23
Inpatient care
74. A number of admitted patient Healthcare Resource Groups (HRGs) are specific to CKD or are
likely to contain almost exclusively CKD activity. Together, these HRGs accounted for 63,504 hospital
admissions in 2009–10, and expenditure of £75 million. Expenditure by HRG is shown in Table 9. It
should be noted that the CKD HRGs may include some activity for patients with stages 1–2 CKD. No
adjustment has been made as such admissions cannot be discretely identified and it is thought that
activity levels for these patients are likely to be small. Cost estimates are based on average unit costs
in Reference Cost returns.
Table 9. Cost of hospital admissions for CKD HRGs and dialysis-associated HRGs,
NHS Reference Costs 2009–10, (Department of Health)
CC: Complications or comorbidities
EXPENDITURE ON CKD
Section II:
NHS Expenditure Attributable to CKD
HRG v.4 Elective Non-elective
Regular
day/night
admissions
All
LA08A
Chronic kidney disease with
length of stay 2 days or more
with major CC
£2,292,303 £13,472,983 £37,671 £15,802,957
LA08B
Chronic kidney disease with
length of stay 2 days or more
with intermediate CC
£6,089,497 £12,015,613 £13,381 £18,118,492
LAO8C
Chronic kidney disease with
length of stay 2 days or more
without CC
£3,882,167 £2,968,166 £6,021 £6,856,354
LAO8E
Chronic kidney disease with
length of stay 1 day or less
associated with renal dialysis
£2,225,771 £1,970,598 £2,424 £4,198,793
LAO8F
Chronic kidney disease with
length of stay 1 day or less not
associated with renal dialysis
£6,402,344 £4,079,259 £121,872 £10,603,475
LAO5Z
Renal replacement peritoneal
dialysis associated
procedures
£1,676,815 £702,318 £18,336 £2,397,469
QZ13A
Vascular access for renal
replacement therapy with CC
£9,495,732 £3,636,710 £12,912 £13,145,355
QZ13B
Vascular access for renal
replacement therapy without
CC
£3,584,605 £175,882 £7,739 £3,768,226
Total £35,649,236 £39,021,530 £220,356 £74,891,121