Skip to main contentSkip to footer
finger pointing scan
Brighton & Sussex Medical School

Our staff

BSMS > About BSMS > Contact us > Staff > Natalia Hounsome

Natalia Hounsome

Natalia Hounsome (MSc, PhD)

Senior Lecturer in Global Health Economics

Area of expertise: Economic evaluation in clinical trials 

Research areas: methodology of economic evaluation in clinical trials, development of core outcome sets for economic evaluation.



Natalia joined the Department of Global Health and Infection as a Senior Lecturer in Health economics in December 2017. Following completion of her PhD at Moscow State University in 1996, she received a Royal Society Fellowship to work in the UK (1997-1998) and subsequently undertook research at Würzburg University, Germany (1999-2005). In 2011 she completed an MSc in Health and Social Care Research at Sheffield University. Natalia gained her experience as a health economist by working on a range of clinical trials at the Centre for Health Economics and Medicines Evaluation, Bangor University (2008-2013), where she was also involved in pharmacoeconomic appraisals of new medicines for the All Wales Medicines Strategy Group. In 2013 she moved to the Centre for Primary Care and Public Health at Queen Mary University of London. As well as working on numerous trials within the Pragmatic Clinical Trials Unit she also provided methodological advice for Research Design Service London. In 2015 Natalia joined the Asthma UK Centre for Applied Research as a Lecturer in Health Economics and undertook methodological research on developing core outcome sets for economic evaluation in asthma trials. While working at Queen Mary University of London she was involved in developing the Introduction to Health Economics Course within the Global Public Health undergraduate programme and delivering the problem-based learning courses for the MBBS students.


Natalia has an interest in research in the methodology of economic evaluation in clinical trials, including studies conducted in low-income settings. Her research covers all stages of planning and executing economic evaluations, such as undertaking systematic reviews of economic evidence, data collection, statistical data analyses and economic modelling.

Natalia’s particular interests include:

  • Designing economic evaluations;
  • Developing instruments for collecting health economics data;
  • Analyses of individual patient data;
  • Using medical records and routinely collected data for economic analyses;
  • Costing the use of healthcare services and medication prescribing;
  • Economic decision modelling;
  • Developing core outcome sets for economic evaluation. 

Natalia pursues her interest in methodological research by developing approaches towards standardising health economic outcomes in clinical trials. The aim of this work is to facilitate comparisons between different studies, reduce reporting bias and help decision-makers with allocating resources in healthcare.



Natalia’s previous teaching experience includes the development and delivery of the Health Economics Course within the Global Public Health undergraduate programme, teaching problem-based learning, and supervising postgraduate projects. 

Natalia currently supervises an MSc project on the economic evaluation of a podoconiosis trial, which was conducted in northern Ethiopia and aimed to reduce the incidence of acute dermatolymphangioadenitis. 

Selected publications

Ashaye T, Hounsome N, Carnes D, Taylor SJC, Homer K, Eldridge S, Spencer A, Rahman A, Foell J, Underwood M. Opioid prescribing for chronic musculoskeletal pain in UK primary care: results from a cohort analysis of the COPERS trial.  BMJ Open. 2018, 8:e019491

Hounsome N, Fitzsimmons D, Phillips C, Patel A. Developing core economic outcome sets for asthma studies: a protocol for a systematic review. BMJ Open 2017;7:e017054.

MacInnes D, Kinane C, Parrott J, Mansfield J, Craig T, Eldridge S, Marsh I, Chan C, Hounsome N, Harrison G, Priebe S. A pilot cluster randomised trial to assess the effect of a structured communication approach on quality of life in secure mental health settings: The Comquol Study. BMC Psychiatry. 2016, 16:335.

Taylor SJC, Carnes D, Homer K, Pincus T, Kahan BC, Hounsome N, Eldridge S, Spencer A, Diaz–Ordaz K. Rahman A, Mars TS, Griffiths CJ, Underwood MR. Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS). Programme Grants Appl Res. 2016. 4(14).

Taylor S, Carnes D, Homer K, Kahan B, Hounsome N, Spencer A, Pincus T, Rahman A, Eldridge S, Underwood M. Novel three-day community-based, non-pharmacological, group intervention for chronic musculoskeletal pain (COPERS): a randomized clinical trial. PLoS Medicine. 2016. 13(6):e1002040.

Stansfeld SA, Kerry S, Chandola T, Russell J, Berney L, Hounsome N, Lanz D, Costelloe C, Smuk M, Bhui K. Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study. BMJ Open. 2015. 5(10):e007981.

Sabry N, Dawoud D, Alansary A, Hounsome N, Baines D. Evaluation of a protocol-based intervention to promote timely switching from intravenous to oral paracetamol for postoperative pain management: an interrupted time series analysis. Journal of Evaluation in Clinical Practice. 2015. 21(6):1081-8.

Edwards RT, Linck P, Hounsome N, Raisanen L, Williams N, Moore L, Murphy S. Cost-effectiveness of a national exercise referral programme for primary care patients in Wales: results of a randomised controlled trial. BMC Public Health 2013. 13(1):1021.

Murphy SM, Edwards RT, Williams N, Raisanen L, Moore G, Linck P, Hounsome N, Din NU, Moore L. An evaluation of the effectiveness and cost effectiveness of the National Exercise Referral Scheme in Wales, UK: a randomised controlled trial of a public health policy initiative. Journal of Epidemiology & Community Health. 2012. 66(8):745-753.

Hounsome B, Edwards RT, Hounsome N, Edwards-Jones G. Psychological morbidity of farmers and non-farming population: Results from a UK survey. Community Mental Health Journal. 2012. 48(4):503-510.

Hounsome N, Orrell M, Edwards RT. EQ-5D as a quality of life measure in people with dementia and their carers: evidence and key issues. Value in Health. 2011. 14(2):390-399.