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  • Government submits its evidence for doctor remuneration

    Government submits its evidence for doctor remuneration

    Wednesday, 31 January 2018 10:38
  • Winter pressures prompts relaxation of QOF requirements in Wales

    Winter pressures prompts relaxation of QOF requirements in Wales

    Tuesday, 09 January 2018 11:53
  • ABPI responds to BMJ article on CCGs not declaring all funding from private organisations

    ABPI responds to BMJ article on CCGs not declaring all funding from private organisations

    Monday, 08 January 2018 14:22
  • CCGs failed to disclose £3.7m in payments and gifts from private companies

    CCGs failed to disclose £3.7m in payments and gifts from private companies

    Thursday, 04 January 2018 12:14

a man back pain imageOctober 13 2017

Public Health England has issued a tool to calculate the return on investment of interventions for the prevention and treatment of musculoskeletal (MSK) conditions.

 The tool is intended to help determine the best approach to managing MSK conditions within a local community. “RoI assessments can be made at local authority, clinical commissioning group, or sustainability and transformation partnerships level, helping commissioners make the economic case for prevention,” says PHE.

The York Health Economics consortium has developed the tool, which assesses the different approaches to addressing MSK, through a literature review and in consultation with an expert steering group. Among the potential models to be used are:

  • ESCAPE-pain, an exercise-based rehabilitation program for knee pain, which would return £5.20 in healthcare savings for every £1 spent;
  • cognitive behavioural therapy including exercise for back pain, which would see £7.52 in both healthcare savings and quality of life year gains returned for every £1 spent;
  • vocational advice from physiotherapists in primary care for all MSK conditions, which would return £11.14 in healthcare savings, quality of life year and productivity gains for every £1 spent.

PHE’s ‘Health Profile for England’ notes that low back and neck pain is the leading cause of morbidity, with an impact three times bigger than the second place condition, skin diseases. It is behind 40% of all days lost due to sickness, with 9.5 million sick days claimed because of MSK conditions. Some 33% of long-term sickness absence in England is due to MSK conditions, said PHE.

Links:
PHE announcement         
PHE ‘Musculoskeletal conditions: return on investment tool’ guidance   

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