NFC price per procedure for paediatric liver transplantation
Duration: March 2013 – May 2014
The Nationally Funded Centres Program for paediatric liver transplantation has sites at the Royal Children’s Hospital Brisbane, Queensland, The Royal Children’s Hospital Melbourne, Victoria and The Sydney Children’s Hospital Network (Westmead), New South Wales. A comprehensive assessment of the NFC Program for paediatric liver transplantation was undertaken during 2012 and 2013 by DLA Piper which made a number of recommendations. One of the recommendations was that the paediatric liver transplantations provided through the NFC Program be funded at a rate of $270,681 for each transplant.
CHSD was approached to undertake a review of this recommendation price per procedure on behalf of the National Funded Centres Reference Group.
What we did
The review has comprised three activities – a review of relevant documentation (including previous NFC submissions), a targeted stakeholder consultation process and the development of an expected cost profile based on the pathway description for PLT services.
The review of the documentation highlighted that different approaches have been adopted in development of the costing submission, but revealed that there was a generally consistent care pathway for the management of paediatric liver transplantation across the three sites. At the same time, the stakeholder consultation highlighted that there remains a great deal of variability between patients receiving a liver transplant in terms of their responses to care, which often drives differences in cost.