Description of the goods or services required
EXTRACT FROM ITT DOCUMENT ATTACHED
FSS wishes to commission research to produce a systematic review (including assessing strength and identifying gaps), documentation and critique of the evidence on:
1. the direct and indirect economic¿ costs of overweight obesity and diet related (non-communicable) disease in Scotland;
2. the cost effectiveness of measures to reduce overweight, obesity and diet related (non-communicable) disease.
The economic interactions between the various key elements of food policy across all of Scottish Government’s interests and the wider ‘food economy’ is not well enough understood to enable policy-makers to assess the potential tensions and synergies involved when policies are being proposed in one area which could impact on outcomes in other areas. Currently identifiable food policy cross impacts include those between economic growth (relating to the food and drink sector), diet related health, environmental sustainability (including food waste), social justice (particularly availability and affordability of a healthy diet) and public sector food provision. There are apparent synergies between policy aims relating to environmental sustainability and health (e.g. the shift in balance towards a greater plant-based diet). However, the cross-impacts between the economic interests of food industry and some of the aims of dietary health policy (in terms of reducing and rebalancing overall consumption) are less clear.
The FSS Situation report highlights the nature and extent of the change required to move towards meeting the Scottish Dietary Goals (SDGs). The SDGs which have been recently revised set out the key dietary outcomes required to improve dietary intakes and health outcomes for the Scottish population . Available evidence shows there has been little or no progress towards meeting these population level dietary goals since 2000. Data also shows that this lack of progress is reflected across all socio-economic groups. However, the problem is generally worse in those who are most deprived.
This project will be used to support work by FSS to improve the Scottish diet . In January 2016, the FSS Board agreed a suite of proposals ( to change consumer behaviour and the food and drink environment) for improving the Scottish diet to reduce the burden of overweight, obesity and other diet related (non-communicable) diseases in Scotland. Evidence of measures required to improve diet across the UK were also reviewed in the McKinsey Global Institute report, providing an initial economic analysis in relation to overcoming obesity . The recent Global Burden of Diseases, Injuries and Risk factors Study (GBD) 2015, provides methodology, using data from 129 countries (including Scotland), which contains comparative risk assessments including those attributable for 14 dietary factors . The National Burden of Disease, Injuries and Risk Factors Study in Scotland was initially a two year project funded by the Scottish Chief Scientist Office, which has now been extended until the end of 2016. The study is to consider the current methods from the GBD project and assess their application and validity in Scotland. The project will report its findings in January 2017. Health data for Scotland can be found within the Scottish Health Survey and the Preventing Obesity Route map.
Examples of how direct costs (NHS; costs for loss of earnings and other expenses); and indirect costs (pain, grief and suffering) public health costs and socio-economic modelling have been used in Scotland for asthma (Edinburgh Centre for population health ), diabetes (the Glasgow centre for population health ) and health inequalities (NHS health Scotland ).
This project needs to bring together the evidence (including any evidence gaps) to determine the direct costs (NHS; costs for loss of earnings and other expenses); and indirect costs (pain, grief and suffering) of overweight, obesity and diet-related (non-communicable) disease for Scotland and the cost effectiveness of measures to reduce being overweight, obesity and diet related (non-communicable) disease.
The aim of the research is an initial piece of work to develop an improved understanding of wider economic consequences of diet-related health through starting to describe and critique the evidence of estimates of cost and cost-effectiveness measures to tackle overweight, obese and diet related (non-communicable) disease in Scotland
Assessment of the evidence base
The Supplier should produce a proposed plan and methods for identifying, reviewing (including assessing strength and identifying any gaps) and documenting relevant academic publications including grey literature, which can be used to determine the direct costs (NHS; costs for loss of earnings and other expenses); and indirect costs (pain, grief and suffering) in Scotland and evidence of the relevant cost effectiveness measures to reduce overweight, obesity and diet related (non-communicable) disease.
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