Comedy of the Week - Stuart Mitchell's Cost of Dying
Episode Date: August 18, 2025This first episode takes a cheeky look at the costs of end of life care and you might be surprised to find out just how pricey it is to pop your clogs!When it seems like everything is getting more exp...ensive; comedian, former banker and serial funeral-organiser Stuart Mitchell breaks down the true Cost of Dying. Using his own experience Stuart aims to find out if can we even afford to kick the bucket? You’ll learn so much about the hidden costs of dying, you may well decide not to bother doing it!To find more episodes from this series, search "Stand-Up Specials" on BBC Sounds.Written and Performed by Stuart Mitchell Producer: Lauren Mackay Sound: Andy Hay and Chris Currie
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Welcome to Stuart Mitchell's
Cost to Dime
And yes, the title says it all
This is a show about how when someone dies
You get hit with a load of surprise hidden extra costs
It's a bit like flying Ryanair to heaven
Only on this journey, you're not checking in
You're checking out
I'll chip in from time to time during the show
With some additional information
because that's what every comedy show needs.
Live fact-checking.
This series was born as I think about
and talk about deaf a lot,
having arranged six friendrows
for my family members.
Not so much, I've been there, got the T-shirt,
more, I've been there, I've donated all the T-shirts
to the British Heart Foundation.
Across this series,
I'm hoping to give you a unique insight
into the costs involved
when we take that final breath.
And I feel I'm best place to offer this advice
as I previously worked for an end-of-life charity
for nearly two decades.
Ironically, before then, I was a banker
where most people wished I was dead.
I'm going to be drawn on my own experience
in regards to the direct costs
my family picked up after my dad passed away.
Sorry, I meant to change that.
I'm going to be drawn in my experience
in regards to the direct cost I picked up.
You see, it wasn't just his body I picked up.
I saved on that, to be fair.
Instead of £600 for a hearse,
I took him in the car
and propped him up in the front seat
so I could use the carpool lane.
So my dad died on the same day
the Conservatives won the 2015 general election.
I know, turns out Dad was first past the post.
My dad died at 61
and was diagnosed with cancer, aged 60.
they gave him five years to live
but you get four years off for good behaviour.
And given that terminal diagnosis
that's when my dad's true cost of dying
really started. It wasn't just
my dad's body that slowly deteriorated
and came to a halt but also
his earning potential.
If you didn't know your income tends to peak
in your 50s and decline in your 60s
particularly if you're on only fans.
The quality of care received by people at the end of life
has become a major policy concern.
Yes, we all agree charities like Macmillan and Marie Curie are great,
but at the end of the day, well, it's the end of the day.
I mean, these charities are fantastic.
Macmillan, they were with my dad.
They were awesome.
Anyone else dealt with McMillan, Maricure?
Fantastic.
aren't they? They're great. They're great. But always the same outcome.
No one walks out and say, your dad, he's fine. Trap wind.
As soon as my dad was given that terminal diagnosis, he stopped working. To be fair,
that was the least of his worries as six months later he stopped breathing.
He went from earning $550 a week to the maximum benefit of a week.
for pip and gaining pip is a long-winded process they basically piss you off and
pip me off before you pop off my dad's got a hundred and seventy-two pound fifty
pence a week his earnings dropped over two-thirds overnight the biggest dropping
wages ever only to be beaten eight years later by Philip Schofield I didn't know
what celebrity to put in there
Dad was running a weekly deficit of £377.50 pence,
over £1,500 a month in the red.
Even the UK Chancellor was like, that's impressive.
And six months later, he went from £9,000 in the red to being dead.
That timeframe between his terminal diagnosis and death
had cost him financially over £10,000.
And yet even when dead, the Department for Wendell,
working pensions classdom is fit for work.
So what about the cost of giving my dad George a good death?
I mean, I think it was a good death.
He sounded relieved when he took out that final breath, like,
oh.
My stepmom described it as taking off her brat after a 12-hour shift.
Now, with a terminal.
diagnosis, of course, comes palliative care. Dad had palliative chemotherapy, which can cost
the NHS up to £30,000 per round. I believe you can go to Turkey and get it done cheaper,
and they'll do your teeth and bum lift at the same time. The cost varies massively with
individual medical needs. Indeed, chemotherapy costs the NHS at estimated 1.4 billion a year,
so about the same amount if you've ever had to buy a train ticket on the day.
With dad having chemo
I was sitting in the waiting room
with other relatives of cancer patients
you think you get depressed the day after Christmas
you want to try being there
they were all saying oh my wife has two years max
and I didn't have the heart to tell him
I'm not called Max
and some other sister is crying
saying she's only got 18 months
and it felt a bit competitive
so I just sat there saying
well my dad's gone
they're actually bagging them up just now
at 30,000 pounds
a patient my dad decided to stop chemo
and take the money
I'm joking
my stepmom took all that
for 30 grandsworth of radioactivity
the least I expected for him
was to develop superpowers
Dad's right to choose where to die
was taken out his hands
as a hospice bed wasn't available
my dad paid 12%
national insurance contributions
every year for 45 years
and he had to die in a hospital bed
no option but to die in hospital
How does that work?
Well, he lies under the covers and stops breathing, but...
You see, for 15 years, I worked for an end-of-life charity.
I went from selling lottery tickets
as my first job to end-of-life care.
Very different reaction when you tell someone
the numbers are up.
And that joke is why I no longer work for the end-of-life charity.
You see, when you work in a hospice,
you understand it every day.
counts. It's around £300 a day minimum for a hospice to take an inpatient. And hospices
struggle for funding. Plus, to be fair, they're losing customers daily. And it's hard for
an end-of-life charity to raise money when it's difficult to get testimonials. You don't have
the benefit of my dad on their website. Five stars. Wouldn't die anywhere else.
Hospices are vastly underfunded, only receiving about 26% of their costs from the government
the other 74% is raised through them selling your clothes.
You see, I don't want to die at home.
I had enough of that doing corporate gigs on Zoom.
So outside a hospital or hospice environment,
you can have care in the community.
And this enables individuals to remain out of hospital
in their last few days of life
with more local GP involvement.
Approximately two thirds of patients
see their GP at least once
during the last three months of life.
The other third die while waiting on the phone
to book an appointment.
Any GP receptionist's son?
Ironically, no one answered.
So it costs a UK hospice
around £300 a day minimum
to give you a bed for free
it's extra if you want a mattress
plus that 300
pound includes dinner bed and breakfast
so an average 14 day stay
amounts to over 3,500
pound I mean you could get
a weekend and centre parts for that
in the UK there's an estimated
220 adult hospice and palliative
care units with a total
of 3,200 beds
that's like one floor of a
travel lodge. And if you've stayed on a travel lodge, it's fair to say, after 14 days,
you wish you were dead. As I said, my dad died in hospital. To die in hospital is far more
expensive in a hospice, at least £450 a day billed to the NHS. A major point of interest
was helping to develop a care plan so my dad could die at home. But due to the shortest of staff
in ambulances. It couldn't happen
and after ten days he ended
up dying in Ward 16 at
Wishaw General Hospital in between
my step-mum's breasts.
He genuinely
was in a better place. His last words
were
brr-brr.
Those
cared for in the community spent two
and a half fewer days of their
final 90 days in hospital.
Therefore, hospital costs are lower for individuals cared at home.
The hospital costs are lower, but the tea bags and biscuits spill really spirals.
I'll tell you, they district nurses will eat you out of house and home.
Dad had 11 GP visits in his final 90 days of life,
with the average taking 10 minutes as a face-to-face GP consultation,
which costs, according to Marie Curie, £56 each.
Now, sadly, I must confess
I can't calculate the cost
of all my dad's drugs during his treatment
as my mate could only give me street value.
Seriously, it would be impossible to guess the cost
because each case is different.
I'm not saying Dad was on a lot of drugs,
but in his will, he left me a unicorn.
And I do know he had seven hours
of district nursing care
during his final three months.
and the district nurse wasn't the friend list.
I don't know what district she was from,
but judging by her attitude,
maybe the district of Mordor.
And assuming district nursing costs an average
78 pounds per hour,
this translated to his total treatment of 546 pound.
I mean, my dog walker is only 15 pound an hour,
plus she would have given him biscuits.
and tickled his belly.
My dad's life expectancy should have been 84,
so he missed out on 19 years estate pension,
and as a minimum, excluding rises,
that would have been £218,538, at 11,502 pounds,
plus his private pension, 450 a month.
So that's a grand total my dad missed out on,
136,000 and 800 pounds.
However, his private pension transferred to my stepmom,
so it's not included in the running total.
Ironically, my stepmom's excluded,
just like me and my dad's will.
So my dad lost out in over 228,000 pounds on his state pension.
Some under 35s listening now, wondering what a pension is.
it's something you can only dream of
so that concludes episode one
and I've not even touched on additional costs
when dad was diagnosed terminal
I had to pull six months of gigs
that included a tour of New Zealand and Australia
I lost about £6,000
I mean I made it all back the following year
unless the tax office is listening
so excluding my dad's private pension
that transferred over to my stepmom
the running cost of death to my dad
and the NHS combined
at the end of episode 1
is 314,200 pound
just shy of what I paid
in hospital parking to visit him
join me for the next episode
which is all about taxis
they say two things in life are certain
deaf and taxis
and it's true
if HMRC finds out
you're not paying your taxis you're dead
goodbye
Stuart Mitchell's Cost of Dine was written and performed by me, Stuart Mitchell.
It was produced by Lorne McKay and was a BBC Scotland production for Radio 4.
Stuart Mitchell here.
If you like that episode, then you can hear more from the series on BBC Sounds.
Just search Stuart Mitchell's Cost of Dine.
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