Culture of Stewardship Archives

Five things the NHS can do to address the Marmot report; taking a population value approach

2020-02-25T14:07:22+00:00

This week’s blog is brought to you by: Dr Tim Wilson, Managing Director Full reference and title from the journal: Health Equity in England: The Marmot Review 10 Years On. February 2020 Professor Sir Michael Marmot, Jessica Allen, Tammy Boyce, Peter Goldblatt, Joana Morrison Link to paper Authors conclusion The report highlights that: people can expect to spend more of their lives in poor health improvements to life expectancy have stalled, and declined for the poorest 10% of women the health gap has grown between wealthy and deprived areas place matters – living in a deprived area of the North East is worse for your health than living in a similarly deprived area in London, to the extent that [...]

Paper of the Week: 28th October 2019 – We need to talk about value

ruth brice2019-10-28T10:56:11+00:00

This week’s blog is brought to you by: Dr Tim Wilson Full reference and title from the journal: Can patient centred care plus shared decision making equal lower costs? Gemma Venhuizen, BMJ 2019;367:l5900 Link to paper: https://doi.org/10.1136/bmj.l5900 Authors conclusion: “At Bernhoven, 70% of patients referred for eye care are seen by an optometrist instead of an ophthalmologist. In that way, a consultation costs €40 (£36; $44) instead of €225, and waiting lists have decreased.” (sic) 3V bottom line: The result from this paper are encouraging, but language matters. Especially when talking about value-based healthcare. So instead of focusing on lower costs, the author should have talked about “resources being freed up from lower value care for higher value”. [...]