HAVE THE NHS HEALTH CHECKS BEEN UNFAIRLY MALIGNED?
PHE ePoster Library. Hinde S. 09/12/17; 186567; 12
Sebastian Hinde
Sebastian Hinde
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Abstract
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Abstract OBJECTIVESThe English NHS currently has a policy of providing Health Checks to all 40-74 year olds, which aim to identify patients at risk of a range of diseases and facilitate relevant support. Despite initial hypothetical modelling by the Department of Health suggesting the policy would be highly cost-effective, recent studies have questioned the policy's value. This study is one of the first to use observational data to estimate the cost-effectiveness of the policy.METHODSEstimated changes in the BMI of patients who received a Health Check were identified through a review of the literature. These estimates were then submitted to a publicly available evaluation tool (EConDA) to estimate the long term cost and health related outcomes of an obese cohort of patients. RESULTSThe mean reduction in BMI as a result of the Health Checks was found to result in a small but positive QALY gain of 0.01 per participant, coupled with a reduction in disease related costs to the NHS of £170. When the estimated cost per Check (£179) is taken into account we estimate an incremental cost-effectiveness ratio of £900/QALY.CONCLUSIONSMuch of the criticism of the Health Checks has focussed on the relatively small average change in risk factors such as BMI. However, our analysis suggests that the significant health and cost-saving benefits from even a small reduction in mean BMI, and the low costs of the Checks, combine to result in a potentially highly cost-effective policy. External funding details The research was funded by the NIHR CLAHRC.
Abstract OBJECTIVESThe English NHS currently has a policy of providing Health Checks to all 40-74 year olds, which aim to identify patients at risk of a range of diseases and facilitate relevant support. Despite initial hypothetical modelling by the Department of Health suggesting the policy would be highly cost-effective, recent studies have questioned the policy's value. This study is one of the first to use observational data to estimate the cost-effectiveness of the policy.METHODSEstimated changes in the BMI of patients who received a Health Check were identified through a review of the literature. These estimates were then submitted to a publicly available evaluation tool (EConDA) to estimate the long term cost and health related outcomes of an obese cohort of patients. RESULTSThe mean reduction in BMI as a result of the Health Checks was found to result in a small but positive QALY gain of 0.01 per participant, coupled with a reduction in disease related costs to the NHS of £170. When the estimated cost per Check (£179) is taken into account we estimate an incremental cost-effectiveness ratio of £900/QALY.CONCLUSIONSMuch of the criticism of the Health Checks has focussed on the relatively small average change in risk factors such as BMI. However, our analysis suggests that the significant health and cost-saving benefits from even a small reduction in mean BMI, and the low costs of the Checks, combine to result in a potentially highly cost-effective policy. External funding details The research was funded by the NIHR CLAHRC.
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