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Louise McClelland FRCpath 12 th January 2011

Pick a test in your lab and cost it including all the components that make up the cost of a test service. Louise McClelland FRCpath 12 th January 2011. Keywords. Trust overheads Departmental overheads Estimates Pension National insurance. Costing considerations. Labour Equipment

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Louise McClelland FRCpath 12 th January 2011

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  1. Pick a test in your lab and cost it including all the components that make up the cost of a test service Louise McClelland FRCpath 12th January 2011

  2. Keywords • Trust overheads • Departmental overheads • Estimates • Pension • National insurance

  3. Costing considerations • Labour • Equipment • Servicing, warranties, replacement costs • Reagents/Consumables • Failure/repeat rate • Department and Trust overheads • E.g. Employer national insurance (14% of wage) and pensions contributions, (12.8% of wage), utilities, building maintenance, IT services

  4. Achondroplasia testing outline Blood/Amniotic fluid sample into lab DNA extraction Sequencing of FGFR3 p.Gly380Arg mutation Sequencing analysis Report result

  5. Labour costs

  6. Staffing costs

  7. Sample receipt • Equipment • Computer, printer (?Trust cost) • Reagents/consumables (lab overheads) • Paper • Pens • Labels • Packets

  8. Extractions * The amniotic fluid extractions are always used for rapid aneuploidy screening and achondroplasia. This will reduce the price BUT unsure of service contract costs.

  9. DNA quantification

  10. Manual PCR

  11. 150ml 2% Agarose gel (64 well)

  12. Overall ACH costs

  13. Conclusions • Much more than just the test • Difficult to account for everything • Have to estimate e.g. • Did not include; • Service contracts for hoods, pipettes, EZ1 • Software costs e.g. SHIRE/StarLIMS, Mutation surveyor • Replacement costs

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