Realising Realistic Medicine -http://www.gov.scot/Resource/0049/00492520.pdf Cath Calderwood – CMO Scotland, read her latest blog on the second annual report – ‘Realising Realistic Medicine’ https://blogs.gov.scot/cmo/2017/02/27/realising-realistic-medicine/
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So far bvhc has created 42 blog entries.
Daniels, N. and Sabin, J.E. (2008) Setting Limits Fairly, Learning to Share Resources for Health. (p44) Oxford University Press. Distilled message: “Accountability for reasonableness is the idea that the reasons or rationales for important limit-setting decisions should be publicly available. In addition, these reasons must be ones that ‘fair-minded’ people can agree are relevant to pursuing appropriate patient care under necessary resource constraints. This is our central thesis, and it needs some explanation. By ‘fair-minded’, we do not simply mean our friends or people who just happen to agree with us. We mean people who in principle seek to cooperate with [...]
'Optimality is reached when resources or productivity create maximal benefit with the least harm.' Significance: There are two different uses of the term optimality, both important. One developed by Vilfredo Pareto describes the best possible allocation of resources. When Pareto Optimality is reached it is not possible to get more value by switching a pound from anyone budget to another. Another term for this is allocative efficiency, which is different from the technical efficacy with which each budget’ s resources are used. The other meaning is from Avedis Donabedian’s work because he used the term to mean the rate at which [...]
Professor Sir Muir Gray has recently been interviewed by Angela Sharda, and features in the December issue of Healthcare Leader magazine. What should a 21st century NHS look like? What I would like is for the NHS to be able to answer some questions, such as whether care for people with epilepsy is better in Liverpool or Manchester. Or how many services there are for people at the end of life in London and which the best one is. Whether care for people with asthma is better for people in Somerset or Devon. Who is responsible for headache in Kent or [...]
On October 12th, BVHC's Dr Anant Jani was in Singapore to give a talk at the Singapore Health and Biomedical Congress on the lessons learned in implementing triple value healthcare in the UK. Over 3500 delegates from Singapore, Australia, Japan, Korea, Russia, Sri Lanka and the UK were present at the Congress. The delegates represented a wide spectrum of perspectives and backgrounds including Healthcare Community Professionals consisting of Doctors, Clinicians, Nurses, Allied Health Professionals, Specialists, Medical Industry Experts, Research Scientists, and Academics. Organised by The National Healthcare Group (NHG), The Singapore Health & Biomedical Congress (SHBC) is the Largest and [...]
Here is an article reporting that a ‘majority of women”….did not find statements about these harms to be believable and persuasive’ http://journals.lww.com/lww-medicalcare/Abstract/2017/10000/Women_s_Awareness_of_and_Responses_to_Messages.3.aspx The review of the historical development of surgery of increasingly intensive surgery is in the JAMA editorial “breast cancer surgery ; less is more’ https://jamanetwork.com/journals/jama/article-abstract/2653721 Also worth reading is this article on ‘why more women are getting a double mastectomy’ in the Time magazine of Cctober 2016 http://time.com/4970270/why-more-women-are-getting-a-double-mastectomy/
Professor Sir Muir Gray of Better Value Healthcare Ltd played a lead role in the recent Health and Care Innovation Expo 2017 Conference and Exhibition 11-12 September in Manchester. A founder member of the NHS RightCare organisation, Muir chaired the “NHS efficiency summit on variation, value and improving patient care” summit. The summit brought together both the NHS RightCare programme lead Professor Matthew Cripps, with the programme lead on Getting It Right First Time (GIRFT) Professor Tim Briggs, both of whose presentations focussed on improving patient care from a population-based healthcare perspective in primary and secondary care environments. These talks on [...]
We are pleased to introduce Beckie Dunsby as Better Value Healthcare’s e-Learning Editor who starts with the company this week, in this exciting new position. Beckie heads up our e-learning offering and is passionate about how learning can make an impact and using technology to enhance this. Beckie comes to us with 12 years of teaching and learning technology management experience in further and higher education as well as creating online material which is being used globally for management and leadership courses. Beckie is also part of the twitter community as @bex83 where she writes about teaching, learning and technology in [...]
Traditionally providers of care focused on quality improvement, an assumption that better quality care would get better outcomes, and better outcomes at the lowest possible cost was the objective of healthcare. This is in fact called value in the United States, but in a country in which the whole population has been covered by a finite budget this is in fact efficiency. Providers need to ask questions such as: Are there people in our population, (note the words ‘our population’ who have not been referred but would benefit more from our skills and resources than some of the people being treated) [...]
This online monthly briefing from Better Value Healthcare, in Oxford, will provide the latest information on value. Including podcasts, book reviews and word of the month. Where does money come from when there is no more money available? Over the last twenty years, but less so in the last five years, we have become accustomed to a pot of new money into which we could reach to fund innovation or service improvement. But, we are now in a stage where there is no growth like there was before the Lehman’s Brother debacle, so where can the money come from? Well, [...]