Background: It is often assumed that the objective of health care is to maximise health using available resources. This is the principle underpinning NICE's use of cost effectiveness analysis based on incremental cost per QALY gained. Yet research on local NHS decision making shows that cost per...

The NHS Patient Reported Outcome Measures (PROMs) programme is a significant development in the routine collection and use of patient reported outcome data. Introduced in April 2009, it entails the routine collection of patient reported outcomes from all patients undergoing four elective...

Objectives: The objectives of this research were to identify the cost-effectiveness of health care services at the margin in the Scottish NHS; consider the extent to which the thresholds observed in Scottish NHS decision making are consistent with the threshold being used to make judgements...