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Modelling the comparative costs of Namaste Care: Results from the Namaste Care Intervention UK study

Bray, Jennifer ORCID: https://orcid.org/0000-0002-1315-7643, Brooker, Dawn ORCID: https://orcid.org/0000-0001-8636-5147, Latham, Isabelle ORCID: https://orcid.org/0000-0002-1096-778X and Baines, D. (2021) Modelling the comparative costs of Namaste Care: Results from the Namaste Care Intervention UK study. Working with Older People. ISSN Print: 1366-3666 Online:2042-8790

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Abstract

To populate a theoretical cost model with real-world data, calculating staffing, resource and consumable costs of delivering NCI-UK sessions versus ‘usual care’ for care home residents with advanced dementia.
Data from five care homes delivering NCI-UK sessions populated the cost model to generate session- and resident-level costs. Comparator usual care costs were calculated based on expert opinion and observational data. Outcome data for residents assessed the impact of NCI-UK sessions and aligned with the resident-level costs of NCI-UK.
NCI-UK had a positive impact on residents’ physical, social and emotional well-being. An average NCI-UK group session cost £220.53, 22% more than usual care, and ran for 1.5-2 hours per day for 4-9 residents. No additional staff were employed to deliver NCI-UK, but staff-resident ratios were higher during Namaste Care. Usual care costs were calculated for the same time period when no group activity was organised. The average cost per resident, per NCI-UK session was £38.01, £7.24 more than usual care. In reality, costs were offset by consumables and resources being available from stock within a home.
Activity costs are rarely calculated as the focus tends to be on impact and outcomes. This article shows that, although not cost neutral as previously thought, NCI-UK is a low-cost way of improving the lives of people living with advanced dementia in care homes.

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Bray, J., Brooker, D., Latham, I. and Baines, D. (2021), "Modelling the comparative costs of Namaste Care: results from the namaste care intervention UK study", Working with Older People, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/WWOP-11-2020-0056

Uncontrolled Discrete Keywords: Namaste Care, advanced dementia, cost model, care homes, dementia, older people
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
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Copyright Info: Creative Commons Attribution Non-commercial International Licence 4.0 (CC BY-NC 4.0).
Depositing User: Jennifer Bray
Date Deposited: 04 Feb 2021 08:44
Last Modified: 03 Mar 2021 10:06
URI: https://eprints.worc.ac.uk/id/eprint/10165

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