Dr Ned Hartfiel holds a PhD in Health Economics from Bangor University. After completing his PhD on the cost-effectiveness of yoga for managing musculoskeletal conditions, Ned has remained at CHEME and is currently working on a variety of social return on investment projects.

Centre for Health Economics and Medicines Evaluation (CHEME)

Holyhead Road (Normal Site)

Ardudwy Hall

LL57 2PZ

Bangor

United Kingdom

Contact

ned.hartfiel@bangor.ac.uk

• PhD
  School of Health Sciences, Bangor University, 2012–2016

2025

• PublishedSocial Return on Investment (SROI) Evaluation of Citizens Advice on Prescription: A Whole-Systems Approach to Mitigating Poverty and Improving Wellbeing
  Granger, R., Hartfiel, N., Ezeofor, V., Abba, K., Corcoran, R., Anderson de Cuevas, R., Barr, B., Gebremedhin Gebremariam, A., Piroddi, R., Mahoney, C., Gabbay, M. & Edwards, R. T., 17 Feb 2025, In: International Journal of Environmental Research and Public Health. 22, 2, 301.
  Research output: Contribution to journal › Article › peer-review
• PublishedThe emerging economic evidence and methods used to evaluate clinical registries: a systematic scoping review protocol
  Pisavadia, K., Hartfiel, N., Varghese, L., Krayer, A., Hobson, G., Masters, R., Poole, R., Robinson, C., Edwards, R. T. & Bebbington, E., 24 Jun 2025, In: BMJ Open. 15, 6, e100644.
  Research output: Contribution to journal › Article › peer-review

2024

• PublishedAn Individually Tailored, Home-Based Supervised Exercise Programme for People with Early Dementia: An RCT-informed Health Economic Evaluation
  Ezeofor, V., Hartfiel, N., Doungsong, P., Goldberg, S., van der Wardt, V., Howe, L., Gladman, J., Harwood, R. H. & Edwards, R. T., 11 Dec 2024.
  Research output: Working paper › Preprint
• PublishedBarriers and enablers to care-leavers engagement with multi-agency support: A scoping review
  Prendergast, L., Davies, C. T., Seddon, D., Hartfiel, N. & Edwards, R. T., Apr 2024, In: Children and Youth Services Review. 159, 107501.
  Research output: Contribution to journal › Article › peer-review
• PublishedCross-cutting themes influencing well-being and well-becoming across the life-course
  Spencer, L., Hartfiel, N., Lynch, M., Bray, N., Anthony, B., Lawrence, C. & Edwards, R. T., 26 Sept 2024, Health economics of well-being and well-becoming across the life-course . Oxford University Press, p. 71-130
  Research output: Chapter in Book/Report/Conference proceeding › Chapter
• PublishedEngaging Care Leavers: Care-leaver's Engagement with Multi-agency Services. An Evidence Informed Good Practice Toolkit
  Davies, C. T., Prendergast, L., Seddon, D., Hartfiel, N. & Edwards, R. T., May 2024, 2 ed. Prifysgol Bangor University. 40 p.
  Research output: Book/Report › Commissioned report › peer-review
• PublishedEvaluating the Well-Being Benefits and Social Value of Volunteer Gardening: Health Economics Meets Behavioral Science: Behavioral Sciences
  Whiteley, H., Parkinson, J., Hartfiel, N., Makanjuola, A., Lloyd-Williams, H., Lawrence, C. & Edwards, R. T., 21 Dec 2024, In: Behavioral Science. 14, 12, 1233.
  Research output: Contribution to journal › Article › peer-review
• PublishedRCT-based Social Return on Investment (SROI) of a Home Exercise Program for People With Early Dementia Comparing In-Person and Blended Delivery Before and During the COVID-19 Pandemic
  Doungsong, P., Hartfiel, N. & Edwards, R. T., 23 Apr 2024, In: INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 61, p. 469580241246468
  Research output: Contribution to journal › Article › peer-review
• PublishedThe effectiveness and cost-effectiveness of vitrectomy surgery for primary idiopathic epiretinal membranes (iERMs): a systematic review
  Doungsong, P., To Kwong, H., Hartfiel, N., Sandinha, D. T., Steel, P. D. & Edwards, R. T., 7 Aug 2024, NIHR PROSPERO (International Prospective Register of Systematic Reviews).
  Research output: Other contribution › peer-review

2023

• PublishedHigh-intensity interval training in cardiac rehabilitation: a multi-centre randomized controlled trial
  McGregor, G., Powell, R., Begg, B., Birkett, S. T., Nichols, S., Ennis, S., McGuire, S., Prosser, J., Fiassam, O., Hee, S. W., Hamborg, T., Banerjee, P., Hartfiel, N., Charles, J. M., Edwards, R. T., Drane, A., Ali, D., Osman, F., He, H. & Lachlan, T. & 3 others, Haykowsky, M. J., Ingle, L. & Shave, R., 8 Feb 2023, In: European Journal of Preventive Cardiology. 30, 9, p. 745-755
  Research output: Contribution to journal › Article › peer-review
• PublishedPrevention of Poor Physical and Mental Health through the Green Social Prescribing Opening Doors to the Outdoors Programme: A Social Return on Investment Analysis
  Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert , A. & Edwards, R. T., 12 Jun 2023, In: International Journal of Environmental Research and Public Health. 20, 12, 18 p.
  Research output: Contribution to journal › Article › peer-review
• PublishedPromoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial
  Harwood, R. H., Goldberg, S. E., Brand, A., Wardt, V. V. D., Booth, V., Lorito, C. D., Hoare, Z., Hancox, J., Bajwa, R., Burgon, C., Howe, L., Cowley, A., Bramley, T., Long, A., Lock, J., Tucker, R., Adams, E. J., O’Brien, R., Kearney, F. & Kowalewska, K. & 20 others, Godfrey, M., Dunlop, M., Junaid, K., Thacker, S., Duff, C., Welsh, T., Haddon-Silver, A., Gladman, J., Logan, P., Pollock, K., Vedhara, K., Hood, V., Nair, R. D., Smith, H., Tudor-Edwards, R., Hartfiel, N., Ezeofor, V., Vickers, R., Orrell, M. & Masud, T., 29 Aug 2023, In: BMJ. 382, e074787.
  Research output: Contribution to journal › Article › peer-review
• PublishedRCT-based Social Return on Investment (SROI) of a home exercise programme for people with early dementia comparing in-person and blended delivery before and during the COVID-19 pandemic
  Doungsong, P., Edwards, R. T. & Hartfiel, N., 25 Aug 2023, MedRxiv.
  Research output: Working paper › Preprint
• PublishedSocial Return on Investment of Nature-Based Activities for Adults with Mental Wellbeing Challenges
  Hartfiel, N., Gittins, H., Morrison, V., Wynne-Jones, S., Edwards, R. T. & Dandy, N., 2 Aug 2023, In: International Journal of Environmental Research and Public Health. 20, 15, 13 p., 6500.
  Research output: Contribution to journal › Article › peer-review
• PublishedSocial Return on Investment of Social Prescribing via a Diabetes Technician for Preventing Type 2 Diabetes Progression
  Skinner, A., Hartfiel, N., Lynch, M., Jones, A. W. & Edwards, R. T., 7 Jun 2023, In: International Journal of Environmental Research and Public Health. 20, 12, 6074.
  Research output: Contribution to journal › Article › peer-review
• E-pub ahead of printThe social value and financial benefits of providing preventive and timely counselling to people with sight loss in Wales, UK
  Anthony, B., Hartfiel, N. & Edwards, R. T., 20 Nov 2023, (E-pub ahead of print) In: Counselling and Psychotherapy Research. 10 p., 12721.
  Research output: Contribution to journal › Article › peer-review

2022

• PublishedA Social Return on Investment Evaluation of the Pilot Social Prescribing EmotionMind Dynamic Coaching Programme to Improve Mental Wellbeing and Self-Confidence
  Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert, A., Wheeler, H. & Edwards, R. T., 26 Aug 2022, In: International Journal of Environmental Research and Public Health. 19, 17, 10658.
  Research output: Contribution to journal › Article › peer-review
• PublishedCurrent costs of dialysis modalities: A comprehensive analysis within the United Kingdom
  Roberts, G., Holmes, J., Williams, G., Chess, J., Hartfiel, N., Charles, J. M., McLauglin, L., Noyes, J. & Edwards, R. T., Nov 2022, In: Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. 42, 6, p. 578-584 7 p.
  Research output: Contribution to journal › Article › peer-review
• PublishedMaking Well: Green social prescribing for mental health and wellbeing
  Whiteley, H., Lynch, M., Hartfiel, N., Beherrell, W., Cuthbert, A. & Edwards, R. T., Nov 2022.
  Research output: Contribution to conference › Poster
• PublishedSocial return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing: Public Health Science 2021
  Makanjuola, A., Lynch, M., Hartfiel, N., Cuthbert, A., Wheeler, H. T. & Edwards, R. T., Nov 2022, In: The Lancet. 400, p. S59
  Research output: Contribution to journal › Article › peer-review
• PublishedSocial Return on Investment of Home Exercise and Community Referral for People With Early Dementia
  Hartfiel, N., Gladman, J., Harwood, R. & Edwards, R. T., Dec 2022, In: Gerontology and Geriatric Medicine. 8
  Research output: Contribution to journal › Article › peer-review
• PublishedSROI forecasting to support the sustainability of green social prescribing
  Whiteley, H., Lynch, M., Hartfiel, N., Beherrell, W., Cuthbert, A. & Edwards, R. T., Nov 2022.
  Research output: Contribution to conference › Poster
• PublishedValuing nature-based communities of care: A social return on investment (SROI) evaluation of The Fathom Trust 'Making Well' programme
  Whiteley, H., Lynch, M., Hartfiel, N., Beharrell, W. (Contributor), Cuthbert, A. (Contributor) & Edwards, R. T. (Contributor), 31 Aug 2022, Bangor: Bangor University. 59 p.
  Research output: Book/Report › Commissioned report
• PublishedWhat innovations can address inequalities experienced by women and girls due to the COVID-19 pandemic across the different areas of life/domains: work, health, living standards, personal security, participation and education? Report number – RR00027 (January 2022). Gender Inequalities: COVID-19 initiatives
  Spencer, L., Hartfiel, N., Hendry, A., Anthony, B., Makanjuola, A., Pisavadia, K., Davies, J., Bray, N., Hughes, D., Wilkinson, C., Fitzsimmons, D. & Edwards, R. T., 15 Jan 2022, Health and Care Research Wales.
  Research output: Book/Report › Commissioned report › peer-review

2021

• PublishedA clinical librarian in a hospital critical care unit may generate a positive return on investment
  Hartfiel, N., Sadera, G., Treadway, V., Lawrence, C. & Edwards, R. T., Jun 2021, In: Health Information and Libraries Journal. 38, 2, p. 97-112 16 p.
  Research output: Contribution to journal › Article › peer-review
• PublishedAn Evaluation of the IPS Programme: I CAN Work
  Williams, S., Prendergast, L., Roberts, S., Burton, C. & Hartfiel, N., 2021, Bangor University. 88 p.
  Research output: Book/Report › Commissioned report
• PublishedHave infection control and prevention measures resulted in any adverse outcomes for care home and domiciliary care residents and staff? Report number: RR_00018 (November 2021)
  Spencer, L., Hartfiel, N., Hendry, A., Anthony, B., Makanjuola, A., Bray, N., Hughes, D., Wilkinson, C., Fitzsimmons, D. & Edwards, R. T., 1 Nov 2021, 36 p.
  Research output: Book/Report › Other report › peer-review
• PublishedWhich innovations can improve timeliness of investigations and address the backlog in endoscopy for patients with potential symptoms of upper and lower Gastrointestinal (GI) cancers? RR_00003 (August 2021)
  Hendry, A., Anthony, B., Charles, J., Hartfiel, N., Roberts, J., Spencer, L., Bray, N., Wilkinson, C. & Edwards, R. T., Aug 2021, 34 p.
  Research output: Book/Report › Other report › peer-review

2020

• PublishedSocial Return on Investment analysis of the Health Precinct community hub for chronic conditions
  Jones, C., Hartfiel, N., Brocklehurst, P., Lynch, M. & Edwards, R. T., 21 Jul 2020, In: International Journal of Environmental Research and Public Health. 17, 14, 5249.
  Research output: Contribution to journal › Article › peer-review

2019

• PublishedSocial Return on Investment analysis of the Health Precinct
  Jones, C., Hartfiel, N. & Edwards, R. T., 3 Oct 2019.
  Research output: Contribution to conference › Poster

2017

• PublishedBased Applied Psychophysiology: Yoga for Occupational Stress and Health
  Hartfiel, E. & Edwards, R., May 2017, Based Perspectives on the Psychophysiology of Yoga . Telles, S. & Singh, N. (eds.). Medical Information Science Reference, p. 175 (Advances in Medical Diagnosis, Treatment, and Care).
  Research output: Chapter in Book/Report/Conference proceeding › Chapter
• PublishedCost-effectiveness of yoga for managing musculoskeletal conditions in the workplace
  Hartfiel, E., Clarke, G., Havenhand, J., Phillips, C. & Edwards, R., 30 Dec 2017, In: Occupational Medicine. 67, 9, p. 687-695
  Research output: Contribution to journal › Article › peer-review

2012

• PublishedYoga for reducing perceived stress and back pain at work
  Hartfiel, N., Burton, C., Rycroft-Malone, J., Clarke, G., Havenhand, J., Khalsa, S. B. & Edwards, R. T., 8 Dec 2012, In: Occupational Medicine. 62, 8, p. 606-612 7 p.
  Research output: Contribution to journal › Article › peer-review

2011

• PublishedThe effectiveness of yoga for the improvement of well-being and resilience to stress in the workplace
  Hartfiel, N., Havenhand, J., Khalsa, S. B., Clarke, G. & Krayer, A., Jan 2011, In: Scandinavian Journal of Work, Environment and Health. 37, 1, p. 70-6 7 p.
  Research output: Contribution to journal › Article › peer-review

2024

• Applied Health Economics for Public Health Practice and Research

  Building on 20 years of our experience in research and teaching health economics to public health practitioners and those undertaking research in public health, we offer this two-day free online short course showcasing our research portfolio at the Public Health and Prevention Economics Research Group (PHERG) at the Centre for Health Economics and Medicines Evaluation (CHEME). Through recorded presentations and live breakout rooms with you, the delegates, and our faculty of researchers at PHERG CHEME, we will be asking and discussing collaboratively:

  What additional challenges does applying methods of economic evaluation to public health and prevention initiatives within and outside of traditional health care systems pose and how can we address them?

  What methods are we, as health economists, using (diversifying our portfolio) to address these challenges and add to the evidence base of the relative cost-effectiveness and social value of public health and prevention interventions across sectors and across the life-course?

  How can such interventions be paid for in future and how do these methods relate to overarching policy approaches to sustainability and climate change?

  This short course accompanies the textbook: Edwards, R. T., & McIntosh, E. (Eds.). (2019). Applied health economics for public health practice and research. Oxford University Press.

  12 Mar 2024 – 13 Mar 2024

  Activity: Participation in Academic workshop, seminar, course (Speaker)

2019

• Health and Wellbeing at Work

  Healthy Back Programme in the Workplace

  6 Mar 2019

  Activity: Participation in Academic conference (Speaker)

2018

• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2018 – 2023

  Activity: Consultancy (Consultant)
• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2018 →

  Activity: Consultancy (Consultant)
• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2018 →

  Activity: Consultancy (Consultant)

2017

• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2017 →

  Activity: Consultancy (Consultant)
• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2017 →

  Activity: Consultancy (Consultant)
• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2017 →

  Activity: Consultancy (Consultant)

2013

• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2013 →

  Activity: Consultancy (Consultant)

2011

• Healthy Back Programme in the Workplace

  An eight-week yoga-based programme for employees to reduce back pain and improve mental wellbeing.

  2011 →

  Activity: Consultancy (Consultant)

• Evaluating The Outdoor Partnership’s 'Opening Doors to the Outdoors’ (ODO) Programme

  01/04/2022 – 01/08/2022 (Finished)

• Wellbeing and healing through craft and nature

  01/10/2021 – 01/08/2022 (Finished)

• Evaluating the Impact of Woodland Activities on Personal Wellbeing: A SROI Analysis

  01/01/2020 – 30/09/2020 (Finished)

• Return on investment (ROI) of employing a clinical librarian to assist clinical staff on an intensive care unit

  01/10/2018 – 01/08/2019 (Finished)