Seminar: Methods for eliciting a monetary threshold for a year of sufficient capability: Deliberative versus non-deliberative values

Speaker: Dr Philip Kinghorn, University of Birmingham

Come along if you are interested and feel free to bring along your lunch. Light refreshments will be provided.

Abstract

The National Institute for Health and Care Excellence endorse evaluative tools for social care which are broader in scope than health functioning. One such instrument is ICECAP-A, which assesses capability wellbeing.  It is also widely recognised within health economics that public health is distinct in terms of the need for a broad evaluative space and greater focus on equity.

Public deliberation has previously been used to establish a sufficient state of wellbeing (as defined by ICECAP-A). The objective of this work was to elicit a monetary threshold for an additional year of sufficient capability.

Two valuation questions were used at a series of public workshops: Individual willingness to pay additional tax and Willingness to (re)allocate existing public funds.  Representatives from each of the initial workshops were brought together at a consensus workshop, to reach a final view on the threshold value.

The two valuation tasks were replicated within an online survey, so as to elicit non-deliberative values.

Most participants expressed willingness to pay additional tax to support public health and social care services and willingness to pay additional tax implies a greater threshold value than the (re)allocation of existing public funds.  Deliberation appeared to ‘drive up’ the values and the deliberative values are almost twice as high as non-deliberative values.

Work funded by the Medical Research Council [MR/N014790/1]