Value for money & return on Investment of Change4Life Sports Clubs – part 2

Abstract

Headlines Unit Outcome and Unit Cost Analyses • Change4Life Sports Clubs have a cost of £305 for every new child meeting CMO physical activity guidelines, for which cost an additional 0.2 children were lifted out of inactivity and a further 2.2 children were lifted out of low activity, with each of these children experiencing an average increase in reported wellbeing and individual development outcomes of 71%. • In comparison to the control condition counterfactual, Change4Life Sports Clubs delivered the following NET outcomes per £1,000 of expenditure: • 41 participants • 0.8 sustained clubs • 3.9 Young Leaders • 2.8 new children meeting CMO physical activity guidelines • 8.4 children lifted out of low activity • 1.3 children lifted out of inactivity • 0.1 children newly eating 5-a-day • 0.6 children reporting increased wellbeing and individual development outcomes • 5.1 children starting with low activity levels reporting increased wellbeing and individual development outcomes. Quality Adjusted Life Year (QALY) Analysis • The cost per QALY generated for the GROSS outcomes of Change4Life Sports Clubs is £3,385 (range:£3,036 to £3,806). • In comparison to the control condition counterfactual, the cost per QALY generated for the NET outcomes of Change4Life Sports Clubs is £3,791 (range: £3,413 to £4,245). • The cost per QALY generated for Change4Life Sports Clubs is significantly below NICE’s threshold for value for money per QALY of £20,000. • The cost per QALY generated for the GROSS outcomes of Change4Life Sports Clubs compares favourably to GROSS outcomes estimated for walking buses (£4,008 per QALY), dance classes (£27,570 per QALY), free swimming (£40,462 per QALY) and community sports (£71,456 per QALY). • The cost per QALY generated by the NET outcomes of exercise referral interventions in adulthood is approximately five and a half times greater than that of Change4Life Sports Clubs. Analysis of Future Health at Ages 13-15 • The Change4Life Sports Clubs cohort are predicted to do around an hour more physical activity per week at ages 13-15 than that predicted for the control condition counterfactual, and than today’s 13-15 year olds. • The estimated additional physical activity of the Change4Life Sports Clubs cohort up to ages 13-15 will generate one additional QALY for every five children that took part in Change4Life Sports Clubs. • In comparison to the control counterfactual, the cost per QALY generated by the estimated future NET outcomes of Change4Life Sports Clubs up to ages 13-15 is £120. • Across the Health Survey for England, the Millennium Cohort Study and the Understanding Society Survey, no data is available to support a robust estimation of likely health and wellbeing status associated with physical activity levels at ages 13