Unit costs for supportive care are listed in Table 49 and were sourced from NHS reference costs 2018/2019 and PSSRU 2019 (143, 144).
Resource use estimates in the base case were derived from a questionnaire of 6 UK clinicians currently treating patients with HCC. This was conducted in early 2020 in preparation for this submission, in order to provide current estimates since the literature estimates were based on evidence collected over 10 years ago. Values used in the base case are provided in Table 50.
A scenario analysis has been included utilising the resource use estimates from the lenvatinib NICE submission TA551 (Table 51) (42), whereby resource use estimates were obtained from the original sorafenib submission (38). As TA551 used estimates from the sorafenib submission, which was partly carried out over 10 years ago in 2009 and partly updated in 2016, the values in Table 50 were deemed the most recent and clinically relevant.
Table 49: Resource use costs| Resource required | Unit Cost | Reference | |
|---|---|---|---|
| Physician visits | Oncologist | £194.17 | NHS reference costs 2018/19. WF01A Consultant-led, Non-Admitted Face-to-Face Attendance, Follow-up (medical oncology) |
| Hepatologist | £194.79 | NHS reference costs 2018/19. WF01A Consultant-led, Non-Admitted Face-to-Face Attendance, Follow-up (hepatology) | |
| Gastroenterologist | £137.88 | NHS reference costs 2018/19. WF01A Consultant-led, Non-Admitted Face-to-Face Attendance, Follow-up (gastroenterology) | |
| Macmillan nurse | £36.65 | PSSRU, Unit Costs of Health and Social Care 2018/19. Nurse (GP practice). Cost per hour, including qualifications | |
| Radiologist | £151.85 | NHS reference costs 2018/19. WF01A Consultant-led, Non-Admitted Face-to-Face Attendance, Follow-up (interventional radiology) | |
| Laboratory tests | AFP Test | £23.71 | NHS reference costs 2018/19. Average of DAPS01 and DAPS02 (cytology, and histopathology and histology) |