Issue of the Month

1 08, 2019

Issue of the Month – August 2019: What does the EU think is value-based healthcare?


  Expert Panel on effective ways of investing in Health (EXPH), Defining value in “value-based healthcare” Link to Report, click here. Link to Factsheet, click here. Abstract “Health is considered to be an intrinsic value: a precondition for pursuing a “good life”, for obtaining other (vital) goals what people wish to pursue in life. Since universal healthcare intends to provide health to the population (patient populations as much as the whole population) the “equitable” achievement of health for all is the aim as precondition for social cohesive European societies.  Currently, “value” in the context of healthcare is often discussed as “health outcomes relative to monetized inputs”, aiming at increasing cost-effectiveness. This interpretation of “value” is perceived by the [...]

Issue of the Month – August 2019: What does the EU think is value-based healthcare?2019-08-01T11:36:15+00:00
13 02, 2019

Issue of the month – February 2019: End of Life Care


Authors: Dr Karen Chumbley, Medical Director, St Helena Hospice and Dr Tim Wilson, 3V Bottom Line Much progress has been made since the End of Life strategy was published by the NHS in 2008. But more needs to be done; depending on where you live will alter the chance that you will die in the place you wish. For people dying with some conditions, more work is needed. And sadly, inequity appears to persist, even at this most moment in our life. We might hope that when we are dying, the health and care services, and the voluntary sector would work together to achieves the outcomes we wish. Multiple surveys have confirmed, for instance, that most people would [...]

Issue of the month – February 2019: End of Life Care2019-02-13T08:55:47+00:00
7 12, 2018

Issue of the month – December 2018: Burden of Disease


Changes in health in the countries of the UK and 150 English Local Authority areas 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016 Reference: Lancet 2018; 392: 1647-61. Published Online October 26, 2018   If we want to keep people healthy, then preventing mortality is no longer sufficient, we need to focus on people living with ill health. Low back and neck pain now have a higher impact on the number of years lost from disability (DALYs) than either ischaemic heart disease or lung cancer. Thus, the leading causes of ill health (in terms of years lived with a disability, YLDs) in the UK in 2016 were low back and neck pain, skin [...]

Issue of the month – December 2018: Burden of Disease2018-12-07T10:18:01+00:00
25 10, 2018

Issue of the month – October 2018: Ten-Year Plan


Ten-Year Plan - we need to move from what to do, to how to do it When there is so much low-value care in the NHS, it is tempting to wonder if the extra injection of funds into the NHS might mean that a precious opportunity is being missed. Teresa May’s cash promise is being turned into a wish-list by pundits and pressure groups attempting to influence the Ten-Year Plan. There is a lot of advice about what to do, and most of it is about doing more. But no-one is pausing to think how we might do things differently and deliver better value for the people and populations receiving care from the NHS. At best, the NHS’s [...]

Issue of the month – October 2018: Ten-Year Plan2018-10-30T10:53:05+00:00