Thank G** It’s Value – Thank G** It’s Friday, the weekly blog from Muir Gray in Oxford to supplement our Healthcare Value Briefing. The term “sustainability” is often used in a much broader context in healthcare to mean whether or not a service is living within its means or not. Building a new block for elective surgery when it is clear that the amount of elective surgery is not going to increase would be an example of an unsustainable service and it is for example unsustainable to run a health service that relies on the recruitment of staff from impoverished countries; [...]
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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. Radio Value - SoundCloud Book of the Month: 'Social choice and individual values' Arrow, K. (1977) Yale University Press. Distilled message: “In a capitalist democracy there are essentially two methods by which social choices can be made: voting, typically used to make ‘political’ decisions, and the market mechanism, typically used to make ‘economic’ decisions.” Source: Arrow, K..J. (1963) Social Choice and Individual Values (2nd edition). Cowles Foundation for Research in Economics at Yale [...]
This online monthly briefing from Better Value Healthcare in Oxford will provide the latest information on value, based on work in; Oxford, NHS Right Care, and the International literature, because the paradigm shift can be seen in many countries. Between the two documents on the NHS England Five Year Forward View there was no increase in the use of term quality but the term value had four mentions in the original document and sixteen in the Next Steps. See here where the word Value was mentioned in the new 2017 document, like the example below: Book of [...]
This week I went to my second conference with pharmacists, and was very impressed about the grasp of the issues that we face. Tremendous opportunities exist for shifting resources from lower value activity to higher value activity, using our basic unit of value namely £76,000 to employ a district nurse and a care assistant for a year, as the test. Some of these moves appear to be relatively simple, the shift to generic prescribing for example, but others are more complex because they involve clinical judgement. One issue that comes up consistently is the prescribing of medication for people with [...]
Thank G** It’s Value – Thank G** It’s Friday, the weekly blog from Muir Gray in Oxford to supplement our Healthcare Value Briefing. Healthcare Scientists Ahoy! I have attended two very good conferences in the last ten days, with one of my favourite professional groups – the healthcare scientists. One was the Annual Conference of the Chief Scientific Officer - Professor Sue Hill, the other was the annual conference of the Medical Science Liaison staff from pharmaceutical industries. The first Diagnostics Atlas of Variation showed huge variation in testing, and of course scientists have to respond to requests or demands… but [...]
This new online monthly briefing from Better Value Healthcare in Oxford will provide the latest information on value, based on work in; Oxford, NHS Right Care, and the International literature, because the paradigm shift can be seen in many countries. The highlight of the month is the publication of the Second Report of Scotland’s CMO on Realistic Medicine http://www.gov.scot/Resource/0049/00492520.pdf, from Cath Calderwood – CMO Scotland, also read her latest blog on the second annual report – This second report has the great title Realising Realistic Medicine and here is the definition from the Executive Summary “Realistic Medicine puts the person receiving health and [...]
Look out for this new important report, being released on Monday 27th February 2017. **Update** - Here it is http://www.gov.scot/Resource/0051/00514513.pdf Realising Realistic Medicine – the second Report of Scotland’s dynamic Chief Medical Officer on their brilliant concept which is now being implemented. Read the first report now to orientate you for Monday’s launch - http://www.gov.scot/Resource/0049/00492520.pdf
Thank G** It’s Value – Thank G** It’s Friday, the weekly blog from Muir Gray in Oxford to supplement our Healthcare Value Briefing. Another big week for Value Based Healthcare. The presentation to the NHS Board on RightCare and the wonderful work being led by Tim Briggs on improving quality and releasing resources called GIRFT –Getting It Right First Time to the NHS Board on the 9th of Feb is now up on the NHS Youtube channel, here. The questions and discussion are well worth a look. We emphasised we are not interested in savings but in higher value. Secondly, Anant [...]
Thank G** It's Value – Thank G** It’s Friday, the weekly blog from Oxford to supplement our Healthcare Value Briefing on Waste Our first Oxford Healthcare Value briefing highlighted the importance of the OECD report on the need for ‘Better Value Care’. It emphasised that to get better value healthcare it was essential to stop ineffective interventions and reduce waste, and an online editorial in the BMJ, which will be published in paper, develops the waste theme in the OECD document. The editorial is written by two people who really understand not only the theory but the application of the theory [...]
This new online monthly briefing from Better Value Healthcare in Oxford will provide the latest information on value, based on work in; Oxford, NHS Right Care, and the International literature, because the paradigm shift can be seen in many countries. Try reading the strategy paper on Realistic Medicine from Scotland’s CMO as an excellent example of the new way of thinking. Value has arrived, big time. January saw the publication of a number of significant papers on value; • The Lancet (2017) The Right Care Series http://www.thelancet.com/series/right-care This Series of four papers and accompanying comments examines the extent of overuse and [...]