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Table 1 Financial costs and carbon conversion factors for health care use and other assumptions made

From: Evaluating sustainability: a retrospective cohort analysis of the Oxfordshire therapeutic community

COST (£)

 A&E attendance

£113 b

 OPD appointment

£135 b

 Physical health cost per bed-day

£399 b

 Mental health OPD appointment

£100 b

 Mental health cost per bed-day

£430 b

 GP consultation

£45 b

 Bus journey

£2-assumed

 Petrol

£1.40 / L-assumed

 Cost for travel incl staff and patient travel (from survey)

£8.10/pt/wk (urban)

£3.70/pt/wk (rural)

 Cost of energy

£15.60 / kWh (British Gas standard price)

CARBON FOOTPRINT (kg CO2e)

 ED attendance / one bed day

91 kgCO2e c

 OPD appointment

56 kgCO2e c

 Mental health OPD appointment

59 kgCO2e c

 Mental health cost per bed day for INPT

97 kgCO2e c

 GP consultation

66 kgCO2e c

 Medication conversion factor

0.4 kgCO2e/£ a

 Energy conversion factor

0.5 kgCO2e / kWh a

 Bus conversion factor

0.1 kgCO2e / mile a

 Medium sized car conversion factor

0.2 kgCO2e / mile a

 Carbon footprint for travel incl staff and patient travel (from survey)

9 kgCO2e/pt/wk (urban)

7 kgCO2e /pt/wk (rural)

OTHER CONVERSION FACTORS OR ASSUMPTIONS MADE

 Average fuel consumption for car

60mpg

 Type of car used

Small average car size

 Total area of all treatment rooms and office space used by TC

185 m2

 Carbon footprint per square metre of outpatient room

147kWh/m2 annually

 Duration of equipment used

5 years

 Cost of laptop / easy chair / desk chair / desk

£400 / £200 / £400 / £150

 Salaries of staff

Taken as average salaries b

 Staff time dedicated to therapeutic community intervention and number of patients in service at any given time

Estimated by director of service

  1. a DEFRA [18]
  2. b Curtis Report 2013 [25]
  3. c SDU [3]