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Cost to the NHS of Prostate Treatment

User
Posted 08 Feb 2015 at 21:02

Maybe an odd question but with the topical political 'Hoo Haa' about NHS and their lack of funds, does anyone care to hazard a guess on the cost of treatment, for the 12 needle biopsy, Radio-active Bone scan, MRT scan, CT scan and 20 sessions of RT + back-up consultations?

Tamtoot

User
Posted 08 Feb 2015 at 22:35

Hi Tamtoot
I don't know about the biopsy but I did read some time ago that a Prostatectomy costs between 5 & 10K. My hospital had a new Varian linear accelerator 2 years ago and that was over 2M. My guess is that an MRI scanner wont be much different. My prostap injections are something like £230 each, I have had 8 of those. I would not be surprised if the total cost of my treatment was £40000+ ( Biopsy, MRI, LRP, RT, ADT, 30+ visits to doctors and consultants, blood tests (ultra sensitive PSA tests wont be cheap)).
Batholith

 

Edited by member 08 Feb 2015 at 22:36  | Reason: Not specified

User
Posted 09 Feb 2015 at 15:57

Hi Tamtoot

i was talking to a radiographer at the end of my treatment and he said the cost of treating PC 37 sessions on a the latest Varian etc works out at around 150K all in.

He was telling me that a lot  of the private medical companies pay their patients 25-35K to go be treated on the NHS!!! 

Tony

User
Posted 09 Feb 2015 at 18:47

It is rather old (2006) but this BBC article sheds some light on costs
http://news.bbc.co.uk/1/hi/programmes/breakfast/4898158.stm

The Prostate centre in London quote £15K - £18K on their front page including specialist fees for a full course of radiotherapy

Edited by member 09 Feb 2015 at 18:49  | Reason: Not specified

User
Posted 10 Feb 2015 at 00:10

Just can't believe the radiographer's figure of £150K for 37 fractions of RT. Maybe £15K for NHS but that is tops. You can get a full course of Proton Beam for well within £150K in the USA (Possibly the most expensive place for medical treatment on earth), including board. This site mentions $19000 for conventional course of RT allowed by medicare. http://www.cancer.org/cancer/news/expertvoices/post/2013/02/20/is-proton-beam-therapy-for-prostate-cancer-worth-the-cost.aspx

There seems a dearth of information about UK costs for RT, indeed one site said there was no tariff.

Edited by member 10 Feb 2015 at 01:14  | Reason: Not specified

Barry
User
Posted 10 Feb 2015 at 01:24

I think the £150k will be gross cost to the NHS rather than an estimate of what they would charge an individual. Most of these new technologies are on HP so a proportion of the cost of the machine, staffing an RT suite, running the appointment system, cleaners, drinking water, paper towel for the beds, the computer programming, lab technicians - I bet it mounts up frighteningly quickly.

Dad paid £18,000 cash for RP 13 years ago. I will look at our invoices tomorrow to see what we paid for John's RP & RT.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 10 Feb 2015 at 10:19

Hi Lyn

Yes your right the 150k cost is the gross cost the radiographer I was speaking to was making the point about the how the private companies pay thier patients off to use the good old NHS. 

I looked into Proton Therapy in the States my brother works at one of the leading cancer hospitals in Texas the cost worked out at $250kby the time you factor in the cost of getting there and accomodation its an awful lot of money for something that the experts seem to undecided about.

I finished my radiotherapy at the end of January without too many side effects but only time will tell if its worked.

First blood test in 2 weeks and onocologist in 3   

 

User
Posted 10 Feb 2015 at 21:59
Tamtoot

Perhaps another question is how much more does cost to treat guys because of late detection. I was amazed how many guys had gone to see their doctors with issues unrelated to prostate problems and then found to have prostate cancer. Would a screening programme cost more financially than the cost of additional treatments and drugs that are needed through late detection.

Thanks Chris

User
Posted 11 Feb 2015 at 00:09

Aaaaaagggghhh

Don't mention the S word :-(

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 11 Feb 2015 at 00:46

When I researched treatment for my PCa in 2008, I had a consultation with a professor who secured funding for a number of his patients to have Proton Beam therapy in the USA. He therefore had a good knowledge of costs. He told me that if I wanted Proton Beam treatment there for my PCa, I should budget £90,000 to include board and extra costs over 3 months including preliminaries. US hospitals make sure what they charge covers all their costs (unlike some of the UK ones that run at a loss). Of course there has been inflation since this calculation but if this is taken at a draw dropping 50%, it is still well below the £150K mentioned for Varian RT in the UK. Indeed the projected cost per patients in the new Proton Beam centres due to open in the UK in 2018 is estimated at£40K and remember Proton Beam treatment costs over twice that of Photon RT. http://scienceblog.cancerresearchuk.org/2013/09/16/proton-therapy-is-coming-to-the-uk-but-what-does-it-mean-for-patients/ (Quote 'However, at around £40,000 per patient, the costs should ultimately work out as cheaper than sending people abroad and are expected to fall over time. What’s more, having facilities in the UK will cut down some of the extra expenses for families and carers. And it should also enable more people to benefit from the treatment' unquote.) The cost of installing and running a refined Varian IMRT linac is not in the same league as as the capital and running costs of a Proton Beam facility so costs per fraction will reflect this.

 

Edited by member 11 Feb 2015 at 11:12  | Reason: Not specified

Barry
User
Posted 13 Feb 2015 at 14:03
Two acquaintances who were treated privately said the invoiced cost of a 37 session RT course was £38k. I've heard that the NHS, when very busy, sends patients to private RT facilities. No idea how much the NHS pays, but presumably far less. Haven't heard of private companies paying their patients to use the NHS. More's the pity that I've had my RT already!
User
Posted 13 Feb 2015 at 15:58

Speaking with Jamie last night, NHS new price for Abiraterone is £1,800 per month

£450 per week for what i think is one of the best drugs for Prostate cancer around.

absolute bargain

Don't deny the diagnosis; try to defy the verdict
User
Posted 13 Feb 2015 at 21:27

Dartview

 

When I was looking at treatment options I am sure my medical insurance company said they would pay me around  £70-£100 per RT session if I was treated at an NHS facility.

Thanks Chris

 

 

User
Posted 14 Feb 2015 at 02:10

Though far less expensive than medical treatment in the USA, treatment in the UK is very expensive. When I had my treatment in Germany within a study they did not charge for the carbon ion element. However, for the 30 fractions each of 2gy of IMRT, I was charged a total of Euros 4972.80 in June 2008. This was more involved than in a UK hospital because a framework to which was bonded my head and body cast had to be brought from the store and then be clamped to the table of the linac for each fraction. I then had to be assisted into the cast and while one radiographer held me down another put the top part of the cast in place and held it down (while I breathed in) and secured the plastic retaining bolts. The alignment marks were on the cast not on me. After each fraction the process had to be reversed and my frame with cast taken to store so the linac table could be used in the conventional manner for others. This must have added 10 minutes for 2 radiographers for each fraction so the figure charged was pretty reasonable. (The casts were used for precision as they were primarily made for the carbon ion element which requires no patient movement so also used for the IMRT). Incidentally, this IMRT was not done in some obscure hospital but one of the leading hospitals in Europe as heavily promoted here and yes the efficiency and and cleanliness from spotless white coats to the buildings was as seen in this video https://www.youtube.com/watch?v=2cRYaIJXbvI

Edited by member 14 Feb 2015 at 02:34  | Reason: Not specified

Barry
 
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