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Results for 'cost effectiveness'

Results 1 - 10 of 70

Handyperson services: defining the added value

FOUNDATIONS
2020

This report highlights the role of Handyperson Services in keeping people safe and healthy in their own homes, which can include repairs, home safety checks and home adaptations. It looks at some of the main improvements services can carry out and includes examples of services that provide added value. These include: Middlesbrough Staying Put, County Durham Handyperson Service and Manchester Care & Repair. Figures from a sample survey completed by 78 local authorities in England show that over half of local authorities either provide or commission handyperson services, with 45 percent providing services that aid timely discharge from hospital. The report concludes that the inclusion of Disabled Facilities Grant in the Better Care Fund provides a mechanism to improve the commissioning and targeting of Handyperson Services.

Quality and cost-effectiveness in long-term care and dependency prevention: the English policy landscape. CEQUA report

MARCZAK Joanna, FERNANDEZ Jose-Luis, WITTENBERG Raphael
2017

This report summarises policy developments in England in relation to quality and cost-effectiveness and dependency prevention in long-term care. These policy aims focus on maximising the cost-effectiveness of the social care system, so that service users’ and carers’ quality of life is maximised within available resources. The report provides an overview of the long-term care system in England. It then reviews key recent policy developments in four areas: reducing dependency cost-effectively; strategies for maximising care coordination; supporting unpaid carers; and use of innovative care models, with a focus on technological solutions and personalisation. An appendix lists key features of the Care Act 2014 and the Better Care Fund relevant to prevention.

Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial

HENDERSON Catherine, et al
2014

Purpose of the study: to examine the costs and cost-effectiveness of ‘second-generation’ telecare, in addition to standard support and care that could include ‘first-generation’ forms of telecare, compared with standard support and care that could include ‘first-generation’ forms of telecare. Design and methods: a pragmatic cluster-randomised controlled trial with nested economic evaluation. A total of 2,600 people with social care needs participated in a trial of community-based telecare in three English local authority areas. In the Whole Systems Demonstrator Telecare Questionnaire Study, 550 participants were randomised to intervention and 639 to control. Participants who were offered the telecare intervention received a package of equipment and monitoring services for 12 months, additional to their standard health and social care services. The control group received usual health and social care. Primary outcome measure: incremental cost per quality-adjusted life year (QALY) gained. The analyses took a health and social care perspective. Results: cost per additional QALY was £297,000. Cost-effectiveness acceptability curves indicated that the probability of cost-effectiveness at a willingness-to-pay of £30,000 per QALY gained was only 16%. Sensitivity analyses combining variations in equipment price and support cost parameters yielded a cost-effectiveness ratio of £161,000 per QALY. Implications: while QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs.

The older adults’ NHS and social care return on investment tool: final report

PUBLIC HEALTH ENGLAND
2020

This report summarises the evidence on nine identified interventions to support older people. It is the final report of a project to provide a return on investment (ROI) tool to help stakeholders and decision-makers to compare the cost-effectiveness of interventions to reduce the need for services in older adults. The focus is on the use of social care services, but the report also reviews interventions which also reduced the need for health services. The ROI includes nine interventions, identified though a literature review. They are: community singing; a help at home scheme; a befriending service; the WHELD intervention for people living with dementia in nursing home; the INTERCOM intervention providing hospital discharge support for COPD patients; voluntary and community sector (VCS) services aimed at patients with long-term conditions, which use social prescribing and other approaches to put patients in touch with services; health coaching; the BELLA intervention providing self-management support for COPD patients; and a home care reablement service. An accompanying technical report provides further detail of the literature review, selection of the interventions for inclusion in the tool and the modelling methods. The return investment tool is available to download. It can be adapted to local conditions and presents results showing the economic benefits of each intervention.

The impact of telehealth on use of hospital care and mortality: research summary

STEVENTON Adam, BARDSLEY Martin
2012

The impact of telehealth on hospital use, patient admission and mortality were evaluated in three trial sites in England. The sites were from the Department of Health’s Whole System Demonstrator pilots. The evaluation focused on the use of telehealth to people with chronic obstructive pulmonary disease, diabetes or heart failure. It used a large randomised controlled trial which included over 3,000 participants (1,584 control and 1,570 intervention) in which groups of patients either received the telehealth intervention or acted as controls by receiving their usual care. Statistically significant differences in rates of emergency hospital admission and mortality were found during the twelve months of the trial between control and intervention groups. For intervention patients, the overall costs of hospital care (including emergency admissions, elective admissions and outpatient attendances) were £188 per patient less than those for controls. However, this cost difference was not statistically significant. As well as summarising the main findings the research summary highlights the limitations of the research and other issues that need to be considered in relation to the findings.

Building community capacity: making an economic case

KNAPP Martin, et al
2010

The Coalition Government’s vision, the Big Society, includes ideas for increasing local involvement, moving the provision of services and decision-making closer to local communities. Volunteering is strongly encouraged, as is the creation of social enterprises and other organisations with charitable status which may be able to take over local services currently run by the state. Independent community organisers are also proposed as part of these new developments. This small research project aimed to investigate the economic consequences which follow from initiatives of this type. The approach taken was to use the findings from previous studies, combined with the expertise of people delivering services and shaping initiatives, to produce simple simulations. Each simulation sought to mimic the pathways that people might follow, whether through services or through ‘life events’ such as getting a job, or in terms of changes in their wellbeing. The aim was to investigate the economic impact of the community capacity-building initiative compared to what would happen in the absence of such an initiative. The study covers 3 examples of ways in which community capacity can be built: time banks; befriending; and debt and benefits advice from community navigators. It focuses on the costs of these projects and on the monetary value of some of their consequences. These calculations demonstrate that each of these community initiatives generate net economic benefits in quite a short time period.

SCIE research briefing 36: reablement: a cost-effective route to better outcomes

FRANCIS Jennifer, FISHER Mike, RUTER Deborah
2011

One in a series of research briefings about preventive care and support for adults. This briefing focuses on reablement services. It summarises the findings from existing research evidence and covers: the outcomes of reablement; people's views about reablement; funding and organisational implications; costs and cost-effectiveness of reablement. The briefing also looks at whether reducing the need for home care and improving people's independence will improve their overall wellbeing. The briefing reports that good research evidence exists to suggest that reablement improves service outcomes, removing or reducing the need for standard home care. Although studies report a higher cost than traditional home care, they also indicate a strong possibility of longer-term savings. Gaps in the research evidence are also discussed.

Public mental health: evidence, practice and commissioning

CAMPION Jonathan
2019

Based on a review of recent literature, this report summarises evidence around public mental health practice. Public mental health practice takes a population approach to mental health which includes three levels of mental disorder prevention and mental wellbeing promotion. The review covers: the impact of mental health problems and of mental wellbeing; risk factors for mental disorder and protective factors for mental wellbeing; groups at higher risk of poor mental health; effective interventions to treat mental disorder and to prevent associated impacts, preventing mental disorder from arising and promoting mental wellbeing; and economic savings of different public mental health interventions. It finds that despite the existence of cost-effective public mental health interventions, only a minority of people with a mental condition in England receive any treatment, receive interventions to prevent associated impacts or receive intervention to prevent mental conditions or promote mental wellbeing. It sets out a number of actions to improve coverage of evidence based interventions to reduce the population impact of mental disorder and promote population mental wellbeing. The report has been endorsed by the Association of Directors of Public Health, Faculty of Public Health, Health Education England, Local Government Association, Royal College of General Practitioners, Royal College of Psychiatrists and RSPH (Royal Society of Public Health).

The older adults’ NHS and social care return on investment tool: technical report

PUBLIC HEALTH ENGLAND
2020

The technical report of a project which aimed to provide a return on investment (ROI) tool to help stakeholders and decision-makers to compare the cost-effectiveness of interventions to reduce the need for services in older adults. This report provides detail of the literature review process, the process of assessment and prioritisation of interventions for inclusion in the tool, and the detailed modelling methods used. Based on evidence from the literature review and through discussion with expert Steering Group members, nine interventions are included in the ROI tool. These are: community singing; a help at home scheme; a befriending service; the WHELD intervention for people living with dementia in nursing home; the INTERCOM intervention providing hospital discharge support for COPD patients; voluntary and community sector (VCS) services aimed at patients with long-term conditions, using social prescribing and other approaches to put patients in touch with services; health coaching delivered by inter-professional health and social care services; the BELLA intervention providing self-management support for COPD patients; and a home care reablement service. The return investment tool is available to download. It can be adapted to local conditions and shows the economic benefits of each intervention.

Prevention: wrestling with new economic realities

KNAPP Martin
2013

Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context.

Results 1 - 10 of 70

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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