Nurse-led advance care planning with older people who have end-stage kidney disease: feasibility of a deferred entry randomised controlled trial incorporating an economic evaluation and mixed methods process evaluation (ACReDiT)

Table 5 Staff costs to deliver ACP

Resource use category	Staff time in minutes (SD)	Mean staff costs (SD)	Training fees
Nephrologist introducing ACP per patient – completing patients ^a	16.3 (10.4)	£29.34 (18.72)ⁱ
Nephrologist introducing ACP per patient – withdrawing patients ^b	13.8 (8.0)	£24.84 (14.4)ⁱ
Nurse introducing ACP per patient – completing patients ^c	19.0 (9.4)	£14.30 (7.08)^j
Nurse introducing ACP per patient – withdrawing patients ^d	13.8 (9.6)	£10.38 (7.23)j
Nurse delivering ACP per patient ^e	73.5 (15)	£55.33 (11.29)j
Training time per staff participant ^f	270	£365.26	£80 (n = 10)
Training time per expert patient ^g	120	£100	£40 (n = 5)
Compensation per expert patient ^h		£50

^adata from 11 patients
^bdata from 12 patients
^cdata from 17 patients
^ddata from 20 patients
^edata from 13 patients (9 immediate and 4 deferred ACP)
^f3 nephrologists and 7 nurses
^g5 expert patients
^h1 expert patient
ⁱCost per hour, 48-h week of a hospital based medical consultant - £108
^jWeighted average of hourly rate of hospital based nurses. ACP Nurse pay bands: one band 7, four band 6, and one band 5 (one nurse was trained but did not implement ACP) [48]

ISSN: 1471-2369