NICE modelling for stop smoking services: a good return on investment?
Presenter(s)
Dr Lesley Owen Technical Adviser (Health Economics), Centre for Health and Clinical Excellence, NICE
Adam Lester-George Technical Communications Consultant, LeLan Ltd
Dr Subhash Pokhrel Lecturer, Health Economics Group, Brunel University
Abstract
The health consequences of tobacco are well established. In England smoking attributable diseases cause an estimated 80,000 deaths each year. Its effects create a significant financial burden for local economies, the NHS and society more widely. The most recent estimate suggests that the cost to society is nearly £14billion per year.
In July 2011 the Department of Health asked NICE to produce a prototype model for commissioners in local authorities to show the potential return on investment (ROI) for health improvement interventions. Initially the model would focus on tobacco.
The ROI model that has been developed builds on a model funded by Tobacco Free Futures, Fresh Smoke Free North East and Smoke Free South West to estimate the gross savings that could be achieved by having local tobacco control services and/or sub-national strategies in their geographical area.
To inform local decisions about investing in tobacco control interventions it is necessary to take into account the costs of delivering the interventions as well as the savings generated. These costs are included in the ROI model along with a set of economic metrics and additional interventions assessed by NICE as cost effective.
The ROI model has a user friendly interface which allows the user to undertake bespoke analyses of different packages of interventions to determine their potential return on investment. It also allows the user to compare the packages of interventions to explore which packages offer the best value for money.
This workshop will provide a brief overview of the ROI model and demonstrate how to use it to explore the impact of local stop smoking services and other local interventions.
We would like to thank the funders of the original model- Ailsa Rutter, Andrea Crossfield and Fiona Andrews – as well as other members of the current team – Doug Coyle, Kathryn Coyle, Simon Ellis and Antony Morgan.
