Applied healthcare and Economics

Research undertaken as a member of the Efficiency/Health Economics Team at The National Institute of Health Research Collaboration for Leadership in Applied Health Research and Care-West (now NIHR ARC-West). 



Hospital Hall

Assessing the quality of healthcare business cases

The development of a framework of quality indicators for healthcare business cases, consolidating insight from expert guidance and current practice.

Study summary

Full paper

Charming Canal

Measuring capability wellbeing in healthy adults and patients in Germany

Examining the validity and reliability of the ICECAP-A tool in healthy adults and patients. Comparison between the original English language tool in the UK to the German translation in Germany.

Full paper

Healthy Loaf of Bread

Access to NHS funded provisions of gluten-free foods in England for coeliac patients 

Examining the impact of policy changes limiting the prescription of gluten-free foods in England to NHS patients.

Study summary

Full paper

Supportive Friend

Evaluating peer-led groups after pain management programmes

Qualitative study where clinical staff and patients were interviewed about their experiences engaging in peer support groups following an NHS pain management programme (PMP). People described how continuing the social connections developed during the PMP course helped them to consolidate the self-management techniques they had learned and incorporate them into their lives. 

Full paper

Image by Harlie Raethel

Shoulder surgery: Preventing overtreatment and wasted resources

The study examined 10 years of hospital records across England to explore the use of subacromial decompression – a type of surgery for shoulder pain – which costs the NHS more than £125 million per year. Despite clinical trial evidence indicating the surgery is no more effective than no surgery at all or placebo surgery, the number of subacromial decompressions undertaken nearly doubled in England between 2007/8 and 2016/17.

Full paper