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Professor Mike Kelly Director of the Centre for Health Excellence  National Institute for Health and Clinical Excellence Perspectives of Public Health Practice: Peninsula Teaching Public Health Network,  St Mellion , Cornwall,  7 th  March 2008 Putting a Price on Good Health
NICE’s role in public health ,[object Object]
 
[object Object]
Audiences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Two types of public health guidance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
 
The principles of cost effectiveness and value for money should be applied to public health? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Putting a price on public health ,[object Object],[object Object],[object Object],[object Object]
It matters because: ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Picture quiz. The portrait is? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Wanless 2
 
Securing Good Health for the Whole Population (2004) ,[object Object],[object Object],[object Object],[object Object]
 
Picture quiz ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health economics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Applying economic analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Age standardised death rates per 100,000 population for circulatory diseases under 75 by area of deprivation
Age standardised death rates per 100,000 population for cancer under 75 by area of deprivation
The health gradient Health state Social difference Lo Hi Lo Hi
Shifting the curve Health state Social difference Lo Hi Lo Hi
Different shapes of the gradient: low and middle income countries (Victora 2007)
Other important economic problems ,[object Object],[object Object],[object Object]
Problems with the evidence of effectiveness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions completed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions under development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Programmes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the NICE value for money threshold? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessing Cost Effectiveness Probability of rejection Cost per QALY ( $ ’000) 17 34 51 68 85 0 1
What QALY values have typically emerged in public health? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Economic modelling Brief interventions in primary care for smoking cessation Cost per QALY using all health care costs, based on 50 year old male cohort (Parrott and Godfrey, University of York) Brief opportunistic advice from a GP (5 minutes)   £230
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP (10 minutes)   £585
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Advice to use NRT £1271
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Telephone helpline £471-769
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a   practice nurse in primary care £821-2914
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a   staff nurse in hospital setting £244-1184
Who pays? ,[object Object],[object Object],[object Object]
Future directions ,[object Object],[object Object]
Visit  www.nice.org.uk

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Mike Kelly: Putting a Price on Good Health

  • 1. Professor Mike Kelly Director of the Centre for Health Excellence National Institute for Health and Clinical Excellence Perspectives of Public Health Practice: Peninsula Teaching Public Health Network, St Mellion , Cornwall, 7 th March 2008 Putting a Price on Good Health
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  • 24. Age standardised death rates per 100,000 population for circulatory diseases under 75 by area of deprivation
  • 25. Age standardised death rates per 100,000 population for cancer under 75 by area of deprivation
  • 26. The health gradient Health state Social difference Lo Hi Lo Hi
  • 27. Shifting the curve Health state Social difference Lo Hi Lo Hi
  • 28. Different shapes of the gradient: low and middle income countries (Victora 2007)
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  • 36. Assessing Cost Effectiveness Probability of rejection Cost per QALY ( $ ’000) 17 34 51 68 85 0 1
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  • 38. Economic modelling Brief interventions in primary care for smoking cessation Cost per QALY using all health care costs, based on 50 year old male cohort (Parrott and Godfrey, University of York) Brief opportunistic advice from a GP (5 minutes) £230
  • 39. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP (10 minutes) £585
  • 40. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Advice to use NRT £1271
  • 41. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Telephone helpline £471-769
  • 42. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a practice nurse in primary care £821-2914
  • 43. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a staff nurse in hospital setting £244-1184
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Notes de l'éditeur

  1. What is NICE ? The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.
  2. Centre for Public Health Excellence The Centre for Public Health Excellence at NICE develops guidance on the promotion of good health and the prevention of ill health. Its guidance is for those working in the NHS, local authorities and the wider public, private and voluntary sectors. Initially, NICE will publish guidance that was commissioned by the former Health Development Agency. From the end of 2005, our guidance will be in the form described below.
  3. Mike I am going to put a graph here of some of the modelling work done by Chris Godfrey, illustrating the cost effectiveness but pointing out the dilemma of opportunity costs, especially in current NHS climate
  4. Mike I am going to put a graph here of some of the modelling work done by Chris Godfrey, illustrating the cost effectiveness but pointing out the dilemma of opportunity costs, especially in current NHS climate
  5. NICE has just launched its new website, integrating all public health and clinical work into one site. You can find more information on NICE and our work by visiting the website at www.nice.org.uk