Mike Kelly: Putting a Price on Good Health
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Keynote address: PTPHN Conference 2007 Professor Mike Kelly, Putting a Price on Good Health.
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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
- 17. Wanless 2
- 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)
- 36. Assessing Cost Effectiveness Probability of rejection Cost per QALY ( $ ’000) 17 34 51 68 85 0 1
- 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
Editor's Notes
- 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.
- 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.
- 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
- 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
- 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