Evaluating Current and Prospective Policies

  • Subhash Pokhrel
  • Lesley Owen
  • Kathryn Coyle
  • Doug Coyle


The National Institute for Health and Care Excellence (NICE) has developed return on investment (ROI) tools on tobacco control, physical activity and alcohol. These tools are freely available to download and use. This chapter provides a step-by-step guide to use these tools. The ROI tools can be used to evaluate the ROI of current practice in your area compared with a counterfactual or baseline (no services). The tools can also be used to evaluate the ROI of alternate practice in which one or more interventions in your current practice could be altered. The ROI of this new practice could be compared with the current one. The tools provide several ROI metrics to help users make their business cases.


NICE Return on investment ROI Cost QALY 


  1. 1.
    National Institute for Health and Care Excellence (NICE). Return on investment tools. 2016.

Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Subhash Pokhrel
    • 1
  • Lesley Owen
    • 2
  • Kathryn Coyle
    • 3
  • Doug Coyle
    • 4
  1. 1.Health Economics Research Group (HERG), Division of Health SciencesBrunel University LondonUxbridgeUK
  2. 2.Centre for GuidelinesNational Institute for Health and Care ExcellenceLondonUK
  3. 3.Health Economics Research Group (HERG)Brunel University LondonUxbridgeUK
  4. 4.School of Epidemiology and Public HealthUniversity of OttawaOttawaCanada

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