The cost of BIS for each patient will be calculated from service activity data combined with staff salary costs, plus on-costs, overheads & equipment. Information on the use of other health & social services & informal care (proxy-valued as a homecare worker) will be collected with the Client Service Receipt Inventory. This will be combined with appropriate unit cost data (Curtis & Netten, 2006) to generate service costs. Cost comparisons will be made using bootstrapping methods to account for any skewness in data distribution. Cost-effectiveness will be assessed by combining cost data with that on outcomes including quality-adjusted life years (QALYS), in the form of incremental cost-effectiveness ratio & acceptability curves. Qualitative data will be analysed using a framework approach (Ritchie & Spencer, 1993) conducted using NVivo software.