Updated resources to help local commissioners achieve value for money by estimating the return on investment (ROI) and cost-effectiveness of public health programmes | Public Health England
This guide provides links to tools and reports that can help:
assess which interventions provide the best value for money, by calculating their costs, benefits and ROI
make the most of your budget by deciding how to split resources across different public health programmes
compare costs, savings and clinical outcomes
These evidence resources are relevant for local decision makers as well as national policymakers. The resources have been updated in May 2018, and can be used to estimate the value of investing in prevention and early diagnosis in your area. They pull together the best available evidence on costs, savings, and health benefits for specific topic areas in a single place, thus simplifying the process of commissioning cost-effective services.
Revaluing Parks and Green Spaces | Fields in Trust
This new report highlights that everyone, irrespective of who they are and where they live should have the right to enjoy and benefit from local parks and green spaces. Parks and green spaces are proven to help people stay physically and mentally well; places where we can all move, breathe, run and play. They are an important tool to drive social
cohesion, combat loneliness and build community spirit.
The report presents data on the economic value of parks and green spaces, enabling local authorities for the first time to make a robust, evidence-led business case for the economic and wellbeing value of parks and green spaces to local communities.
This research will enable a strategic approach to the provision of parks and green spaces by identifying areas where investment will have the most significant impact on individuals. It presents a new and compelling argument that, in a difficult economic climate, the provision of parks and green spaces should be prioritised in areas with lower socio-economic groups and a higher representation of BAME communities given the disproportionately high level of benefits that these groups derive from parks and
The Total Economic Value to an individual is £30.24 per year (£2.52 per month), and includes benefits gained from using their local park or green space.
The Wellbeing Value associated with the frequent use of local parks and green spaces is worth £34.2 billion per year to the entire UK adult population.
Parks and green spaces are estimated to save the NHS around £111 million per year based solely on a reduction in GP visits and excluding any additional savings from prescribing or referrals.
A new resource by Public Health England (PHE) poses this question, to support local commissioners, providers and healthcare professionals to make the case for investing in drug and alcohol treatment and interventions.
They have produced a set of 32 slides, like the example above which can be downloaded and shared in presentations.
All the Why invest? slides are available from PHE to download here
Each piece of evidence is summarised across over 20 criteria to provide details on how the results were created and to highlight the inputs and assumptions used in the original studies. This allows users to understand the relevance and apply the evidence to their local setting.
In this Public Health Matters blog, John Newton and Brian Ferguson explore the economic case for prevention, acknowledging that more than ever before, ‘public health’ has to make the strongest possible economic case for what it does.
Each £1 invested in public health interventions could offer an average return on investment to the wider health and social care economy of £14 | NIHR Signal
This systematic review looked at 52 studies where the return on each £1 ranged from -£21.3 to £221. Legislative interventions such as sugar taxes, and health protection interventions such as vaccination programmes, gave the highest returns on investment. Interventions such as anti-stigma campaigns, blood pressure monitoring and early education programmes, provided smaller (but still favourable) returns. National campaigns offered greater returns than local campaigns. Falls prevention provided the quickest return, within 18 months.
These findings apply to high-income countries. There are some limitations to the data, as a variety of calculation techniques were used and the quality of the included studies varied. However, these are unlikely to alter the direction or approximate size of these effects. The study shows how cost-effective public health interventions can be and should inspire future research into how to better implement what is already known.
The Council of the European Union (EU) has recommended that action should be taken to increase influenza vaccination in the elderly population | BMJ Open
Objectives: The aims were to systematically review and critically appraise economic evaluations for influenza vaccination in the elderly population in the EU.
Results: Of the 326 search results, screening identified eight relevant studies. Results varied widely, with the incremental cost-effectiveness ratio ranging from being both more effective and cheaper than no intervention to costing €4 59 350 per life-year gained. Cost-effectiveness was most sensitive to variations in influenza strain, vaccination type and strategy, population and modelling characteristics.
Conclusions: Most studies suggest that vaccination is cost-effective (seven of eight studies identified at least one cost-effective scenario). All but one study used economic models to synthesise data from different sources. The results are uncertain due to the methods used and the relevance and robustness of the data used. Sensitivity analysis to explore these aspects was limited. Integrated, controlled prospective clinical and economic evaluations and surveillance data are needed to improve the evidence base. This would allow more advanced modelling techniques to characterise the epidemiology of influenza more accurately and improve the robustness of cost-effectiveness estimates.