1. Patient Level Information Costing (PLICS)
MLC 1st April 2014
Patient Level Information Costing (PLICS)
Julie Peacock
National Services Scotland;
Public Health and Intelligence (PHI)

2. Patient Level Costing Methodology Background
Costing model developed by NHS Highland
Aim for responsive tariff to underpin IRF work
“Soft-PLIC” detailed costing methodology
Basis: hospital site and specialty specific direct costs
Calculation of unit costs(tariffs) by direct cost pool
Identify activity (units vary by cost pool)
Remove any high cost item costs
Divide costs by activity = unit cost

3. Patient Level Information Costing Background
“Soft-PLIC” detailed costing methodology cont.
Application of unit costs/tariffs to individual records
On admission
Per day
Theatre time if applicable
High Cost Items (HCI) if applicable
Overhead allocation %
Development overseen by NHSScotland
Costing Group

4. Patient Level Information Costing Sample application of tariffs
Direct Cost Pools
NHS Highland
average
costs/min

5. Patient Level Information Costing Sample application of tariffs

6. Patient Level Information Costing
Benefits of PLICS
Enables detailed costing analyses
Transparency
Responsive to length of stay
Covers range of SMR activity
Application to “real-time” activity

7. Patient Level Information Costing Challenges
Consultation of PLICS
Reconciliation to cost book
Data Completeness e.g GLS
High cost items
Theatre times
Cross boundary flow (NSD/complexity)
Costs for Social Care (PLICS)

8. Supporting Partnerships IRF National Mapping (standard outputs)

9. Example Analysis Partnership X: age 65+ Institutional 61.2%
Community 38.8%
25% Emergency Admissions (£34m)
9% Elective Admissions (£12m)
6% Outpatients (£9m)
Cost Per head
£5,354 - Total cost per head
£1,342 Emergency Admissions
£748 Care Homes
£534 Home Care
41% all admissions were Emergency (activity)