The NHS in England directly incentivises success in reducing the incidence of Pressure Ulcers through its CQUIN payment framework. The NHS Safety Thermometer includes Pressure Ulcer incidence as one of its key measures of outcomes and therefore entitlement to CQUIN payments. Prevalence of grade 2 ulcers alone has been reported according to the latest data gathered from the NHS Safety Thermometer to be 3%. The cost of treating grade 2 ulcers has been estimated at £47 per day for uncomplicated cases (Dealey and Posnett 2012). See references. Daily treatment of grade 2 ulcers alone in a 650 bed hospital would therefore cost £917 and the annual cost amount to £335,000. The annual cost of treating deeper ulcers or complications of ulcers would add significant amounts to this total. The treatment of ulcers in care homes and patients own homes adds a significant further cost to the NHS, mostly through additional district nurse visits.
The cost-benefit case for using Parafricta garments to help reduce the costs of treating pressure ulcers in England is currently the subject of a Medical Technologies Evaluation Programme assessment by the National Institute for Health and Care Excellence (NICE) – expected to report in November 2014.