Valuing health and safety benefits
Submitting Institution
University of DurhamUnit of Assessment
Psychology, Psychiatry and NeuroscienceSummary Impact Type
SocietalResearch Subject Area(s)
Medical and Health Sciences: Public Health and Health Services
Economics: Applied Economics
Summary of the impact
Dr Covey's research has focused on understanding the public perception of
hazards and how this might feed through into their preferences for safety
prioritisation. Her work at Durham has changed Government policies and has
had significant impacts on how UK-wide investment decisions are made. It
has saved the railway industry millions of pounds in unnecessary upgrade
costs and placed a monetary value on the impact of air pollution on health
for the first time. Her work has allowed the views of the public to be fed
into decisions that could affect their own safety and has provided more
accurate and robust figures for the valuation of safety.
Underpinning research
This case study draws upon a body of research conducted by Dr Judith
Covey since her appointment to the psychology department of Durham
University in 1999. Three interdisciplinary projects were undertaken using
stated preference methods to elicit the public's perceptions of hazards
and estimate how much they are willing to pay for small reductions in the
risks of death or injury. Two of the projects focussed on investigating
whether members of the general public apply the same value of preventing a
fatality (VPF) used for appraising the benefits of road safety
improvements to saving lives from a range of different types of railway
accidents (1,2). The other project was concerned with estimating how much
people are willing to pay to avoid the consequences that air pollution
could have on their health and life expectancy (3).
As a psychologist Dr Covey's contribution to the research was distinct
from the economists that she collaborated with on these projects. The
economists (partners at the Universities of Newcastle, Queen Mary, and
East Anglia) were responsible for ensuring that the stated preference
methods used were theoretically appropriate and modelling how the data
should be analysed to produce values that can subsequently inform policy
making. However, stated preference methods are notoriously difficult to
design and people's responses have been found to be subject to a range of
decision biases and anomalies. For example, apparently irrelevant features
of survey instruments, such as the way that information is presented
(framing effects) or scales used to elicit responses (response effects)
can have unwanted influences on the values obtained.
Dr Covey's role as a psychologist was to understand and identify the ways
in which responses to the questions used in these projects might be unduly
influenced by chosen elicitation methods used and to ensure that the
surveys were designed to minimize sources of bias. Techniques employed by
Dr Covey included the use of cognitive interviewing to identify sources of
response error. Experiments were also designed and conducted to test the
robustness of different variants of the survey instruments. This research
ensured that the surveys ultimately used in these projects to elicit
values from large samples of the general public were designed to be as
valid and reliable as possible. This research was essential to instil
confidence in the results obtained, giving policy-makers confidence that
the values can be used in assessing multi-million pound investment
decisions.
Key findings from the general public surveys that have subsequently had
an impact on policy include:
- The Department for Transport VPF figure should be applied across all
rail fatality cases, regardless of whether an accident involves single
or multiple fatalities (Projects 1 and 2)
- Monetisation of the impacts of air quality on people's health, for
example an extra year of life in normal health £27,630; avoiding a
respiratory hospital admission between £7,289 - £14,280; avoiding a day
of discomfort due to breathing difficulties between £7 - £30 (Project3).
References to the research
1) Burton T, Chilton S, Covey J, Gilbert H, Pidgeon NF, Jones-Lee
M, Loomes G, Robinson A, Twist J; Spencer A (2001) Valuation of
benefits of health and safety control: Follow-up study. HSE Contract
Research Report (315). Project funded by a consortium including the Health
and Safety Executive, Department for Transport, Home Office and HM
Treasury.
http://www.hse.gov.uk/research/crr_pdf/2001/crr01315.pdf
This research is recognised internationally by the academic community. It
has been presented by Dr Covey and her colleagues at several academic
conferences and workshops both nationally (e.g., University of Kent, 2005;
British Academy, 2013) and internationally (e.g., University of Alicante,
2003). It has been published in one of the highest ranked international
peer-reviewed journals for research in decision analysis, economics, and
psychology (Journal of Risk and Uncertainty).
4) Chilton S, Covey J, Hopkins L, Jones-Lee M, Loomes G, Pidgeon
N, Spencer A (2002): Public perceptions of risk and preference-based
values of safety. Journal of Risk and Uncertainty 25:211—32. Journal
published by Springer. Editor in Chief W Kip Viscusi (Vanderbilt Law
School USA). Journal ranked 306th out of all 11,171 journals
and 26th out of all 319 economics journals on
journal-ranking.com (04/13); IF 1.529; 35 citations, 70 downloads and 162
abstract views between 03/04 and 03/13. DOI: 10.1007/s11166-009-9082-0
5) Covey J, Robinson A, Jones-Lee M, Loomes G (2010). Responsibility,
scale and the valuation of rail safety. Journal of Risk and
Uncertainty, 40, 85-108. Journal published by Springer. Editor in
Chief W Kip Viscusi (Vanderbilt Law School USA). Journal ranked 306th
out of all 11,171 journals and 26th out of all 319 economics
journals on journal-ranking.com (04/13); IF 1.529; 7 citations, 16
downloads and 83 abstract views between 03/10 and 03/13. DOI:
10.1023/A:1020962104810
Details of the impact
Value of preventing rail fatalities (Projects 1 and 2)
Dr Covey's research at Durham provided robust evidence that a single
value of preventing a fatality (VPF) should be applied across all rail
fatality cases, regardless of whether an accident involves single or
multiple fatalities. This valuation has been used to inform decisions not
only about investing in specific safety improvements but also in the
deployment of engineering solutions and the operational management of the
railways.
Previous rail policy had used two VPF figures, placing a premium on
incidents with multiple fatalities. In 2002/3 the VPF for preventing a
single fatality was £1.25million and £3.46million per equivalent fatality
for prevention of multiple fatalities.
(http://www.rssb.co.uk/SiteCollectionDocuments/pdf/SafetyPlanFullReport.pdf).
The research that Dr Covey conducted contributed to the decision to
abandon the use of a higher value as noted by Deloitte in their 2009
review of value of life estimates for the National Audit Office "Following
the outputs of the research commissioned by the Rail Standards and
Safety Board (Covey et al., 2008) and resulting industry discussion and
agreement, the same fatality value is applied to each fatality prevented
whether the accident relates to a single or multiple-fatality accident"
(1).
The concept of a single VPF figure continues to be fully adopted by the
Rail Safety and Standards Board (RSSB). Their latest policy document Taking
Safe Decisions (2009) - recognised as the authoritative guidance on
how the rail industry takes decisions that affect safety - uses a single
VPF for all rail cases (2).
The VPF that is used in cost-benefit analysis is also used in the RSSB's
Safety Risk Model. This model is used by the rail industry and its
partners to quantify the consequences of hazardous events thereby allowing
them to prioritise their investment in safety and make optimal decisions
about engineering solutions and operational management.
Specific examples of how the VPF derived from Dr Covey's research has
affected decision making include:
- A key recommendation following the Ladbroke Grove rail accident in
October 1999 involved the fitting of `burst panels' on new-build trains
to prevent fuel tank rupture. However a follow-up analysis in November
2008 using Dr Covey's updated VPF research demonstrated the costs far
outweighed the benefits and significantly weakened the case for
upgrades, saving the industry an estimated £3.3 million in unnecessary
costs (3)
- Network Rail used the updated VPF figures in a decision to introduce
"another train coming" warning at 63 level crossings in the UK in 2012.
The upgraded audible warnings use a warble and spoken alarm when a
second train is detected, and were installed at crossings on the London
to North East England route (4).
Impacts of air pollution on health (Project 3)
Dr Covey's research directly contributed to the monetary valuation of the
impact of air pollution on health for the first time. The findings of this
DEFRA-funded project have informed recommendations put forward by the
Interdepartmental Group on Costs and Benefits (IGCB) on the values that
should be assigned to a range of health endpoints when using the impact
pathway approach for valuing changes in air quality (full details of how
the study informed the recommendations can be found in Annex 2 in (5)).
The strong impact of the research on IGCB's recommendations is
illustrated by the following quote "Following the publication of this
report, an expert workshop on the Valuation of Health Benefits of
Reductions in Air Pollution and Use of Values in Appraisal was held in
June 2004. The recommendations of this workshop informed an IGCB paper
that sought to agree the valuation of health benefits in policy
appraisal. These recommendations were agreed interdepartmentally and
therefore form the basis of the valuation of health benefits within the
current analysis. The monetary valuation of health benefits represents a
major development in the IGCB methodology" (5).
The impact pathway approach is the central methodology currently
recommended by DEFRA (6), the Department for Transport (7), and HM
Treasury (8) for appraising proposals that lead to changes in air
pollution. Supplementary Green Book guidance provided by HM Treasury in
May 2013 notes how the values used to monetise health impacts have been
derived from this DEFRA-funded study (8).
Examples of how the impact pathway approach and monetised values of
health impact have been used include:
- Transport for London used the impact pathway approach when developing
a Low Emission Zone, which aims to improve health by reducing exhaust
emissions from heavy-polluting road vehicles. The values recommended by
IGCB were used to forecast the monetised health benefits of the scheme
(estimated benefit £140m-£210m) (9).
- In December 2012 DEFRA awarded £2 million in grants to develop 42
similar low emission zones across England (www.defra.gov.uk/news/2012/12/31/2-million-air-pollution/).
The projects were expected to demonstrate value for money and where
possible a quantitative evaluation of the health benefits of the air
quality strategies proposed (10).
Sources to corroborate the impact
(1) Deloitte (2009). Review of the Highways Agency Value of Life
Estimates for the Purposes of Project Appraisal: A report to the National
Audit Office. Deloitte LLP. See page 51.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/35209/review-value-life-estimates.pdf
(2) RSSB (2009). Taking safe decisions
www.rssb.co.uk/SiteCollectionDocuments/pdf/vtsic_presentations/Taking%20safe%20decisions%20-%20Part1.pdf;
RSSB (2007). Safety decisions programme. The route to `Taking safe
decisions'. See pages 3, 17, 22 and 24.
http://www.rssb.co.uk/SiteCollectionDocuments/pdf/vtsic_presentations/RouteToTakingSafeDecisions.pdf
(3) RSSB (2008). Turning Potential Fuel Tank Solutions into Practice. See
section 4.4.1.
http://www.rssb.co.uk/SiteCollectionDocuments/pdf/reports/Research/T634_rpt_final.pdf
(4) RSSB (2008). Examining the Benefits of "Another Train Coming"
Warnings at Level Crossings. See page 81, tables 15 and 16.
http://www.rssb.co.uk/SiteCollectionDocuments/pdf/reports/research/T652_rpt_final.pdf;
Network Rail press release (2012). We're Installing Voice Warnings to
Improve Safety at Level Crossings,
http://www.networkrail.co.uk/news/2012/july/We-are-installing-voice-warnings-to-improve-safety-at-level-crossings/
(5) IGCB (2007). An economic analysis to inform the Air Quality Strategy.
Updated third report of the Interdepartmental Group on Costs and Benefits.
The Stationery Office. PB12637. See page 5.https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/221088/pb12637-icgb.pdf
(6) DEFRA (2013). Impact pathway guidance for valuing changes in air
quality. Crown Copyright 2013. PB13913. See pages 16-17.
(https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/197900/pb13913-impact-pathway-guidance.pdf)
(7) Department for Transport (2012). The Air quality sub-objective. See
page 15.
(http://www.dft.gov.uk/webtag/documents/expert/pdf/U3_3_3-air-quality-120723.pdf)
(8) HM Treasury (2013). Valuing impacts on air quality. Supplementary
Green Book guidance. Crown Copyright 2013. ISBN 978-1-909096-99-8. See
pages 21-22.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/197893/pu1500-air-quality-greenbook-supp2013.pdf
(9) Transport for London (2008). London Low Emission Zone: Impacts
Monitoring. Baseline report, July 2008. Transport for London 2008. See
page 163.
http://www.tfl.gov.uk/assets/downloads/roadusers/lez/lez-impacts-monitoring-baseline-report-2008-07.pdf
(10) DEFRA (2012). Annex A: Eligibility and criteria for assessment of
applications for Defra's local authority air quality grant programme
2012/13. See pages 2-3.
http://archive.defra.gov.uk/environment/quality/air/airquality/local/documents/aqgp-annexa-eligibility-2012-13.pdf