Table 3

An example of a cost consequence study—transferring gastroscopy services to primary care

CostsConsequences (benefits/dysbenefits)
GP and nurse (what activity is being given up by these practitioners to undertake the new service)Health state
Saving in hospital resources (what is being released and how is it being utilised?)Diagnostic accuracy
Capital costs, for example, new buildings, equipmentPatient satisfaction (better access, shorter waiting times, understanding of condition)
Patient costsPatient dissatisfaction (lack of expert care)
Costs of administering primary care service including quality controlLoss of opportunities for secondary care training