HEDS is part of the School of Health and Related Research (ScHARR) at the University of Sheffield. We undertake research, teaching, training and consultancy on all aspects of health related decision science, with a particular emphasis on health economics, HTA and evidence synthesis.

Thursday, 10 April 2014

New project: Cost-effectiveness of an integrated falls service

Sheffield Teaching Hospitals NHS Trust (STH) have been awarded funding from the Burdett Trust for Nursing to evaluate an integrated citywide falls service that is being implemented within Sheffield.  Whilst the Burdett award is much wider than evaluation – empowerment of nurses, service redesign and implementation
are also included – an economic evaluation is one of the aims.  Health Economics and Decision Science (HEDS) will collaborate with STH to deliver this evaluation.

Three years of falls data will be collected from routine sources – one year prior to the development of the new service (Y1) and two years during the development of the new service (Y2-3).  Differences in falls between Y1 and Y2-3 will be the focus of the analysis, however, a contemporaneous control group will also be sought so that other temporal changes in fall epidemiology can be considered.  Costs associated with falls will include emergency department attendances, hospitalisations and long-term care home costs.  Outcomes will include mortality and quality of life.  The cost and outcome data will be brought together in a decision analytic model that has already been developed by HEDS in a previous evaluation of falls (Latimer et al 2013).  This will allow the estimation of an incremental cost per quality adjusted life year (QALY) for the service redesign.