{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:09:07Z","timestamp":1765728547458},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We determined the available mechanisms to generate income from outpatient parenteral antimicrobial therapy (OPAT) in the UK and calculated the revenue generated from treatment of an episode of cellulitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Revenue was calculated for patients receiving treatment for cellulitis as an inpatient and for patients receiving OPAT by a series of different payment pathways. Selected established OPAT services in Northern Ireland, Scotland and Wales, where Payment-by-Results (PbR) does not operate, were contacted to determine individual national funding arrangements.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In England, a traditional inpatient episode for uncomplicated cellulitis requiring 7 days of treatment generated \u00a31361 of revenue, while OPAT generated revenue ranging from \u00a3773 to \u00a32084 for the same length of treatment depending on the payment pathway used. Treatment using OPAT to avoid admission entirely generated \u00a32084, inpatient admission followed by transfer to a virtual OPAT ward at day 2 generated \u00a31361 and inpatient admission followed by discharge from hospital to OPAT at day 2 generated \u00a3773. In Northern Ireland, Scotland and Wales block contracts were used and no income was calculable for an individual episode of cellulitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>No single funding mechanism supports OPAT across the UK. In England, revenue generated by OPAT providers from treatment of cellulitis varied with the OPAT payment pathway used, but equalled or exceeded the income generated from equivalent inpatient care. Cost savings for OPAT and reuse of released inpatient beds will increase revenue further. A single OPAT tariff is proposed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jac\/dku541","type":"journal-article","created":{"date-parts":[[2015,1,4]],"date-time":"2015-01-04T01:10:29Z","timestamp":1420333829000},"page":"1236-1240","source":"Crossref","is-referenced-by-count":11,"title":["How is income generated by outpatient parenteral antibiotic treatment (OPAT) in the UK? Analysis of payment tariffs for cellulitis"],"prefix":"10.1093","volume":"70","author":[{"given":"G. R.","family":"Jones","sequence":"first","affiliation":[{"name":"1 \u00a0Department of Infection, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. V. E.","family":"Cumming","sequence":"additional","affiliation":[{"name":"2 \u00a0Department of Pharmacy, Isle of Wight NHS Trust, St Mary's Hospital, Newport, Isle of Wight PO30 5TG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Honeywell","sequence":"additional","affiliation":[{"name":"2 \u00a0Department of Pharmacy, Isle of Wight NHS Trust, St Mary's Hospital, Newport, Isle of Wight PO30 5TG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Ball","sequence":"additional","affiliation":[{"name":"3 \u00a0Hospital and Ambulance Directorate, Isle of Wight NHS Trust, St Mary's Hospital, Newport, Isle of Wight PO30 5TG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Sanderson","sequence":"additional","affiliation":[{"name":"4 \u00a0Department of Infection, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London W6 8RF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. A.","family":"Seaton","sequence":"additional","affiliation":[{"name":"5 \u00a0Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0NA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Healy","sequence":"additional","affiliation":[{"name":"6 \u00a0University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK"},{"name":"7 \u00a0Public Health Wales (Microbiology), Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Hedderwick","sequence":"additional","affiliation":[{"name":"8 \u00a0The Royal Hospitals, Grosvenor Road, Belfast BT12 6BA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"4 \u00a0Department of Infection, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London W6 8RF, UK"},{"name":"9 \u00a0Department of Infection and Pharmacy, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London W6 8RF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the BSAC OPAT Standing Committee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Dryden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Gilchrist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Seaton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Laundy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Cumming","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Sanderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorrayne","family":"Jefferies","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue 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