Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales

Adam Paul Formby; Richard Andrew Cookson; Simon Halliday

Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales

Adam Paul Formby, Richard Andrew Cookson, Simon Halliday

Research output: Working paper › Discussion paper

Abstract

This paper estimates the NHS cost per case of the legal declaratory relief process in relation to withdrawal of clinically assisted nutrition and hydration (CANH) from patients diagnosed as being in a permanent vegetative state (PVS), in relatively ‘straightforward’ cases where family and clinicians agree this is in the best interests of the patient. The PVS declaratory relief process lasts, on average, nine months and costs the NHS about £122,000 per case. This comprises about £53,000 in legal costs and about £69,000 in on-going care costs which we estimate cost just over £7,500 per month.

Original language	English
Place of Publication	York, UK
Publisher	Centre for Health Economics, University of York
Number of pages	15
Publication status	Published - Feb 2015

Publication series

Name	CHE Research Paper
Publisher	Centre for Health Economics, University of York
No.	108

Bibliographical note

Access to Document

CHERP108_cost_analysis_CANH_PVS_declaratory_relief
© Adam Formby, Richard Cookson, Simon Halliday
Final published version, 1.34 MB

http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP108_cost_analysis_CANH_PVS_declaratory_relief.pdf

1 Conference participation
1 Seminar/workshop/course
1 Seminar

Assessing the Court's Role in the Withdrawal of Clinically Assisted Nutrition and Hydration from Patients in the PVS
Simon Halliday (Invited speaker)
21 May 2015
Activity: Talk or presentation › Seminar
Law & Society Association Meeting
Simon Halliday (Speaker)
29 May 2014 → 1 Jun 2014
Activity: Participating in or organising an event › Conference participation
Withholding and Withdrawing Treatment from Patients in a Vegetative or Minimally Conscious State
Simon Halliday (Speaker)
9 May 2014
Activity: Participating in or organising an event › Seminar/workshop/course

2 Finished

Chronic Disorders of Consciousness Research Centre
Kitzinger, C. (Principal investigator), Halliday, S. (Co-investigator), Holland, S. M. (Co-investigator) & Nettleton, S. (Co-investigator)
1/09/12 → 31/08/14
Project: Other project › Research collaboration
CDoC Research Group: C2D2 research 1b, 2a & 3a - Chronic Disorders of Consciousness: An interdisciplinary Research Project
Kitzinger, C. (Principal investigator), Holland, S. M. (Co-investigator), Nettleton, S. (Co-investigator), Halliday, S. (Co-investigator), Hall, A. (Co-investigator) & Cookson, R. A. (Co-investigator)
1/07/12 → 31/01/14
Project: Other project › Other internal award

Cite this

Formby, A. P., Cookson, R. A., & Halliday, S. (2015). Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales. (CHE Research Paper; No. 108). Centre for Health Economics, University of York. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP108_cost_analysis_CANH_PVS_declaratory_relief.pdf

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title = "Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales",

abstract = "This paper estimates the NHS cost per case of the legal declaratory relief process in relation to withdrawal of clinically assisted nutrition and hydration (CANH) from patients diagnosed as being in a permanent vegetative state (PVS), in relatively {\textquoteleft}straightforward{\textquoteright} cases where family and clinicians agree this is in the best interests of the patient. The PVS declaratory relief process lasts, on average, nine months and costs the NHS about £122,000 per case. This comprises about £53,000 in legal costs and about £69,000 in on-going care costs which we estimate cost just over £7,500 per month. ",

author = "Formby, {Adam Paul} and Cookson, {Richard Andrew} and Simon Halliday",

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year = "2015",

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language = "English",

series = "CHE Research Paper",

publisher = "Centre for Health Economics, University of York",

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Formby, AP , Cookson, RA & Halliday, S 2015 'Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales' CHE Research Paper, no. 108, Centre for Health Economics, University of York, York, UK. <http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP108_cost_analysis_CANH_PVS_declaratory_relief.pdf>

Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales. / Formby, Adam Paul ; Cookson, Richard Andrew ; Halliday, Simon.
York, UK: Centre for Health Economics, University of York, 2015. (CHE Research Paper; No. 108).

Research output: Working paper › Discussion paper

TY - UNPB

T1 - Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales

AU - Formby, Adam Paul

AU - Cookson, Richard Andrew

AU - Halliday, Simon

PY - 2015/2

Y1 - 2015/2

N2 - This paper estimates the NHS cost per case of the legal declaratory relief process in relation to withdrawal of clinically assisted nutrition and hydration (CANH) from patients diagnosed as being in a permanent vegetative state (PVS), in relatively ‘straightforward’ cases where family and clinicians agree this is in the best interests of the patient. The PVS declaratory relief process lasts, on average, nine months and costs the NHS about £122,000 per case. This comprises about £53,000 in legal costs and about £69,000 in on-going care costs which we estimate cost just over £7,500 per month.

AB - This paper estimates the NHS cost per case of the legal declaratory relief process in relation to withdrawal of clinically assisted nutrition and hydration (CANH) from patients diagnosed as being in a permanent vegetative state (PVS), in relatively ‘straightforward’ cases where family and clinicians agree this is in the best interests of the patient. The PVS declaratory relief process lasts, on average, nine months and costs the NHS about £122,000 per case. This comprises about £53,000 in legal costs and about £69,000 in on-going care costs which we estimate cost just over £7,500 per month.

M3 - Discussion paper

T3 - CHE Research Paper

BT - Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales

PB - Centre for Health Economics, University of York

CY - York, UK

ER -

Cost analysis of the legal declaratory relief requirement for withdrawing Clinically Assisted Nutrition and Hydration (CANH) from patients in the Permanent Vegetative State (PVS) in England and Wales

Abstract

Publication series

Bibliographical note

Access to Document

Activities

Assessing the Court's Role in the Withdrawal of Clinically Assisted Nutrition and Hydration from Patients in the PVS

Law & Society Association Meeting

Withholding and Withdrawing Treatment from Patients in a Vegetative or Minimally Conscious State

Projects

Chronic Disorders of Consciousness Research Centre

CDoC Research Group: C2D2 research 1b, 2a &amp; 3a - Chronic Disorders of Consciousness: An interdisciplinary Research Project

Cite this

CDoC Research Group: C2D2 research 1b, 2a & 3a - Chronic Disorders of Consciousness: An interdisciplinary Research Project