Vale of York Clinical Commissioning Group         
Our Theme is working on a number of projects with the Vale of York Clinical Commissionning Group

HEOM009 | Health Economics Advice to the Vale of York Clinical Commissioning Group

Contacts: Laura Bojke| laura.bojke@york.ac.uk and Gerry Richardson | Gerry.richardson@york.ac.uk

The aim of the collaboration is to increase the economic input into decisions made by the Clinical Commisioning Group around which interventions and/or services to commission (or de-commission). This evidence must meet local needs, be timely, appropriate and useful, whilst maintaining scientific rigour. There are a series of projects which sit under this study. 

Read about our work with the Vale of York Clinical Commissioning group in Issue 4 of our newsletter.

HEOM009a

Health Economics Advice to the Vale of York Clinical Commissioning Group


Care Hubs evaluation


Contacts: Laura Bojke and Gerry Richardson


We are assessing 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.  

We are conducting exploratory analyses using Hospital Episode Statistics, to assess whether each type of hub is cost-effective. This is be based on a comparison between the predicted numbers of admissions (without the hub) versus the observed number of admissions post implementation. We are describe characteristics of the hubs that are potential drivers of cost-effectiveness, by comparing the York hubs with their statistical neighbours.

HEOM009b

A collaborative partnership with the Vale of York Clinical Commissioning Group, working jointly to improve local decision making, increase involvement of decision makers in research and improve processes for prioritisation of research. Actioned through a series of timely health economics projects - Rehabilitation Services

Contact: Laura Bojke or Ana Duarte
Specialist rehabilitation provides highly structured multidisciplinary care to individuals with complex disabilities following illness or injury to maximise their recovery after hospital admission and support a safe transition to the community.  York Clinical Commisioning Group (CCG) are responsible for planning and funding rehabilitation services at a local level. However, budget constraints and the numerous competing demands on health and social care impose the need for prioritising investments in health care. This process can be informed by estimates of cost-effectiveness analyses of health interventions or services.
                                                                                                                      
We examined the impact of specialist rehabilitation services in North Yorkshire and Humberside on hospital length of stay (LoS) and associated costs compared to routine care.  We did this by comparing hospital (LoS) and associated costs compared to routine care.  We found that the average length of stay and duration costs were lower for the majority of patients with greater access to specialist rehabilitation compared to routine care.  The analysis suggests that specialist rehabilitation may be cost saving compared to routine care and supports the case for expansion of the existing services to improve coverage in the area. 

Read about our research in more detail by accessing our publication on
Impact of specialist rehabilitation services on hospital length of stay and associated costs
HEOM009c

A collaborative partnership with the Vale of York Clinical Commissioning Group, working jointly to improve local decision making, increase involvement of decision makers in research and improve processes for prioritisation of research. Actioned through a series of timely health economics projects - Health Checks

Contact: Sebastian Hinde
Since their initiation in 2009 the policy of providing NHS Health Checks to 40-74 year olds has proved controversial with a poor level of coverage and overall program performance substantially below initial targets of reduction in cardiovascular disease risk factors. 

This work aimed to assess the cost-effectiveness evaluation of the NHS Health Checks in their current form using the impact of the policy on reducing the long term risk factors associated with obesity, one of the primary factors associated with many of the targeted diseases.  This focused analysis sought to answer the question: has the reduced level of obesity caused by NHS Health Checks, been sufficient to justify the cost of the entire policy to the NHS? The analysis employs a publicly available economic evaluation toolkit to estimate how an observed reduction in the mean BMI in the target population impacts long term population health and costs to the NHS.  

Read further about how the NHS health checks are given a clean bill of health.  The research is discussed in our publication The Cost-Effectiveness of Population Health Checks: have the NHS Health Checks been unfairly maligned?

Health Economics Advice to the Vale of York Clinical Commissioning Group


Care Hubs evaluation


Contacts: Laura Bojke and Gerry Richardson


We are assessing 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.  

We are conducting exploratory analyses using Hospital Episode Statistics, to assess whether each type of hub is cost-effective. This is be based on a comparison between the predicted numbers of admissions (without the hub) versus the observed number of admissions post implementation. We are describe characteristics of the hubs that are potential drivers of cost-effectiveness, by comparing the York hubs with their statistical neighbours.

HEOM009g

‘Added Value’ for organising Mental Health Services in the Vale of York (VoY) by continuing to fund core 24-hour service and avoiding emergency admissions

Contacts: Laura Bojke and Gerry Richardson

A short term project looking at the ‘Added Value’ for organising Mental Health Services in the Vale of York (VoY) by continuing to fund core 24-hour service and avoiding emergency admissions. 

A collaborative partnership with the Vale of York Clinical Commissioning Group, working jointly to improve local decision making, increase involvement of decision makers in research and improve processes for prioritisation of research. Actioned through a series of timely health economics projects - 

HEOM009h

Health Economics Advice to York Clinical Commissioning Group - providing a rapid response for evidence-informed decision making

Contacts: Laura Bojke and Gerry Richardson 
As panel members on the Clinical Research and Effectiveness Committee (CREC) and the Research sub group of VoY CCG our role on these committees is to ensure that wherever feasible, cost-effectiveness evidence is used in decision making. This input has impacted directly on local policy and provision of services, including the

HEOM034

Evaluation of Core 24 Psychiatric Liaison


Contact: Laura Bojke
A short term project funded by the VoY CCG looking at the ‘Added Value’ for organising Mental Health Services in the Vale of York (VoY) by continuing to fund core 24-hour service and avoiding emergency admissions.