9 July 2019

Estimates of the impact of English public health grant on mortality and morbidity

Is an ounce of prevention worth a pound of cure? Estimates of the impact of English public health grant on mortality and morbidity
Centre for Health Economics 9 July 2019
  • This paper exploits the introduction of a ‘funding formula’ for the English public health grant in 2013/14 to to investigate the relationship between both treatment (healthcare through CCGs) and prevention (public health) expenditure and mortality. It also convert these mortality effects into broader quality-adjusted life year (QALY) effects for both healthcare and public health interventions.
  • Cost per QALY calculations reveal that public health expenditure, at about £3,800 per QALY, appears to be about three to four times more productive at the margin than healthcare expenditure (which costs about £13,500 per QALY).