Making an Economic Case for Service Redesign in the NHS Training Day, University of York


The NHS in England has been challenged to become more efficient, to meet the increasing demand for services within a more constrained funding allocation. The QIPP programme seeks to generate around £20 billion of efficiency savings across the NHS over five years but the implementation of that programme is very much a matter for local healthcare providers and commissioners.

The NHS Confederation has stated that to achieve sustainable efficiency savings, the NHS needs to redesign the way in which services are provided. This can be anything from the closure of a hospital to transferring patients from outpatient clinics to their GPs for treatment. In making a case for service redesign, it is crucial that NHS providers and commissioners understand the economic impact of the changes that are proposed.

This one-day course is aimed at NHS commissioners and providers who need to understand how to make an economic case for change. The training day aims to provide an understanding of how the NHS tariff system works and will outline a simple modelling approach to examine the impact of service change from the provider and commissioner perspective. The course will also outline how returns on investment can be forecast and how the results can be used in business cases.

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Course Details

Date: This course will run again in 2017. Please email alicia.wooding@york.ac.uk to register interest.
Courses also run on-demand for large groups
Price: TBD. Registration fee includes tea and coffee, lunch and course documentation.

The training day presenter will be Nick Hex, Associate Director at York Health Economics Consortium. He leads YHEC’s programme of work in the NHS and the public sector, providing economic evaluation and quantitative and qualitative analysis for local and national organisations. Nick’s reviews examine efficiency and productivity and use techniques such as return on investment and cost benefit analysis to provide decision-making information. He has also worked at Audit Scotland and the Audit Commission.

All courses are held at the University of York, Heslington, York YO10 5DD or Heslington East Campus, YO19 5LA.
For more details on this course please email alicia.wooding@york.ac.uk or telephone +44 (0)1904 324084.
Please see the frequently asked questions page for more general course information.

Economic case for service redesign topics discussed:

      • NHS Data Resources;
      • Using Tariffs in Modelling;
      • Developing a Model to Show the Effect of Changes in the NHS;
      • Understanding Return on Investment;
      • Practical Session: Developing a Return on Investment Model;
      • Dealing with Uncertainty;
      • Developing a Business Case.
View provisional course agenda

By the end of the training day, participants will have:

          • An understanding of how to make an economic case for service redesign in the NHS;
          • Knowledge of the way in which the tariff system works;
          • A basic understanding of how models can be used to examine the impact of changes in service delivery from both the provider and commissioner perspective;
          • An understanding of how returns on investment can be forecast and the results build into business cases.

Who should attend?

NHS commissioners and providers who need to understand how to make an economic case for change.


YHEC Training Expertise

YHEC offers a range of training courses in health economics topics including economic modelling, evidence retrieval and information skills www.yhec.co.uk/training.

Our regular training programme offers courses in York in well-equipped rooms and computer classrooms.  All of our courses have limited delegate places available to ensure that sessions permit discussion and interaction within the group. We can also offer these courses and bespoke courses at your own site.

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Other Health Economics Training at York

YHEC courses are generally introductory. Five-day expert workshops, distance learning and MSc courses in health economics are offered by health economists at the Centre for Health Economics and the Department of Economics and Related Studies at the University of York.


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