RHIANNON TUDOR EDWARDS

Biography and Publications

Rhiannon Tudor Edwards BSC. Econ, M.A., D.Phil is Professor of Health Economics and the founding Director of health economics research at Bangor University and is now Co- Director of the Centre for Health Economics and Medicines evaluation , Bangor University. She is a graduate of the University of Wales, Aberystwyth, University of Calgary, Canada, and The University of York where she undertook her doctoral research on NHS waiting lists as a non-price rationing mechanism in public health care. Prior to taking up her post in Bangor in 1998, she was Lecturer in Health Economics at Liverpool University with an Honorary position with Liverpool Health Authority. Rhiannon was a Commonwealth Fund Harkness Fellow in Health Policy (2004-05) and spent her sabbatical at The McColl Institute Group Health Cooperative, a large health maintenance organisation (HMO), Seattle, USA. She was Visiting Fellow at the Centre for Excellence in Health Promotion Economics, University of Chicago. She published papers on choice in health care (Edwards et al 2006) and co-authored an international comparison of waiting lists in public health care systems (Willcox et al 2006) following her fellowship to the USA. Rhiannon works closely with a number of UKCRC registered Trials Units and is health economist on a range of HTA and NIHR funded UK trials. She has a particular interest in the methodology of economic evaluation alongside trials of public health and psychosocial interventions (Edwards et al 2008). Rhiannon and colleagues at Bangor lead the economic evaluation of a range of trials in Dementia Care (Woods et al 2010), Parenting Programmes (Hutchings et al 2007, Edwards et al 2007) and the All Wales GP Exercise Referral Programme (Murphy et al 2010).

Rhiannon has published collaboratively a range of peer reviewed articles, reports and book chapters on health economics methodology (Edwards 2001), cost-effectiveness studies (Edwards et al 2007), political devolution and health policy (Edwards 2002) and health economics in medical education. She has consistent and significant collaborative grant capture.

Rhiannon has served terms on the MRC Steering Group on the economic returns of biomedical research in the UK (2007-2009), Wales Office for Research and Development in Health and Social Care Grants Committee (2000-2003), and with colleagues at Bangor, supported the NICE Collaborating Centre for Cancer (2003-2006), contributing to four sets of commissioning guidance. She reviews for a range of health economics and health services research journals. Rhiannon works closely with Public Health Wales and is an examiner for the UK Faculty of Public Health. Rhiannon is registered blind, has been a guide dog owner for 8 years and has a growing interest in the application of health economics to technologies/services to support people living with disability. She is currently part of an international collaboration looking at low vision service models. In Bangor she is Director of Postgraduate studies, at the Institute of Medical and Social Care Research, with 8 PhD students, and teaches Health Economics and Public Health Economics at Post Graduate Level. She is an active member of the UK Health Economists Study Group and Welsh Health Economics Study Group – jointly to host the first major health economics conference to be held in Wales, in Bangor June 2011.

Publications:

Edwards RT, Neal RD, Linck P, Bruce N, Mullock L, Nelhans N, Pasterfield D, Russell D, Russell I, Woodfine L, on behalf of the CHARISMA study group. Enhancing ventilation in homes of children with asthma: cost-effectiveness study alongside randomised trial. Br J Gen Pract 2011

Woodfine L, Neal RD, Bruce N, Edwards RT, Linck P, Mullock L, Nelhans N, Pasterfield D, Russell D, Russell I, on behalf of the CHARISMA study group. Enhancing ventilation in homes of children with asthma: pragmatic randomised trial. Br J Gen Pract 2011

Williams, N. Amoakwa, A. Belcher, J. Edwards, R.T. Hassani, H. Hendry, M. Burton, K. Lewis, R. Hood, K. Jones, J. Bennett, P. Linck, P. Neal, R.D. Wilkinson, C. Activity Increase Despite Arthritis (AÏDA):phase II randomised controlled trial of an activemanagement booklet for hip and knee osteoarthritis in primary care. Br J Gen Pract 2011; DOI: 10.3399/bjgp11X588411.

Jones, C., Edwards, R.T. and Hounsome, B. A systematic review of the cost-effectiveness of interventions for supporting informal caregivers of people with dementia residing in the community. International Psychogeriatrics DOI: 10.1017/S1041610211001207. (2011)

Hounsome B, Edwards R.T, Hounsome N, Edwards-Jones G. Psychological Morbidity of farmers and non-farming Population- Results from a UK Survey. Community Mental Health Journal. DOI: 10.1007/s10597-011-9415-8 2011.

C. Dickinson, P. Linck, R. T. Edwards, A. Binns, C. Bunce, R. Harper, J. Jackson, J. Lindsay, A. Suttie, J. Wolffsohn, M. Woodhouse, T. Margrain. A Profile of Low Vision Services in England: The Low Vision Service Model Evaluation (LOVSME) project. Eye 2010. (In press)

A. M. Binns, C. Bunce, C. Dickinson, R. Harper, R. T. Edwards, M. Woodhouse, P. Linck, A. Suttie, J. Jackson, J. Lindsay, J. Wolffsohn, L. Hughes, T. H. Margrain. How Effective and cost-effective is Low Vision Service Provision? A Systematic Review. Survey of Opthamology. 2010. (in press)

Hounsome N, Orrell M, and Edwards RT. EQ-5D as a quality of life measure in people with dementia and their carers: evidence and key issues. Value Health. 14(2):390-399

J. P. Noyes, A. Williams, D. Allen, P. Brocklehurst, C. Carter, J. W. Gregory, C. Jackson , M. Lewis , L. Lowes , I. T. Russell , J. Rycroft-Malone , J. Sharp , M. Samuels , R. T. Edwards and R. Whitaker. Evidence into practice: evaluating a child-centred intervention for diabetes medicine management: The EPIC Project. BMC Pediatrics 2010, 10:70. doi:10.1186/1471-2431-10-70. 2010.

I.T. Russell, , R.T.Edwards, A.E. Gliddon, D.K.Ingledew, D.Russell, R. Whitaker, S.T.Yeo, S.E. Attwood, H. Barr, S. Nanthakumaran and K.G.M. Park,Cancer of Oesophagus or Gastricus- New Assessment of Technology of Endosonography (COGNATE): report of pragmatic randomised trial. HTA (in press).

Charles, J.M., Bywater, T., and Edwards, R.T (2011) Parenting

interventions: a systematic review of the economic evidence. Child:

Care, Health and Development doi:10.1111/j.1365-2214.2011.01217.x

T. Bywater, J. Hutchings, P. Linck, C. Whitaker, D. Daley, S. T. Yeo and R. T. Edwards. Incredible Years parent training support for foster carers in Wales: a multi-centre feasibility study. Child: Care, Health and Development. doi:10.1111/j.1365-2214.2010.01155.x. 2010.

Murphy S, Raisanen L, Moore G. Edwards R T Linck, P et al (2010) A

pragmatic randomised controlled trial of the Welsh National Exercise

Referral Scheme: protocol for trial and integrated economic and process

evaluation, BMC Public Health, 10, 352

Woods R T, Bruce E, Edwards R T, Hounsome B, Keady J, Moniz-Cook E D, Orrell M and Russell I T. Reminiscence groups for people with dementia and their family carers: pragmatic eight-centre randomised trial of joint reminiscence and maintenance versus usual treatment: a protocol. Trials 2009, 10:64.

Bywater T, Hutchings J, Daley D, Whitaker C, Yeo ST, Jones K, Eames C, Edwards RT. Long term effectiveness of a parenting intervention in Sure Start Services in Wales in children at risk of developing conduct Disorder. British Journal of Psychiatry 2008

Edwards RT, Hounsome B, Linck P, Russell IT. Economic evaluation alongside pragmatic randomised trials: developing a Standard Operating Procedure for clinical trials units. Trials 14; 64 -65, 2008

Griffith GL, Edwards RT, Williams JMG, Gray J, Morrison V, Wilkinson C, Turner J, France B, Bennett P.. Patient Preferences and National Health Service Costs: A Cost-consequences Analysis of Cancer Genetic Services. Familial Cancer 2009.8,4,265-275

Edwards-Jones G, Mila L, Canals J, Hounsome N, Turning M, Koerber , Hounsome B, Cross P, York EH, Hospido A, Plassmann K, Harris I, Edwards RT, Day GAS, Tomos AD, Cowell SJ and Jones DLB. Testing the assertion that ‘local food is best’: the challenges of an evidence based approach. (2008) Trends in Food Science & Technology, 19: 265-274

Hutchings J, Bywater T, Daley D, Gardner F, Whitaker C, Jones K, Eames C and Edwards RT. Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic randomised controlled trial. BMJ, March 2007.334, 678-681.

Edwards RT, Ó Céilleachair AJ, Bywater T and Hutchings J. A Parenting Programme for Children at risk of developing Conduct Disorder: A Cost-Effectiveness Analysis, BMJ, March 2007, 334,682-688

Willcox S, Seddon M, Dunn S, Edwards RT, Pearse J, Tu J. (2006) Measuring and Reducing Waiting Times: Cross-National Comparison of Strategies. Health Affairs 26, no. 4:1078-1087.

Griffith GL, Edwards RT, Gray J, Butler R, Wilkinson C, Turner J, France B, Bennett P. A Micro Costing of NHS Cancer Genetic Services. (2005) British Journal of Cancer, 92: 60-71.

Griffith GL, Edwards RT, Gray J, Wilkinson C, Turner J, France B, Bennett P. Estimating the survival benefits gained from providing national cancer genetic services to women with a family history of breast cancer. (2004) British Journal of Cancer, 90(10): 1912-1919.

Griffith GL, Edwards RT, Gray J. Cancer genetic services: a systematic review of the economic evidence and issues. (2004) British Journal of Cancer, 90: 1697-1793.

Muntz R, Hutchings J, Edwards RT, Hounsome B, O’Ceilleachair A. Economic Evaluation of Treatments for children with severe behavioural problems. (2004) Journal of Mental Health Policy and Economics, 7:1-13

Williams NH, Edwards RT, Linck P, Muntz R, Hibbs R, Wilkinson C, Russell I, Russell D, Hounsome B. Cost–utility analysis of osteopathy in primary care: results from a pragmatic randomized controlled trial. (2004) Family Practice, 21: 643-650.

Williams NH, Wilkinson C, Russell IT, Edwards RT, Linck P, Hibbs R, Muntz R. Randomised Osteopathic Manipulation Study (ROMANS): Primary care based pragmatic trial for spinal pain. (2003) Family Practice, 20: 662 - 669.

Edwards RT, Boland A, Wilkinson C, Cohen D, Williams JG. Clinical and Lay Preferences for Explicit Prioritisation of Elective Waiting Lists: (2003) Survey Evidence from Wales. Health Policy, 63(3); 229-237.

Edwards RT. For Debate: Steering the Course Around the Genetic Iceberg. (2001) Journal of Public Health Medicine, 23(1): 3-4.

Edwards RT. Paradigms and Research Programmes: Is it Time to Move From Health Care Economics to Health Economics? (2001) Health Economics, 10: 635-649.

Edwards RT. Points for Pain: Waiting List Priority Scoring Systems. (1999) BMJ, 318: 412-413

McKinnon K, Crofts P D, Edwards R T, Campion, P D and Edwards R H T. The outpatient experience: results of a patient feedback survey (1998) International Journal of Health Care Quality Assurance,11, 5, 156- 160

Walley T, Edwards RT. Is There a Need for an Independent Centre for Pharmacoeconomics in the UK? (1994) Pharmacoeconomics, 5: 93-100.

Other Research Publications :

Cross P, Edwards RT, Hounsome B, Edwards-Jones G. Comparative assessment of migrant farm worker health in conventional and organic horticultural systems in the United Kingdom. (2008) Science of the Total Environment 391, 55-65.

Linck P, Tunnage B, Hughes DA, Edwards RT. Charitable contributions to funding cancer services for children and young people in England and Wales (2008) Journal of Child Health Care.12, (2) 156-168.

Atenstaedt RL, Payne S, Roberts RJ, Russell IT, Russell D, Edwards RT. Needle stick injuries in Primary Care in Wales. (2007) Journal of Public Health 29(4):434-440

Atenstaedt RL, Payne S, Roberts R, Russell IT, Russell D, Edwards RT. Reconciling competing priorities in commissioning: the future of bone densitometry service for North Wales. (2007) Cost Eff Resour Alloc. Jan 18; 5 (1)

Hounsome B, Edwards RT, Edwards-Jones G. A note on the effect of farmer mental health on adoption: The case of agri-environment schemes. (2006) Agricultural Systems, 91: 229-241.

Yeo ST, Edwards RT. Encouraging fruit consumption in primary school children: a costing and pilot (Study in North Wales, UK) (2006) Journal of Human Nutrition and Dietetics. Issue 19(4): 299-302.

Windle G, Burholt V, Edwards RT. Housing related difficulties, housing tenure and variations in health status: Evidence from older people in Wales. (2006). Health & Place, 12,p.267-278.

Muntz R, Edwards RT, Tunnage B, Prys C, Roberts GW. Development of a Welsh language version of the EQ-5D Health-Related Quality of Life Measure. Stage one: Transition. (2005) The Psychologist in Wales. Issue 18: 21-25.

Windle G, Edwards RT, Burholt VA. concise alternative for researching health-related quality of life in older people. (2004) Quality in Ageing, 5: 13-24.

Edwards RT, Thalanany M. Trade-offs in the Conduct of Economic Evaluations of Child Mental Health Services. (2001) Mental Health Services Research, 3(2): 99-105.

Lack A, Edwards RT, Boland A. Weights for Waits: Lessons from Salisbury. (2000) Journal of Health Service Research and Policy, 5: 83-88

Edwards RT. Elective Waiting Lists Are Becoming Explicitly Rationed. (1996) BMJ, 313: 558–559.

Edwards RT, Boland A. From Health Services Economics to Health Economics: For Debate. (1996) Journal of Public Health Medicine, 18 (3): 374.

Mooney GA, Edwards RT, Deakin AG, Carp LB, Rada R. Computer Assisted Education in Health Economics for Medical Advisors. (1995) Computers & Education, 24 (4): 299–311.

Edwards RT, Bligh J. Health Economics: A guide for GPs through the jargon jungle. (1994) Education for General Practice, 5: 4–8.

Edwards RT, Bligh J. Economic Evaluation of Drugs: helping GPs to interpret the evidence for themselves. (1994) Education for General Practice, 5: 34–37.

Walley T, Edwards RT. Health Economics in Primary Care in the UK. (1993) Pharmacoeconomics, 3: 100–106.

Edwards RT. “Health Economics, Economic Evaluation and Society’s Health Values: A view from the other side of the pond”. British Medical Journal Rapid Response, 5 February, 2005; 330:311, p. 7486.

Edwards RT. “Shortage of Flu Vaccine in Washington State: Rationing or rational philanthropy?” British Medical Journal Rapid Response, 11 October, 2004. http://bmj.bmjjournals.com/cgi/eletters/329/7465/532-b

Support to The national Institute for Health and Clinical Excellence - NICE:

A systematic review of effectiveness and cost-effectiveness evidence of interventions to promote good mental Health in older persons. 2007 – 2008

Linck P, Priedane E, Hughes DA, Edwards RT. (2006) Analysis of the Potential Economic Impact of Guidance of Improving Outcomes for People with Brain and other CNS Tumours, London, National Institute for Health and Clinical Excellence, (NICE) (available at www.nice.org.uk)

Linck P, Hughes DA, Edwards RT. (2006) Analysis of the Potential Economic Impact of Guidance of improving Outcomes for Patients with Sarcoma, London NICE (available at www.nice.org.uk)

Linck, P, Hughes DA, and Edwards RT. (2006) Analysis of the Potential Economic Impact of Guidance of improving Outcomes for Patients with Skin Cancer, London NICE (available at www.nice.org.uk)

Linck P, Tunnage B, Hughes DA, Edwards RT.(2005) Analysis of the Potential Economic Impact of Guidance of improving Outcomes for Children and Young People with Cancer London National Institute for Health and Clinical Excellence, London NICE (available at www.nice.org.uk)

Edwards RT. Blind Faith and Choice. (2005) Health Affairs, 24(6). .

Edwards RT. “Forward!”: The Experience of a New Guide Dog Owner. (2002) British

Medical Journal, 325: 171.

Edwards RT. (2006) Blind Faith and Choice. In: Narrative Matters: The Power of the Personal Essay in Health Policy. Johns Hopkins University Press.

Book Chapters

Edwards RT. (2003) Health. In: Osmond, J. and Jones, B.J. (Eds.) Birth of Welsh Democracy: The first term of the National Assembly for Wales. Cardiff: Institute of Welsh Affairs, pp. 115-130.

Edwards RT. and Boland, A. Health Impact Assessment and Health Economics. In: British Medical Association (Ed.) Health and Environmental Impact Assessment: An integrated approach. London: (1997) Earthscan.

Edwards RT. (1995) Pharmacoeconomics in prescribing in general practice. In: Harris, C. (Ed.) Prescribing in General Practice. Radcliff Medical Press: Oxford.

Edwards RT. (1994) An economic perspective of the Salisbury Waiting List Points Scheme. In: Malek, M. (Ed.) Setting priorities in health care. Chichester: John Wiley and Sons.