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Building our future: laying the foundations for healthy homes and buildings: draft paper
- Author:
- ALL-PARLIAMENTARY GROUP FOR HEALTHY HOMES AND BUILDINGS
- Publisher:
- All-Parliamentary Group for Healthy Homes and Buildings
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
This Green Paper sets out key recommendations on what needs to be done to ensure that homes and buildings are healthy and do not create or worsen health issues. The paper also highlights the health and cost benefits which could be achieved by raising building and environmental standards and refitting homes and buildings. Potential benefits include: lower costs to the health service, better educational attainment, improved well-being, and independent living. The deadline for submitting responses to the paper is 30 September 2017. (Edited publisher abstract)
New approaches to supporting carers' health and well-being: evidence from the national carers' strategy demonstrator sites programme: report summary
- Author:
- UNIVERSITY OF LEEDS. Centre for International Research on Care, Labour and Equalities
- Publisher:
- University of Leeds. Centre for International Research on Care, Labour and Equalities
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- Leeds
This report summary presents key findings of the national evaluation of the Department of Health’s Demonstrator Sites programme which aimed to improve carers’ health and well-being, in line with a commitment made in the 2008 National Carers’ Strategy. The study aimed to map and assess the effectiveness of specific initiatives, examine their impact on carer health and well-being, and outline the cost of initiatives. The study showed, for example, that for carers struggling to make ends meet, small investments in gym memberships, laptops or short holidays could make a real difference – yet cost a fraction of what would need to be spent if their care breaks down or cannot be sustained. Other worthwhile innovations included special health and well-being checks to pick up carers’ physical or mental health problems – spotting many conditions, including diabetes, depression and cancer, which would otherwise be left undiagnosed, as carers often put their own needs second to those of others. Another key finding was that when GPs or hospitals work together with social services and voluntary agencies in their area, support for carers can really improve – yet the better support carers receive through these integrated partnerships costs comparatively little.
New approaches to supporting carers' health and well-being: evidence from the national carers' strategy demonstrator sites programme
- Editors:
- YEANDLE Sue, WIGFIELD Andrea, (eds.)
- Publisher:
- University of Leeds. Centre for International Research on Care, Labour and Equalities
- Publication year:
- 2011
- Pagination:
- 138p., bibliog.
- Place of publication:
- Leeds
This report presents key findings of the national evaluation of the Department of Health’s Demonstrator Sites programme which aimed to improve carers’ health and well-being, in line with a commitment made in the 2008 National Carers’ Strategy. The study aimed to map and assess the effectiveness of specific initiatives, examine their impact on carer health and well-being, and outline the cost of initiatives. The study showed, for example, that for carers struggling to make ends meet, small investments in gym memberships, laptops or short holidays could make a real difference – yet cost a fraction of what would need to be spent if their care breaks down or cannot be sustained. Other worthwhile innovations included special health and well-being checks to pick up carers’ physical or mental health problems – spotting many conditions, including diabetes, depression and cancer, which would otherwise be left undiagnosed, as carers often put their own needs second to those of others. Another key finding was that when GPs or hospitals work together with social services and voluntary agencies in their area, support for carers can really improve – yet the better support carers receive through these integrated partnerships costs comparatively little.
Economic evaluation of a liaison psychiatry service
- Authors:
- PARSONAGE Michael, FOSSEY Matt
- Publisher:
- Centre for Mental Health
- Publication year:
- 2011
- Pagination:
- 19p., bibliog.
- Place of publication:
- London
Psychiatric liaison services provide mental health care to people being treated for physical health conditions in general hospitals. This report provides an independent economic evaluation of the Rapid Assessment Interface and Discharge psychiatric liaison service operating in City Hospital, a large acute hospital in Birmingham. Noting that an effective liaison psychiatry service offers the potential to save money as well as improve health, the report focuses on cost savings in the local health economy. It is based on scrutiny and reanalysis of data collected as part of a wider internal evaluation of the service and on supplementary material, site visits and meetings. It discusses liaison psychiatry and presents an economic evaluation of the Rapid Assessment Interface and Discharge service, together with a commentary and assessment. The report concludes that the service improves the quality of care for people with mental ill-health, generates significant cost savings and is excellent value for money.
Medically unexplained symptoms
- Author:
- WEBB Tim
- Journal article citation:
- Therapy Today, 21(3), April 2010, pp.11-14.
- Publisher:
- British Association for Counselling and Psychotherapy
This article describes how addressing medically unexplained symptoms (MUS) has huge potential to reduce the burden of illness and the cost of health services. Studies in the UK suggest between 15 and 30% of patients who consult have MUS as part of their problem, and these symptoms include musculoskeletal, abdominal, ear, nose and throat complaints, and fatigue and dizziness. This article addresses the challenges of tackling MUS, explaining how psychological conditions can exacerbate physical conditions, and vice-versa, and suggests possible ways forward for the health sector – where pathways of care need to be defined that deal with the problems that patients face, rather than slotting patients into pathways designed to accommodate outmoded service configurations.
Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity: cluster-randomised trial
- Authors:
- CAMACHO Elizabeth M., et al
- Journal article citation:
- British Journal of Psychiatry, 213(2), 2018, pp.456-463.
- Publisher:
- Cambridge University Press
Background: Collaborative care can support the treatment of depression in people with long-term conditions, but long-term benefits and costs are unknown. Aims: To explore the long-term (24-month) effectiveness and cost-effectiveness of collaborative care in people with mental-physical multimorbidity. Method: A cluster randomised trial compared collaborative care (integrated physical and mental healthcare) with usual care for depression alongside diabetes and/or coronary heart disease. Depression symptoms were measured by the symptom checklist-depression scale (SCL-D13). The economic evaluation was from the perspective of the English National Health Service. Results: 191 participants were allocated to collaborative care and 196 to usual care. At 24 months, the mean SCL-D13 score was 0.27 lower in the collaborative care group alongside a gain of 0.14 quality-adjusted life-years (QALYs). The cost per QALY gained was £13 069. Conclusions: In the long term, collaborative care reduces depression and is potentially cost-effective at internationally accepted willingness-to-pay thresholds. (Edited publisher abstract)
Prevention of ill health in older people: an economic analysis
- Authors:
- SCOTLAND. Scottish Government, NHS SCOTLAND
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 30p.
- Place of publication:
- Edinburgh
This analysis models the effect of upstream interventions which have the potential to improve healthy life expectancy and therefore reduce the need for, or intensity of, care in older people. Three conditions that cause considerable burden to the people of Scotland were modelled: chronic obstructive pulmonary disease (COPD), stroke and osteoporosis. A simple economic model was developed which estimates the expected numbers of these conditions that can be averted in 2028 by reducing known risk factors by effective interventions. These data provide an indication of the relative cost effectiveness of different health improvement activities. They also demonstrate the period of benefit required before cost savings are likely to result. The findings predict that current levels of health improvement activities are likely to deliver the predicted benefits. For example, for smoking cessation with a target of 22% smoking rate, it is possible to prevent 333 strokes, 16,725 cases of COPD and 2,500 osteoporotic fractures, with associated costs per case averted of £381 for COPD, £50,347 for stroke and £9,909 for an osteoporotic fracture. With the exception of obesity management for stroke prevention and management of vitamin D deficiency for the prevention of osteoporotic fractures, health improvement programmes will more than pay for themselves.
Evaluating models of care closer to home for children and young people who are ill: main report: executive summary
- Authors:
- PARKER Gillian, et al
- Publisher:
- National Institute for Health Research. Service Delivery and Organisation Programme
- Publication year:
- 2011
- Pagination:
- 7p.
- Place of publication:
- Southampton
Standard 6 of the National Service Framework for Children emphasised the need to provide care as close to home (CCTH) as possible for children who are ill. The aim of this project was to: identify service models currently available to provide CCTH for children who are ill; explore how these models respond to need; explore the benefits, drawbacks and cost implications of a shift to more CCTH for ill children; and establish evidence-based good practice for establishing and running CCTH. This project took a mixed methods approach. Firstly, a previous systematic review was updated and extended. Next, a national survey of English acute and primary care trusts mapped paediatric CCTH services and collected data on their delivery and organisation. Case studies in 4 PCTs in England explored the implications and impact of CCTH, using in-depth interviews with 35 staff who commissioned, organised and delivered CCTH and 22 families who used the services. Lastly, using economic modelling methods, the project explored the cost effectiveness of providing CCTH. This executive summary presents the key findings of the project, and the implications for health care. The findings indicate that CCTH can provide safe and effective care for a wide range of children who would previously have been in hospital, and may do so with reduced costs to the health service, and to families too.
Evaluating models of care closer to home for children and young people who are ill: main report
- Authors:
- PARKER Gillian, et al
- Publisher:
- National Institute for Health Research. Service Delivery and Organisation Programme
- Publication year:
- 2011
- Pagination:
- 249p.
- Place of publication:
- Southampton
Standard 6 of the National Service Framework for Children emphasised the need to provide care as close to home (CCTH) as possible for children who are ill. The aim of this project was to: identify service models currently available to provide CCTH for children who are ill; explore how these models respond to need; explore the benefits, drawbacks and cost implications of a shift to more CCTH for ill children; and establish evidence-based good practice for establishing and running CCTH. The project took a mixed methods approach. Firstly, a previous systematic review was updated and extended. Next, a national survey of English acute and primary care trusts mapped paediatric CCTH services and collected data on their delivery and organisation. Case studies in 4 PCTs in England explored the implications and impact of CCTH, using in-depth interviews with 35 staff who commissioned, organised and delivered CCTH and 22 families who used the services. Lastly, using economic modelling methods, the project explored the cost effectiveness of providing CCTH. This report presents the findings of the separate stages of the work and then draws together the headline conclusions. The findings indicate that CCTH can provide safe and effective care for a wide range of children who would previously have been in hospital, and may do so with reduced costs to the health service, and to families too. The implications for health care and suggestions for future research are discussed.
Evaluating models of care closer to home for children and young people who are ill: a systematic review
- Authors:
- PARKER Gillian, et al
- Publisher:
- National Institute for Health Research. Service Delivery and Organisation Programme
- Publication year:
- 2011
- Pagination:
- 221p., bibliog.
- Place of publication:
- Southampton
Standard 6 of the National Service Framework for Children emphasised the need to provide care as close to home (CCTH) as possible for children who are ill. This report updates and extends an earlier systematic review of paediatric home care published in 2000. This review aimed to identify international evidence on the effectiveness and costs of services that provide CCTH for children and young people with both long-term and short-term health needs. It also aimed to review the descriptive literature on CCTH in the UK, focussing particularly on service delivery and organisational issues. The review was produced as part of a larger project to evaluate models of CCTH for children and young people; the overall findings of this project are published in a separate report. This report provides full details about how the review was conducted and about its detailed findings. Eleven randomised controlled trials (16 papers), 26 other comparative studies (34 papers), 20 papers including health economics data, and 45 accounts of UK services (63 papers) are included. The findings show that the evidence base related to CCTH has not grown substantially since the earlier review. However, there is evidence in some cases of reduced burden and costs for families. There is also growing evidence, albeit based on weaker evidence, that CCTH may reduce costs for health services, particularly for children with the most complex and long-term needs.