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