179−6.18205<0.001−0.46
Social worker£911£588£431£637−£480−£580−£380−9.44207<0.001−0.82
Family carer support£311£456£237£455−£74−£157£10−1.742090.08−0.16
Residential respite£509£1347£169£972−£340−£551−£129−3.182050.002−0.25
Day care£2101£3568£591£2050−£1509−£2027−£992−5.75202<0.001−0.42
Advocacy£139£267£146£301£7−£38£520.311880.760.03
Equipment£738£619£496£500−£243−£328−£158−5.62204<0.001−0.39
Accommodation£8110£17938£12834£19698£4724£1610£78392.992100.0030.26
Subscales
 Health£1233£1499£1289£1642£56−£212£3230.412070.680.04
 Personal care£33378£35344£43692£54153£10313£4504£161223.502020.0010.29
 Rehabilitation£4476£2297£2606£2118−£1790−£2184−£1396−8.96203<0.001−0.78
 Social support£3742£4726£1415£2704−£2320−£3016−£1639−6.67182<0.001−0.49
 Equipment£738£619£496£500−£243−£328−£158−5.62204<0.001−0.39
 Accommodation£8110£17938£12834£19698£4724£1610£78392.992100.0030.26
Domains
 Total Health and Personal Care£40437£38372£47481£55734£8.566£2504£146292.791940.0060.00
 Total Social Care and Support£13102£19396£14680£19871£1578−£1796£49510.921800.360.08
  • Items italisised indicate a significant underspend on provision in comparison with predicted needs and in bold indicate a significant overspend.

  • To allow for multiple tests, the threshold for significance is taken as 0.05/20 = 0.003.

  • *Costs as estimated by the NPCS costing algorithm.

  • NPCS, Needs and Provision Complexity Scale.