HEOM News and Events

PhD Studentship Opportunity

We have a PhD opportunity to work on the NIHR Applied Research Collaborations (NIHR ARCs), Health Economics, Evaluation and Equality Theme (HEEE).  The studentship will be based at the University of York, within the HEEE team.  The closing date is 9 August. Interviews take place on 4 September.

We are offering a PhD opportunity in one of the following three topics. 

1.      Older Peoples Theme. Develop a system level approach to model the economic impact of implementing interventions to prevent/improve frailty and delayed transfers of care (DTOC) for older people with complex and heterogeneous needs, explicitly recognising the supply side impact. We will also explore the equity impact of frailty interventions and implement the new E-QALY.

2.      Early Life and Prevention Theme. Implement value of information methods to prioritise further data collection in existing studies focusing on evaluations for interventions in childhood obesity and healthy schools, in order to strengthen the evidence and develop methods for cross sectoral evaluation and distributional effectiveness and cost-effectiveness analysis.

3.      Mental and Physical Multimorbidity Theme. Using econometric models, analyse the relationship between environmental factors, such as blue and green spaces and air quality, on mental health, utilising routine and linked data (CPRD, HES and the Mental Health Services Dataset (MHSDS)) in people with serious mental illness.

Full details are here: https://www.york.ac.uk/che/news/news-2019/nihr-arcs-phd-opportunity/

How can Economic Evaluation inform decisions in health?

Interventional Studies as Service Evaluations workshop – June 2019

The School of Health and Related Research (ScHARR), University of Sheffield, are currently taking ‘Expressions of Interest (EoI)’ for the Interventional Studies as Service Evaluations workshop, taking place in Sheffield on Tuesday 4th June 2019 from 9:30am until 4:30pm. 

The event is an opportunity for researchers and commissioners who work in the area of healthcare evaluation and/or commissioning to come together to discuss and debate what types of ‘evidence’ can be obtained from service evaluations as an alternative to research. This includes the associated benefits and negative consequences of taking these alternative approaches. 

Workshop highlights include taught sessions on understanding and distinguishing the differences between service evaluations and research, statistical methods for assessing effectiveness alongside non-randomised study designs (ability to randomise being a key difference associated between research and service evaluations), and methods for assessing value for money (ranging from formal economic evaluation methodologies to cost-only analyses).

These taught sessions will culminate in a structured group discussion related to using service evaluations relative to research as a vehicle for assessing effectiveness and cost-effectiveness, as well as commissioners’ and researchers’ perspectives on why one approach might be chosen over the other.

Key information. To register your interest in attending the event, please email clahrc-heom@sheffield.ac.uk by the 10th May 2019, with ‘EoI - Service Evaluation workshop’ in the subject line of your email. 

ReQoL in Practice Online Community of Practice launched

We are pleased to announce that on Thursday 2nd May we launched the ReQoL in Practice Online Community of Practice (CoP). 

The idea for the online CoP came from delegates who attended the World Café workshop, facilitated during the ReQoL in Practice Event: Building a Community of Practice held in Sheffield on Thursday 29th November 2018.  Delegates proposed that the online CoP should host topic threads related to different aspects of implementing ReQoL. 

The ReQoL CoP is an online space where people implementing or wishing to implement ReQoL can come together to share learning about implementation issues, processes, barriers and facilitators. 

We would like to encourage anyone to join the online Community of Practice which is a password protected space.  You are welcome to join by sending an email to clahrc-heom@sheffield.ac.uk with ReQoL CoP in the subject header, along with your name and organisation.  If you attended the ReQoL Event, we will email you with a link to the CoP. 

We do hope you’ll be able to join us online.  We already have posts from:

  • Tracy Gilzene, Berkshire Healthcare NHS Foundation Trust, on deciding what outcome measures to use and how they rolled ReQoL out.
  • Gail Harrison, Leeds and York Partnership NHS Foundation Trust, talking about the experiences of introducing ReQoL in the Rehabilitation and Recovery service.

Please do check out the CoP and become part of this ReQoL Implementation community.

If you have any questions, please do let us know by emailing Lizzie Taylor Buck at e.taylor-buck@sheffield.ac.uk

Cardiac Rehabilitation Presentation - 21.02.2019

Cardiac Rehabilitation

In this 38 minute film Seb Hinde, Research Fellow at the Centre for Health Economics (CHE) at the University of York, presents research on Cardiac Rehabilitation: Cost-effectiveness, inequality, and the value of increased uptake

This presentation made on behalf of the authors Seb Hinde and Dr Laura Bojke (CHE), Professor Patrick Doherty and Alexander Harrison of the Department of Health Sciences at the University of York, took place on the 21st February 2019, as part of the Economics Evaluation Seminar. 

Seb’s presentation features:

  • Set of some definitions
  • Potted history of post cardiac event activity
  • Cardiac Rehabilitation, what it is and what is the aim
  • NICE’s view
  • What the wider evidence says
  • What is the reality
  • Role of inequality - Cardiac Rehabilitation engagement
  • Seb Hinde, et al research
  • Model setup
  • Transition parameters - Cochrane review and other
  •  Modelled costs and QoL
  • The role of completion and inequality
  • Results, including policy maker friendly
  • Impact
  • Conclusions and discussion points

To find out more about this work contact Seb Hinde | sebastian.hinde@york.ac.uk

ReQoL in Practice Event: Buidling a Community Practice Report

Read the 1st national ReQoL in Practice Event: Building a CommunityPractice report.  It provides an overview of the event and captures the shared learning and knowledge from attendees on how to build a community of practice to support implementing ReQoL.

Improving Cardiac Rehabilitation Uptake

Research from HEOM colleagues based at the Centre for Health Economics, University of York features in the British Heart Foundation’s “Turning Back the Tide report’.

In their submitted publication “Improving Cardiac Rehabilitation Uptake: Potential health gains by socioeconomic status” they reported that “Achieving an update rate for cardiac rehabilitation of 85% in England could lead to nearly 2000,000 fewer deaths and nearly 50,000 fewer hospital admissions over the next ten years, as well as saving terms of millions of pounds in future care costs”

Download the report  here

Patient Reported Outcome Measures (PROMs) Research Conference

The 4th national PROMs conference  will take place at Leeds Beckett University, Leeds on Wednesday 13th June from 09:00-16:30.  This year’s conference is called “Introduction to Quality of Life and Patient-Reported Outcomes: Theory, Measurement and Applications” . 

This one day, intensive and educational course  will provide a basic level introduction to the why and how of using PROs in research.  It is aimed at health professionals who are interested in acquiring familiarity  with the terms and methods of research on PROs. 

The speakers include Nana Skorgaard, Head of Digitisation (Danish Ministry of Health), Professor Stephen Radley, Consultant Gynaecologist and Senior Lecturer  (Sheffield Teaching Hospitals and University of Sheffield), Roger Wilson CBE , Patient Advocate, Professor Galina Velikova (University of Leeds), Dr Mairead Murphy (Centre for Academic Primary Care Bristol) and Dr Kerry Avery and Dr Carmen Tsang (University of Bristol).

You can book a place at the conference via this link

Clinicians forge a Community of Practice

Over 70 clinicians, representing 23 organisations gave their time and resources to attend and contribute to the Recovering Quality of Life (ReQoL) in Practice Event last November.

The event was chaired by Professor John Brazier, with presentations from NHS Trusts, ScHARR, NHS England and NIHR.  The Sussex Partnership Trust and Pathfinder Clinical Team and Leeds and York Partnership Trust discussed the practicalities of implementing ReQoL across their Trusts to improve health outcomes for their patients with mental health conditions. 

Professor Tim Kendall, National Clinical Director, Mental Health, NHS England, presented a national perspective on outcomes in mental health.   The event culminated in a workshop bringing delegates together to discuss how they could forge a community of practice to help support the implementation of ReQoL in their own Trusts. Dr Nicholas Bell closed the event by providing an eloquent review of the day’s proceedings from a clinician’s perspective. 

All the presentations from the event can be downloaded here

ReQoL in Practice Event - Thursday 29th November 2018

We are pleased to announce that the first national ReQoL in Practice event will be held in Sheffield on the 29th November 2018. The event is an opportunity for clinicians, peer support workers, managers, outcome leads, commissioners and service users to come together to create a community of practice, sharing learning and knowledge about implementing ReQoL and the use of ReQoL in clinical practice and quality improvement. Event highlights include an address by Professor Tim Kendall, NHS England's National Clinical Director for Mental Health, and structured opportunities for delegates to share learning across different trusts and organisations.

Further details about the event, including how to register can be found here

The Measuring and Valuing Health MOOC starts on the 2nd July 2018

Learn how Patient Reported Outcome Measure and Quality Adjusted Life Years can compare treatments and inform healthcare spending. Healthcare systems around the world are increasingly under pressure to fund drugs, treatments and other healthcare interventions.  No-one has the money or resources to provide them all, so how do we decide which ones to fund?

The course runs for 3 weeks (3 hours per week).  Aimed at introductory level it covers PROMS and QALYs and is free for anyone to do online.

Details & sign up here https://www.futurelearn.com/courses/valuing-health


To view more details and register your interest in taking part in future courses, sign up here: https://www.futurelearn.com/courses/valuing-health

3rd National CLAHRC Patient Reported Outcomes Measures (PROMs) Research Conference, 2018 held in Birmingham on the 20th of June
at the University of Birmingham

This one-day conference is being hosted by the Centre for Patient Reported Outcomes Research at the University of Birmingham and will include a mixture of plenary sessions, oral presentations and posters and will bring together leading international experts, clinicians, patient partners and early career researchers to engage with the latest advances in the field of PROMs research and implementation.

We are pleased to confirm two keynote speakers, Daniel O’Connor, Medicines and Healthcare products Regulatory Agency (MHRA)
and Dr Tessa Richards, BMJ.

Keep checking the website for further exciting updates. www.birmingham.ac.uk/proms2018

Free online courses

If you want to learn more about health economics, the University of Sheffield runs free online courses called MOOCs (Massively Open Online Courses) in Health Technology Assessment (HTA) and Measuring and Valuing Health (MVH). 

The Health Technology Assessment MOOC starts on 5th March 2018

The course runs for 3 weeks (3 hours per week), is introductory level and is free for anyone to do online

Details & sign up here https://www.futurelearn.com/courses/hta

Watch the trailer, view more details and sign up here:

The Measuring and Valuing Health MOOC started on 12th February 2018

The course runs for 3 weeks (3 hours per week), is introductory level covering PROMS amd QALYs and is free for anyone to do online.

Details & sign up here https://www.futurelearn.com/courses/valuing-health


To view more details and register your interest in taking part in future courses, sign up here: https://www.futurelearn.com/courses/valuing-health

New research to help truck drivers get their health back on the road

Researchers led by Dr Stacy Clemes at Loughborough University, in partnership with researchers from the University of Leicester and University of York, have teamed up with logistics company DHL to test the effectiveness and cost-effectiveness of the research team’s  ‘Structured Health Intervention For Truckers’ (the SHIFT programme). The aim of the programme is to promote positive behavioural changes in terms of increased physical activity and a healthier diet.

Long distance lorry drivers are exposed to a multitude of health risks associated with their job, including long and variable working hours and long periods of sitting. Tight schedules and being on the road can contribute to psychological stress and sleep deprivation.

Their working environment provides limited opportunities for a healthy lifestyle. As a consequence, lorry drivers exhibit higher than average rates of obesity, obesity-related co-morbidities such as diabetes and high blood pressure, and have a significantly reduced life expectancy in comparison to other occupational groups.

The study is helping truck drivers get healthy by encouraging higher levels of physical activity and a healthier diet that fits in with their work schedule.

Data including number of steps a day, amount of sleep, blood pressure and cholesterol will be measured at the start of the programme and at six and 12 months to see if the programme has helped drivers improve their health. Researchers will also consider the impact of the programme on mental health and quality of life.

Read more about the SHIFT programme. 

NHS health checks given a clean bill of health

An assessment of the NHS Health Check programme has concluded it represents value for money by helping some patients lose weight and reduce their risk of future disease caused by obesity.

The research was conducted by the Centre for Health Economics at the University of York and the UK Health Forum, and funded by CLAHRC.

All members of the public between the ages of 40 and 74 are offered a free Health Check once every five years.

Conducted at the patient’s GP practice, the Health Check aims to identify their risk of developing a range of diseases in the future, including stroke, diabetes, kidney disease, and some types of dementia

Patients who are identified as being at high risk of developing these diseases discuss with their GP how they can, with NHS support and personal actions, reduce the chance of developing the avoidable diseases related to obesity.

Patients who are identified as being at high risk of developing these diseases discuss with their GP how they can, with NHS support and personal actions, reduce the chance of developing the avoidable diseases related to obesity.

A model developed by the UK Health Forum was then used to estimate the impact of this change in BMI distribution on long term rates of a number of diseases, including heart disease (which saw a 2.1% decrease in the maximum rate), diabetes (1.6%), stroke (1.5%) and high blood pressure (0.8%).

Read more about the research on Health Checks

2nd National CLAHRC  Patient Reported Outcomes Measures (PROMs) Research Conference, held in Oxford on the 8th of June 2017 at St Anne's College.

Organisers: Background: In the UK there are many PROMs events, however until last year there were no national researcher-led activities on methodologies around development, testing and use of PROMs in different contexts and settings. Following the success of the inaugural national PROMS research conference (June 2016) hosted by Professor John Brazier, YH CLAHRC University of Sheffield, the 2nd conference was organised.


The event was organised by a scientific committee comprised of: 

Professor Ray Fitzpatrick (Theme Lead, CLAHRC Oxford and Nuffield Department of Population Health); 

Professor John Brazier (ScHARR and NIHR CLAHRC Yorkshire and Humber theme lead),

Elizabeth Gibbons, and Caroline Potter (Nuffield Department of Population Health, Oxford and NIHR CLAHRC Oxford); 

Professor Jose M Valderas, (Exeter and NIHR CLAHRC Peninsula).

The role of CLAHRCs was prominently displayed both in advance publicity and on the day. It was made clear that it was an NIHR CLAHRC event. The following six CLAHRCs provided crucial funding and support: Oxford, Yorkshire and Humber, South West Peninsula, East of England, West and West Midlands. It was also endorsed by the International Society of Quality of Life.

The format for the event was of parallel sessions with presentations in the morning followed by a more substantive session in the afternoon with two plenary presentations on Using Patient Reported Outcome Measures (PROMs) in cancer care, Professor Galina Velikova and The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS): a view from the UK, Professor Jose M Valderas.

There was time for Q&As about each presentation and a concluding discussion on the direction of PROMs research, Professor Ray Fitzpatrick. Seventy-seven abstracts were submitted for consideration and from these, n=36 oral presentations and 39 poster presentations were selected. Twenty-five PhD students presented their work (n=9 oral, n=16 poster). Programme attached.

Twelve reviewers volunteered to peer review and score abstracts and chair a parallel session; most representing the supporting CLAHRCs.

143 registrations were received, including 20 free PhD places. The attendees principally were researchers and clinicians leading and involved in all aspects of PROMs research. Other delegates were represented from industry, pharma and research consultancy organisations.

The journal Health and Quality of Life Outcomes, Biomed Central will be publishing the 38 abstracts from the conference with open access at no cost. This is expected to be published this month (October 2017).

Next steps: It is clear that there continues to be firm commitment from delegates supporting a future event. 

Professor Melanie Calvert, University of Birmingham, a key PROMs researcher in the UK and internationally recognised, has agreed to host the event in June 2018. We will be seeking support from the CLAHRCs again in order to keep fees down, particularly for PhD students ensure the NHS focus of the event.

This information was taken from a blog post from Elizabeth Gibbons, you can see the full post here

Click here to find out more about CLAHRC Oxfords PROMS research.

Reqol Westminster launch event 12th October 2016


Recovering Quality of Life (ReQoL) was launched by Paul Blomfield MP at an event at Westminster in October and attended by representatives from many mental health trusts across the country and various stakeholders.

ReQoL is a Patient Reported Outcome Measure (PROM) that has been developed by a team at the University of Sheffield’s School of Health and Related Research (ScHARR) to assess the quality of life for those experiencing mental health conditions.

The questionnaire will be used in helping to decide what support or services people receive and also to measure and improve the quality of care that service users receive.

Researchers from ScHARR worked together with service users and clinicians to generate the themes, items and scoring of the measure.

Professor John Brazier (pictured left with Paul Blomfield MP) from ScHARR who led the team, said: “The ReQoL-10 and the ReQoL-20 are short measures of self-assessment of quality of life that have been developed rigorously to meet the need for people recovering from a wide variety of mental health problems.

ReQoL provides a unique opportunity to take a holistic view of the lives of service users and hence they can be better supported in their recovery journey.”

ReQoL has been commissioned and funded by the Department of Health Policy Research Programme in England for use in the NHS. It has also been supported by the NIHR CLAHRC Yorkshire and Humber.

The team has worked with the specialist Clinical Outcomes team at Oxford University Innovation Ltd to make ReQoL available. It is free to all publicly funded health services.

Paul Blomfield MP said: “Mental health was one of the most commonly raised concerns in my annual community consultation. When one in four people face a mental health condition, cutting-edge research to improve outcomes are vitally important. The University of Sheffield’s School of Health and Related Research (ScHARR) are making a significant contribution to better mental health through their new Recovering Quality of Life measure. I’m delighted to host the launch of this initiative in Parliament.”

PROMS Conference Sheffield - 9th June 2016

Advances in Patient Reported Outcomes Research and their application to decision making.
The 2016 UK Patient Reported Outcome Measures (PROMs) research conference took place on 9 June in Sheffield (#PROMsconf2016). Over 120 participants took part, attending 24 parallel sessions and one poster session of which over 40 posters were displayed. The afternoon was chaired by Professor Ray Fitzpatrick focused on three plenaries with invited speakers and nominated discussants:
  • Computerized adaptive testing. Professor Tim Croudace, Dundee (discussant; Dr Chris Gibbons, Cambridge);
  • Feedback on PROMs to healthcare providers. Associate Professor Joanne Greenhalgh (discussant: Prof John Browne, Cork);
  • Wellbeing. Professor John Brazier, Sheffield (discussant: Colin Green, Exeter).
PROMS Conference 2016

The conference was co-hosted by Professor John Brazier, Sheffield; Elizabeth Gibbons, Oxford; Professor Jose M Valderas, Exeter; and Dr Georgina Jones, Sheffield. Further administrative support was provided by Jenny Dunn, Theme Manager and Samantha-Jane Pye. Support was granted by NIHR CLAHRCs Peninsula, Yorkshire and Humber, Oxford, and East of England and endorsed by ISOQOL.

Feedback informally and formally was positive; the content relevant and interesting and there was considerable enthusiasm for a similar event in 2017. 

The abstracts have now been published in the special supplement “Proceedings of Patient Reported Outcome Measure’s (PROMs) Conference Sheffield 2016: advances in patient reported outcomes research”. The full content of the supplement can be found at https://hqlo.biomedcentral.com/articles/supplements/volume-14-supplement-1