Summary of current HEOM projects 


Alternative analytical approaches to aid decision-making 

Contact: Gerry Richardson

Exploring the advantages and disadvantages of alternative analytical approaches to aid decision making in CLAHRC YH.

This project will:
1. Identify factors that are important in deciding which type of approach to choose. These are likely to include local needs, local resources available, timelines and complexity of decision problem. This will be done using an engagement workshop with CLAHRC members and collaborators.
2.Identify whether there is a 'minimal' set of requirements, i.e. are there some factors essential to consider (e.g. addressing uncertainty)
3. Explore the possibility of using existing techniques to identify where health economics input should be focused and whether more sophisticated approaches are required.
4.Develop a set of recommendations / a checklist to aid in choosing the choice of analytical approach.


Future related costs for MI survivors

Contact: Laura Bojke

This project looks at survivors of myocardial infarction (MI) developing other conditions in future. NICE guidance currently states that costs unrelated to the condition or technology of interest should be excluded from cost-effectiveness analysis. 

This is controversial and could have substantial impact on the results and conclusions of analyses, particularly where there is an effect on mortality. This project describes different types of cost and whether/how these might be included in cost-effectiveness analysis.


Air quality

Air quality has enormous impact on length of life and the quality of that life; there are 40,000 deaths each year in the UK associated with poor air quality.  A collaboration between local authorities (Leeds/Bradford, York and others) and academics at the Centre for Health Economics, University of York is currently exploring the issue of air quality and how local health might be improved with changes to the transport system implemented by the local authority.


Recovering Quality of Life (ReQoL)

ReQoL is a new Patient Reported Outcome Measure (PROM) specifically developed to assess quality of life for people with mental health conditions. ReQoL will assess the recovery of the service user in order to evaluate and improve mental health services from the patient’s perspective.


Validity of EQ5D-5L & other measures for over-65s

Contact: Clara Mukuria

Formal and informal social care support is an important input for individuals with long term conditions (LTCs) as they can help maintain well-being even where health is not improving. Health related quality of life measures such as EQ-5D may capture some of the impact of social care but may miss out on aspects such as independence and control and new measures such as the ICECAP-O, ASCOT or well-being have been recommended as alternatives. 

The overall aim of this study is to compare the new 5 level version of EQ-5D to these new ‘beyond health measures’ in a longitudinal study in order to examine the extent to which EQ-5D already captures the ‘beyond health’ domains covered in these measures. LTCs are more prevalent in older populations therefore participants aged over 65 with and without LTCs were recruited from the South Yorkshire Cohort in 2014 (n=1749) with follow-up in 2015/16 (n=1213). 


Exploring the face validity of ReQoL items with 16-18 year olds - Adolescent ReQoL

Contact: Lizzie Taylor Buck

The report of the government's Children and Young People’s Mental Health Taskforce recommends potentially extending CAMHS (Child and Adolescent Mental Health Services) to young people up to 25 years of age (DH, 2015b).

Extended CAMHS services will require outcome measures suitable for the 16-25 year old population that are able to reliably measure change in older adolescents and younger adults. It is therefore important to explore the use of ReQoL (a new PROM for mental health assessment, see HEOM004) with this age group in further detail.


York CCG - health economics support & advice

Contacts: Laura Bojke, Gerry Richardson

We will identify a range of projects that are being considered by the CCG for implementation. From these, we will select several projects that are deemed highest priority for evaluation. Prioritisation will be conducted by members of both the Centre for Health Economics (CHE) in York and the CCG and will have input from the research committee of the CCG. 

This prioritisation could be based on several criteria including the number of individuals affected, the proximity of roll-out or cost of the intervention. We will build on applied and methodological work in the health economics field to conduct analyses that are timely, useful and of high quality.


Care Hubs evaluation

We will assess the potential cost-effectiveness of the pilot Care Hubs implemented in York, Pocklington and Selby. These “hubs” all focus on reducing non-elective hospital inpatient admissions and/or length of stay at the hospital, but provide very different levels/types of care for differing communities.  


Rehabilitation Services

The provision of Specialist Rehabilitation services across the North Yorkshire, East Yorkshire and Northern Lincolnshire sub region has been identified by healthcare professionals working in the area as incomplete and inadequate to address patients’ needs. Furthermore, the 2014/15 Major Trauma Peer Review highlighted the lack of dedicated rehabilitation services for major trauma patients in all three Trusts (Hull and East Yorkshire Hospitals NHS Trust, Northern Lincolnshire and Goole NHS Foundation Trust, and York Foundation Trust), with Hull and East Yorkshire Hospitals NHS Trust providing the only specialist rehabilitation ward (Ward 29 at Castle Hill Hospital) in the area, which is not dedicated specifically to major trauma patients alone.

We aim to assess the likely costs and effects of expanding this service to a larger population and assess whether this is likely to provide value for money.


Obesity model: A framework to evaluate the impact of public health interventions seeking to reduce the level of obesity at a national and local level

Contact: Gerry Richardson

Developing a model to evaluate a range of potential interventions to reduce obesity to be used by local and national decision makers to evaluate public health initiatives.

Preventing obesity through the development of a novel obesity prevention programme – the Healthy Lifestyles Programme – which encourages school children to make healthier behaviour choices, in terms of diet and exercise, by using an interactive, drama-based approach.

To date, the cluster randomised trial has been successful with retention rates above 95%. The outcome of this complex intervention is expected in 2016, and if this approach is found to be effective it has the potential to be rolled-out in schools across the country.


Cardiovascular prioritisation

To understand why differences in care pathways occur at a local level we have developed a list of priority topics for future research in cardiovascular disease. This will encourage locally driven, needs led research to be prioritised, with a view to improving the health of heart attack patients in Yorkshire & Humber.