Evaluation of specialised nursing support for carers of people with dementia Rita Faria Research fellow at the Centre for Health Economics 16th May 2016 – Keio University

Presented with the support of The Great Britain Sasakawa Foundation.

Economic evaluation to inform decisions in health Fixed budget Multiple alternatives How to choose? Opportunity cost The cost of selecting a particular intervention measured in terms of the benefits that might have been achieved if the next best intervention were chosen Efficiency The use of resources to maximise the production of services.

Evaluation of complex interventions: support for carers More information: http://php.york.ac.uk/inst/spru/research/summs/admiral.php

Specialist nursing support: Admiral nurses Admiral nurses provide: Emotional and psychological support. Single point of contact to help join different health and social care services. Teach about dementia and skills to better communicate with the dementia patient. Liaise with other health and social care professionals on your behalf

Project team University of York Centre for Health Economics Social Policy Research Unit Dementia UK Develop and provide the specialised nursing service. TIDE Association of carers of people with dementia

Aims Process evaluation: How does the service work, what does it do, with whom, etc. Outcomes What does the service achieve? Costs How much does it cost to fund the service? Does it deliver any savings? Engaging carers of people with dementia Are postal questionnaires feasible?

Methods: 6 work packages 1 What is the support provided? 2 What outcomes do carers want? How do we measure these outcomes 3 Survey of carers in areas with (N=270) and without service (N=320) What are the costs? What are the outcomes? 4 What is the perception about the added value of the service? 5 How can the service improve its routine data collection? 6 Guidance

Challenges so far Outcomes What do carers want from the service? How to measure it? Resource use and costs How to obtain information on resource use: health care services, social care services, informal care time and voluntary services. Feasibility How to achieve a good response rate? Analysis How to control for differences in carers with and without the service?

Thank you ありがとうございました rita.nevesdefaria@york.ac.uk