Professor Paul McCrone

Professor Paul McCrone BA Hons, BSc Hons, MSc, PhD

Professor of Healthcare Economics

Professor Paul McCrone joined the University of Greenwich in October 2019. He is based within the Institute for Lifecourse Development and is responsible for leading health economics research. This work involves close working relationships with colleagues from across the Faculty as well as elsewhere within the university and beyond.

Paul is an economist by background and studied for his undergraduate degree at (the then) Thames Polytechnic in Woolwich. He has specialised in health economics since 1990 and has been involved in a large number of economic studies across many different healthcare areas. His work has included both UK and international studies and he has received funding from agencies including NIHR, Wellcome, ESRC, MRC, and the EU. Paul has published over 300 papers since 1993.

Al large focus of his work recently has been policy-related. This has included being co-Director of the NIHR Mental Health Policy Research Unit until his move to Greenwich.

Posts held previously:
  • Professor of Health Economics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, September 2010 – September 2019
  • Reader in Health Economics, Institute of Psychiatry, King's College London, September 2006 – August 2010
  • Senior Lecturer in Health Economics, Institute of Psychiatry, King's College London, November 1999 – August 2006
  • Lecturer in Health Economics, Institute of Psychiatry, King's College London, September 1992 – October 1999
  • Research Associate, Personal Social Services Research Unit, University of Kent, July 1990 – September 1992

Allied health professions, dentistry, nursing and pharmacy

Responsibilities within the university

Paul is responsible for:

  • Leading health economics work in the University
  • Supervision of research students
  • Teaching health economic sessions on postgraduate programmes
  • Providing training to local partners

Recognition

External examiner for research students from:

  • University College London
  • London School of Hygiene and Tropical Medicine
  • London School of Economics
  • University of East Anglia
  • University of Limerick
  • University of Barcelona
  • University of Verona
  • Trinity College Dublin

Research / Scholarly interests

Paul's main interests are:

  • The economic evaluation of healthcare services
  • Investigating predictor of healthcare use
  • Valuing patient time spent using services and engaging in leisure actives
  • Developing simulation models to explore healthcare costs and cost-effectiveness

Key funded projects

2014-2019 European Commission, Randomised controlled trial to evaluate electronic Symptom Management using the Advanced Symptom Management System Remote technology for patients with cancers, £5,300,000

2013-2016 National Institute for Health Research, Optimising palliative care for older people in the community: development and evaluation of a new short-term integrated service., £258,920

2013-2018 National Institute for Health Research, ACTIB - Assessing Cognitive Behavioural Therapy in Irritable Bowel Syndrome, £1,428,762

2013-2017 National Institute for Health Research, Structured lifestyle education for people with schizophrenia (STEPWISE), £2,010,679

2010-2015 National Institute for Health Research, SUPEREDEN: Sustaining Positive Engagement and Recovery - the next step after Early Intervention for Psychosis, £2,047,092

2011-2015 National Institute for Health Research, Effectiveness and cost-effectiveness of Body Psychotherapy in the treatment of negative symptoms of schizophrenia - a multicentre randomised controlled trial (NESS), £1,441,687

2012-2016 National Institute for Health Research, CAPE Study:  Community care pathways at the end of life., £249,609

2013-2015 National Institute for Health Research, Location of care for people with serious mental illness: implications for service use and costs, £368,714

2010-2015 National Institute for Health Research, Effective patient-clinician interaction to improve treatment for patients with psychosis (EPOS), £1,064,629

2017-2022 National Institute for Health Research, UCL and King's Integrated Policy Research Unit for Mental Health, £4,998,118

2017-2020 National Institute for Health Research, Xeroderma Pigmentosum: Codesign and testing of a specialised visor for ultraviolet radiation protection, £755,636

2011-2018 Atlantic Philanthropies, Project BuildCARE, £2,451,862

2013-2015 Guy's & St Thomas' Charity, Improving the management of malnutrition in the community, £17,243

2014-2018 European Commission, Comparing policy framework, structure, effectiveness and cost-effectiveness of functional and integrated systems of mental health care (COFI), £4,400,000

Recent publications

Article

McCrone, Paul , Patel, Meenal, Hotopf, Matthew, Moss-Morris, Rona , Ashworth, Mark , David, Anthony S. , Husain, Mujtaba , James, Kirsty , Landau, Sabine , Chalder, Trudie (2024), Cost-utility analysis of transdiagnostic cognitive behavioural therapy for people with persistent physical symptoms in contact with specialist services evaluated in the PRINCE secondary trial. Elsevier. In: , , , . Elsevier, Journal of Psychosomatic Research, 187: 111960 ISSN: 0022-3999 (Print), 1879-1360 (Online) (doi: https://doi.org/10.1016/j.jpsychores.2024.111960).

Ojo, Omorogieva , Kalocsanyiova, Erika, Mccrone, Paul, Elliott, Helen , Milligan, Wendy , Gkaintatzi, Evdoxia (2024), Non-pharmacological interventions for Type 2 diabetes in people living with severe mental illness: results of a systematic review and meta-analysis. MDPI. In: , , , . MDPI, International Journal of Environmental Research and Public Health, 21: 423 (4) . pp. 1-25 ISSN: 1661-7827 (Print), 1660-4601 (Online) (doi: https://doi.org/10.3390/ijerph21040423).

Eaglestone, Gillian , Gkaintatzi, Evdoxia, Jian, Harmony, Stoner, Charlotte R. , Pacella, Rosana , McCrone, Paul (2023), Cost-effectiveness of non-pharmacological interventions for mild cognitive impairment and dementia: a systematic review of economic evaluations and a review of reviews. Springer Nature. In: , , , . Springer Nature, PharmacoEconomics - Open, 7 (6) . pp. 887-914 ISSN: 2509-4262 (Print), 2509-4254 (Online) (doi: https://doi.org/10.1007/s41669-023-00440-z).

Mccrone, Paul , Young, Allan H., Zahn, Roland, Eberhard, Jonas , Wasserman, Danuta , Brambilla, Paolo , Balazs, Judit , Caldas-de-Almeida, Jose , Ulrichsen, Andrea , Carli, Vladmir (2023), Economic impact of reducing treatment gaps in depression. Cambridge University Press. In: , , , . Cambridge University Press, European Psychiatry, 66: e57 (1) . pp. 1-5 ISSN: 0924-9338 (Print), 1778-3585 (Online) (doi: https://doi.org/10.1192/j.eurpsy.2023.2415).

Mccrone, Paul , Fisher, Henry, Knight, Clare, Harding, Rebecca , Schlag, Anne K. , Nutt, David J. , Neill, Joanna C. (2023), Cost-effectiveness of psilocybin-assisted therapy for severe depression: exploratory findings from a decision analytic model. Cambridge University Press. In: , , , . Cambridge University Press, Psychological Medicine . pp. 1-8 ISSN: 0033-2917 (Print), 1469-8978 (Online) (doi: https://doi.org/10.1017/s0033291723001411).

Koeser, Leonardo , Rost, Felicitas, Gabrio, Andrea, Booker, Thomas , Taylor, David , Fonagy, Peter , Goldberg, David , Knapp, Martin , Mccrone, Paul (2023), Cost-effectiveness of long-term psychoanalytic psychotherapy for treatment-resistant depression: RCT evidence from the Tavistock Adult Depression Study (TADS). Elsevier. In: , , , . Elsevier, Journal of Affective Disorders, 335 . pp. 313-321 ISSN: 0165-0327 (Print), (doi: https://doi.org/10.1016/j.jad.2023.04.109).

Mccrone, Paul and , Boadu, Janet (2022), Childhood predictors of healthcare use and health status in early adulthood: findings from the twins early development study. MDPI. In: , , , . MDPI, International Journal of Environmental Research and Public Health, 19: 16349 (23) . pp. 1-9 ISSN: 1661-7827 (Print), 1660-4601 (Online) (doi: https://doi.org/10.3390/ijerph192316349).

Gkaintatzi, Evdoxia , Nikolaou, Charoula Konstantia, Rampal, Tarannum, Laza-Cagigas, Roberto , Zand, Nazanin , Mccrone, Paul (2022), Cost analysis of a digital multimodal cancer prehabilitation. MDPI. In: , , , . MDPI, Current Oncology, 29 (12) . pp. 9305-9313 1718-7729 (Online) (doi: https://doi.org/10.3390/curroncol29120729).

Essex, Ryan , Weldon, Sharon Marie, Kalocsanyiova, Erika, Mccrone, Paul , Deb, Sanjoy (2022), The impact of healthcare strikes on patient mortality: a systematic review and meta-analysis of observational studies. Wiley. In: , , , . Wiley, Health Services Research, 57 (6) . pp. 1218-1234 ISSN: 0017-9124 (Print), 1475-6773 (Online) (doi: https://doi.org/10.1111/1475-6773.14022).

Barnett, Phoebe , Steare, Thomas, Dedat, Zainab, Pilling, Stephen , McCrone, Paul , Knapp, Martin , Cooke, Eleanor , Lamirel, Daphne , Dawson, Sarah , Goldblatt, Peter (2022), Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis. BMC. In: , , , . BMC, BMC Psychiatry, 22: 302 1471-244X (Online) (doi: https://doi.org/10.1186/s12888-022-03864-9).

Essex, Ryan , Kalocsanyiova, Erika, Young, Peter, McCrone, Paul (2022), Psychological distress in Australian onshore and offshore immigration detention centres from 2014-2018. Springer. In: , , , . Springer, Journal of Immigrant and Minority Health, 24 (4) . pp. 868-874 ISSN: 1557-1912 (Print), 1557-1920 (Online) (doi: https://doi.org/10.1007/s10903-022-01335-7).

Ojo, Omorogieva , Wang, Xiaohua, Ojo, Osarhumwese, Orjih, Edith , Pavithran, Nivedita , Adegboye, Amanda , Feng, Qian-Qian , Mccrone, Paul (2022), The effects of COVID-19 lockdown on glycaemic control and lipid profile in patients with type 2 diabetes: a systematic review and meta-analysis. MDPI AG. In: , , , . MDPI AG, International Journal of Environmental Research and Public Health, 19: 1095 (3) 1660-4601 (Online) (doi: https://doi.org/10.3390/ijerph19031095).

Essex, Ryan , Weldon, Sharon Marie, Thompson, Trevor, Kalocsanyiova, Erika , Mccrone, Paul , Deb, Sanjoy (2021), Impact of healthcare strikes on patient mortality: a protocol for a systematic review and meta-analysis of observational studies. BMJ Publishing Group. In: , , , . BMJ Publishing Group, BMJ Open, 11: e050826 (12) 2044-6055 (Online) (doi: https://doi.org/10.1136/bmjopen-2021-050826).

Mccrone, Paul , Mosweu, Iris, Yi, Deokhee, Ruffell, Tamatha , Dalton, Bethan , Wykes, Til (2021), Patient preferences for antipsychotic drug side effects: a discrete choice experiment. Oxford University Press. In: , , , . Oxford University Press, Schizophrenia Bulletin Open, 2: sgab046 (1) 2632-7899 (Online) (doi: https://doi.org/10.1093/schizbullopen/sgab046).

Mccrone, Paul , Everitt, Hazel, Landau, Sabine, Little, Paul , Bishop, Felicity L. , O’Reilly, Gilly , Sibelli, Alice , Holland, Rachel , Hughes, Stephanie , Windgassen, Sula (2021), Cost effectiveness of therapist delivered cognitive behavioural therapy and web-based self-management in irritable bowel syndrome: the ACTIB randomised trial. BMC. In: , , , . BMC, BMC Gastroenterology, 21: 276 (1) 1471-230X (Online) (doi: https://doi.org/10.1186/s12876-021-01848-9).

Thase, Michael E , McCrone, Paul, Barrett, Marna S, Eells, Tracy D , Wisniewski, Stephen R , Balasubramani, G K , Brown, Gregory K , Wright, Jesse H (2020), Improving cost-effectiveness and access to cognitive behavior therapy for depression: providing remote-ready, computer-assisted psychotherapy in times of crisis and beyond. Karger Publishers. In: , , , . Karger Publishers, Psychotherapy and Psychosomatics, 89 (5) . pp. 307-313 ISSN: 0033-3190 (Print), 1423-0348 (Online) (doi: https://doi.org/10.1159/000508143).

Day, Crispin , Briskman, Jackie, Crawford, Mike J, Foote, Lisa , Harris, Lucy , Boadu, Janet , McCrone, Paul , McMurran, Mary , Michelson, Daniel , Moran, Paul (2020), Randomised feasibility trial of the helping families programme-modified: an intensive parenting intervention for parents affected by severe personality difficulties. BMJ Journals. In: , , , . BMJ Journals, BMJ Open, 10: e033637 (2) 2044-6055 (Online) (doi: https://doi.org/10.1136/bmjopen-2019-033637).

Colling, Craig , Khondoker, Mizanur, Patel, Rashmi, Fok, Marcella , Harland, Robert , Broadbent, Matthew , McCrone, Paul , Stewart, Robert (2020), Predicting high-cost care in a mental health setting. Cambridge Core. In: , , , . Cambridge Core, BJPsych Open, 6: e10 (1) 2056-4724 (Online) (doi: https://doi.org/10.1192/bjo.2019.96).

Stuart, Ruth , Campbell, Sanchika, Osumili, Beatrice, Robinson, Emily J , Frost-Gaskin, Mary , Pacitti, Richard , McCrone, Paul , Henderson, Claire (2019), Do welfare benefit reassessments of people with mental health conditions lead to worse mental health? A prospective cohort study. SAGE. In: , , , . SAGE, International Journal of Social Psychiatry, 66 (2) . pp. 136-149 ISSN: 0020-7640 (Print), 1741-2854 (Online) (doi: https://dx.doi.org/10.1177/0020764019888955).

Jin, Huajie , McCrone, Paul, MacCabe, James H. (2019), Stratified medicine in schizophrenia: how accurate would a test of drug response need to be to achieve cost-effective improvements in quality of life?. Springer. In: , , , . Springer, The European Journal of Health Economics, 20 (9) . pp. 1425-1435 ISSN: 1618-7598 (Print), 1618-7601 (Online) (doi: https://dx.doi.org/10.1007/s10198-019-01108-4).

Sheridan Rains, Luke , Marston, Louise, Hinton, Mark, Marwaha, Steven , Craig, Thomas , Fowler, David , King, Michael , Omar, Rumana Z. , McCrone, Paul , Spencer, Jonathan (2019), Clinical and cost-effectiveness of contingency management for cannabis use in early psychosis: the CIRCLE randomised clinical trial. BMC. In: , , , . BMC, BMC Medicine, 17: 161 1741-7015 (Online) (doi: https://dx.doi.org/10.1186/s12916-019-1395-5).

Everitt, H , Landau, S, Little, P, Bishop, F L , O’Reilly, G , Sibelli, A , Holland, R , Hughes, S , Windgassen, S , McCrone, P (2019), Therapist telephone-delivered CBT and web-based CBT compared with treatment as usual in refractory irritable bowel syndrome: the ACTIB three-arm RCT. NIHR. In: , , , . NIHR, Southampton Health Technology Assessment, 23 (17) . pp. 1-154 ISSN: 1366-5278 (Print), 2046-4924 (Online) (doi: https://dx.doi.org/10.3310/hta23170).

Osumili, Beatrice , Mccrone, Paul, Burdett, Howard, Jones, Norman , Fear, Nicola T. , Wessely, Simon , Rona, Roberto J. (2019), Cost of post-deployment screening for mental illness in the UK military: findings from a cluster randomised controlled trial. Taylor & Francis. In: , , , . Taylor & Francis, Journal of Mental Health, 31 (6) . pp. 801-808 ISSN: 0963-8237 (Print), 1360-0567 (Online) (doi: https://dx.doi.org/10.1080/09638237.2019.1581332).

Csipke, Emese , Wykes, Til, Nash, Stephen, Williams, Paul , Koeser, Leo , McCrone, Paul , Rose, Diana , Craig, Tom (2019), Changing nurses’ views of the therapeutic environment: randomised controlled trial. Cambridge University Press. In: , , , . Cambridge University Press, BJPsych Open, 5: e17 (1) 2056-4724 (Online) (doi: https://dx.doi.org/10.1192/bjo.2018.87).

Holt, Richard I. G. , Gossage-Worrall, Rebecca, Hind, Daniel, Bradburn, Michael J. , Mccrone, Paul , Morris, Tiyi , Edwardson, Charlotte , Barnard, Katharine , Carey, Marian E. , Davies, Melanie J. (2019), Structured lifestyle education for people with schizophrenia, schizoaffective disorder and first-episode psychosis (STEPWISE): randomised controlled trial. Cambridge University Press. In: , , , . Cambridge University Press, The British Journal of Psychiatry, 214 (2) . pp. 63-73 ISSN: 0007-1250 (Print), 1472-1465 (Online) (doi: https://dx.doi.org/10.1192/bjp.2018.167).

Ismail, K. , Stewart, K., Ridge, K., Britneff, E. , Freudenthal, R. , Stahl, D. , McCrone, P. , Gayle, C. , Doherty, A. M. (2019), A pilot study of an integrated mental health, social and medical model for diabetes care in an inner‐city setting: three dimensions for diabetes (3DFD). Wiley. In: , , , . Wiley, Diabetic Medicine, 37 (10) . pp. 1658-1668 ISSN: 0742-3071 (Print), 1464-5491 (Online) (doi: https://dx.doi.org/10.1111/dme.13918).

Winkler, Petr , Koeser, Leonardo, Kondrátová, Lucie, Broulíková, Hana Marie , Páv, Marek , Kališová, Lucie , Barrett, Barbara , McCrone, Paul (2018), Cost-effectiveness of care for people with psychosis in the community and psychiatric hospitals in the Czech Republic: an economic analysis. Elsevier. In: , , , . Elsevier, The Lancet Psychiatry, 5 (12) . pp. 1023-1031 ISSN: 2215-0366 (Print), 2215-0374 (Online) (doi: http://dx.doi.org/10.1016/S2215-0366(18)30388-2).

McCrone, Paul , Rost, Felicitas, Koeser, Leonardo, Koutoufa, Iakovina , Stephanou, Stephanie , Knapp, Martin , Goldberg, David , Taylor, David , Fonagy, Peter (2017), The economic cost of treatment-resistant depression in patients referred to a specialist service. Taylor & Francis. In: , , , . Taylor & Francis, Journal of Mental Health, 27 (6) . pp. 567-573 ISSN: 0963-8237 (Print), 1360-0567 (Online) (doi: https://dx.doi.org/10.1080/09638237.2017.1417562).

Waller, Helen , Landau, Sabine, Fornells-Ambrojo, Miriam, Jolley, Suzanne , McCrone, Paul , Halkoree, Rikesh , Basit, Nedah , Iredale, Catherine , Tunnard, Catherine , Zala, Darshan (2017), Improving implementation of evidence based practice for people with psychosis through training the wider workforce: results of the GOALS feasibility randomised controlled trial. Elsevier. In: , , , . Elsevier, Journal of Behavior Therapy and Experimental Psychiatry, 59 . pp. 121-128 ISSN: 0005-7916 (Print), (doi: https://dx.doi.org/10.1016/j.jbtep.2017.12.004).

Mosweu, I. , Moss-Morris, R., Dennison, L., Chalder, T. , McCrone, P. (2017), Cost-effectiveness of nurse-delivered cognitive behavioural therapy (CBT) compared to supportive listening (SL) for adjustment to multiple sclerosis. Springer. In: , , , . Springer, Health Economics Review, 7: 36 2191-1991 (Online) (doi: https://dx.doi.org/10.1186/s13561-017-0172-4).

Tulloch, Alex D , Soper, Bryony, Görzig, Anke, Pettit, Sophie , Koeser, Leonardo , Polling, Catherine , Watson, Andrew , Khondoker, Mizanur , Rose, Diana , Mccrone, Paul (2016), Management by geographical area or management specialised by disorder? A mixed-methods evaluation of the effects of an organisational intervention on secondary mental health care for common mental disorder. In: , , , . , Health Services and Delivery Research, 4 (9) . pp. 1-114 ISSN: 2050-4349 (Print), (doi: http://dx.doi.org/10.3310/hsdr04090).

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