(UK) Cost of Bedfordshire service (CBT/GET) per patient: £3860

worldbackwards

Senior Member
Messages
2,051
Likes
10,097
Yes, I'm aware of that, but once the long term benefits turned out to be null (as a result of such a highly funded study no less) then surely the earlier reasoning collapses?
You'd think so, but there seems to be pressure to offer anything rather than nothing, and probably a degree of embarrassment that they'd been sold a pup.

Which probably tells us why the PACE authors keep claiming that the earlier improvement is of such vast significance and, more tellingly, why they keep refering to the treatments as the 'only game in town'.
 
Messages
1,267
Likes
7,439
You'd think so, but there seems to be pressure to offer anything rather than nothing, and probably a degree of embarrassment that they'd been sold a pup.

Which probably tells us why the PACE authors keep claiming that the earlier improvement is of such vast significance and, more tellingly, why they keep refering to the treatments as the 'only game in town'.
Or to paraphrase the late Terry Pratchett's Going Postal : you don't need to provide good service, you just need to be the only service - or words very close to that. It referred to the clacks vs post office battle but it seems to sum up the BPS strategy pretty neatly!
 
Messages
5,902
Likes
12,705
Location
South Australia
By the way, CBT costing 3970 GBP vs about 1500 GBP (inflation adjusted) means that the GBP per QALY would be about 50k assuming the other assumptions of McCrone et al. That study also mentioned an (arbitrary) cost effective price at 30k/QALY.

The cost of CBT under those assumptions would have to be less than 2000 GBP to be cost effective.