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 (PHE) looks to support local public health decision making by producing accessible health economics resources.
In this guide you will find links to tools and reports that can help you:
- 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 cost-effectiveness of specific topic areas
PHE’s Health Economics team has produced a number of resources which 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.
The interactive tools produced by PHE are:
- Colorectal cancer
- NHS Diabetes Prevention Programme
- End of life care
- Weight management
- Oral health in pre-school children
- Mental health service
- Musculoskeletal conditions
- Movement into employment
- Falls prevention
- Best Start in Life
- Air pollution
- Contraceptive services
- Cardiovascular disease
The ‘Dementia in older age report’ discusses the difficulty in estimating ROI results for primary prevention of dementia. This difficulty is because of the long time periods between people undertaking behaviours that increases risk and the onset of the condition.
In addition to the resources developed by PHE, you may also be interested in the ROI tools produced by the National Institute for Health and Care Excellence (NICE). These include:
- physical activity
- social wellbeing
- children, young people and pregnant women
Wider decision support
To help local decision makers think about how to split their budget across multiple public health programmes, PHE has developed the Prioritisation Framework. The Framework offers a transparent and evidence based approach to making the most of the available resources in a local authority.
Another resource that helps you think across multiple public health topic areas at once is the health economics evidence resources (HEER). The HEER collects and summarises the economic evidence on a wide selection of public health interventions. Each piece of evidence is categorised against over 20 criteria allowing you to filter and select only what you are interested in. The HEER replaces the previously published menu of preventative interventions.
The fiscal and pricing policies to improve public health report identifies and assesses potential fiscal or pricing policies that could be implemented in England to improve the population’s health. The framework accompanying the report allows policies in different policy areas to be comparable in terms of their impacts on health and other outcomes.
Comparing spend and outcomes
The spend and outcome tool (SPOT) gives a broad overview of spend and outcomes across a range of public health interventions. The SPOT can be used by both CCGs and local authorities.
The tool doesn’t estimate ROI results but you can use it alongside ROI tools. Every CCG and local authority in England has a bespoke factsheet within the tool and you can compare against similar local areas.
Diabetes and cardiovascular disease tools look at the relationship between spending on treatment and care and local clinical outcomes for patients:
- diabetes outcomes versus expenditure (DOVE) tool
- cardiovascular disease outcomes versus expenditure tool
Both the diabetes and cardiovascular disease tools are designed for use by CCGs, while the diabetes tool can also be used by GP practices.
Further supporting materials
To help you use health economic resources and ideas, PHE has developed 2 e-learning modules, which provide an introduction to basic health economics. These modules were developed alongside Health Education England and are hosted on the e-Learning for Healthcare website. Registration is required to access the material, however, it is completely free.
Getting in touch
The Health Economics team is keen to hear feedback on any of the tools and resources that you may have used. If you have any comments, suggestions or questions email firstname.lastname@example.org.