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Written Question
Valuation of Life and Health Interdepartmental Group
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of the National Institute for Health and Care Excellence's work with the Inter-departmental Group for the Valuation of Life and Health review.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, Column 283W.

The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.

Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.


Written Question
Valuation of Life and Health Interdepartmental Group
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of his Department's work with the Inter-departmental Group for the Valuation of Life and Health review.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, Column 283W.

The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.

Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.


Written Question
Valuation of Life and Health Interdepartmental Group
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of the Health Protection Agency's work with the Inter-departmental Group for the Valuation of Life and Health review.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, Column 283W.

The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.

Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.


Written Question
Valuation of Life and Health Interdepartmental Group
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what monetary thresholds were applied to the cost-per-quality adjusted life year quoted in the evidence submitted as part of the National Institute for Health and Care Excellence's work with the Inter-departmental Group for the Valuation of Life and Health review in 2008.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, Column 283W.

The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.

Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.


Written Question
Policy
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what explicit monetary value his Department assigns to the value of preventing a fatality calculation during the process of policy appraisal and evaluation.

Answered by Dan Poulter

The value of a prevented fatality is not normally used in the appraisal of policy or project proposals by the Department. The standard unit of impact for appraisal of projects and policies that have an impact upon mortality or morbidity, including prevention of fatalities, is a statistical life year (SLY), with adjustment for quality of life impacts where appropriate (in which case Quality Adjusted Life Years (QALYs) are used). SLYs and QALYs are valued at roughly £60,000. This valuation is consistent with the willingness of members of the public to pay for improvement in health and risk outcomes elicited in the study that underpins the valuation of prevented fatalities by the Department for Transport and other departments (Carthy T., Chilton S., Covey J.,. Hopkins L, Jones-Lee M., Loomes G., Pidgeon N., Spencer A.,. “The Contingent-Valuation of Safety and the Safety of Contingent Valuation, part 2: The CV/SG ʻChainedʼ Approach”, Journal of Risk and Uncertainty, 1999, 17: 187-213.)

This valuation of SLYs is used by the Department in its impact assessment of the proposed draft regulations for standardised packaging of tobacco products upon which the Department is currently consulting.

A copy of the impact assessment has been placed in the Library and is available at:

www.gov.uk/government/consultations/standardised-packaging-of-tobacco-products-draft-regulations


Written Question
Policy
Monday 7th July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, at what level his Department values the reduction of risk of death per fatal casualty prevented; and if he will give an example of policy intervention where this evaluation was made.

Answered by Dan Poulter

The value of a prevented fatality is not normally used in the appraisal of policy or project proposals by the Department. The standard unit of impact for appraisal of projects and policies that have an impact upon mortality or morbidity, including prevention of fatalities, is a statistical life year (SLY), with adjustment for quality of life impacts where appropriate (in which case Quality Adjusted Life Years (QALYs) are used). SLYs and QALYs are valued at roughly £60,000. This valuation is consistent with the willingness of members of the public to pay for improvement in health and risk outcomes elicited in the study that underpins the valuation of prevented fatalities by the Department for Transport and other departments (Carthy T., Chilton S., Covey J.,. Hopkins L, Jones-Lee M., Loomes G., Pidgeon N., Spencer A.,. “The Contingent-Valuation of Safety and the Safety of Contingent Valuation, part 2: The CV/SG ʻChainedʼ Approach”, Journal of Risk and Uncertainty, 1999, 17: 187-213.)

This valuation of SLYs is used by the Department in its impact assessment of the proposed draft regulations for standardised packaging of tobacco products upon which the Department is currently consulting.

A copy of the impact assessment has been placed in the Library and is available at:

www.gov.uk/government/consultations/standardised-packaging-of-tobacco-products-draft-regulations


Written Question
Valuation of Life and Health Interdepartmental Group
Wednesday 2nd July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, if he will place in the Library a copy of the Food Standards Agency's submission to the Inter-Departmental Group for the Valuation of Life and Health review and all evidence submitted to the series of interviews with his Department's staff conducted by researchers from the University of Leeds in 2008.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, column 283W.


Written Question
Valuation of Life and Health Interdepartmental Group
Wednesday 2nd July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what monetary thresholds were applied to the cost-per-quality adjusted life year quoted in the evidence submitted as part of his Department's work with the Inter-departmental Group for the Valuation of Life and Health review in 2008.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, column 283W.


Written Question
Valuation of Life and Health Interdepartmental Group
Wednesday 2nd July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, if he will place in the Library a copy of the Health Protection Agency's submission to the Inter-Departmental Group for the Valuation of Life and Health review and all evidence submitted to the series of interviews with his Department's staff conducted by researchers from the University of Leeds in 2008.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, column 283W.


Written Question
Valuation of Life and Health Interdepartmental Group
Wednesday 2nd July 2014

Asked by: Stephen O'Brien (Conservative - Eddisbury)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the explicit monetary value per quality-adjusted life was in the context of 'Evaluation of new pharmaceutical products or medical devices', as quoted as part of the National Institute for Health and Care Excellence's submission to Inter-departmental Group for the Valuation of Life and Health review in 2008.

Answered by Dan Poulter

I refer my Rt. hon. Friend to the answer given on 26 June 2014, Official Report, column 283W.