How much healthcare do we think is susceptible to measurement of patient
oriented outcomes?
On 01/08/11 22:16, Ash Paul wrote:
> You are abs right Adam, it was meant to improve efficiency, but
> unfortunately the politicians and the NHS managers and clinicians did
> not/still do not understand that efficiency and productivity are as
> different as chalk and cheese, and glibly use the words interchangeably
> and wrongly, which is why commissioning has underperformed so badly.
> Productivity is output divided by input whereas efficiency is outcomes
> (ie healthgain in health care) divided by input.
> Unfortunately Labour was obsessed with productivity, whereas it should
> have been obsessed with efficiency right from the beginning. This did
> not matter so much when the NHS money was rolling in, but now it does.
> The NHS commissioners should be insisting on increased outcomes for
> their ever dwindling resource input. This will start to get rid of the
> huge waste in the NHS. To be fair to Andrew Lansley, he has realised
> this fatal flow in the NHS and one of his proposed planks is payment by
> outcomes, not payment by results (or payment for each item of service).
> My great fear is that this government may not get the definition of
> outcomes right. It needs to be looking for patient oriented outcomes
> (POOs) and NOT disease oriented outcomes (DOOs). The moment you start
> looking for DOOs, you are onto a hiding to nothing and you can't put a
> stop to the waste in the NHS.
> Regards,
> Ash
>
> *From:* "Oliver,AJ" <[log in to unmask]>
> *To:* [log in to unmask]
> *Sent:* Monday, 1 August 2011, 21:38
> *Subject:* Re: "Reducing spending on low clinical value treatments"
>
> It wasn't about creating a commercial market at all. It was about
> creating incentives to improve efficiency. It may not have worked
> that well (it worked a
>
>
> On 1 Aug 2011, at 21:14, "Alex Scott-Samuel"
> <[log in to unmask]
> <mailto:[log in to unmask]>> wrote:
>
>> Stories such as this one suggest the situation has gone beyond
>> that which you describe Ash:
>>
>> <http://www.independent.co.uk/life-style/health-and-families/health-news/cataracts-hips-knees-and-tonsils-nhs-begins-rationing-operations-2327268.html>http://www.independent.co.uk/life-style/health-and-families/health-news/cataracts-hips-knees-and-tonsils-nhs-begins-rationing-operations-2327268.html
>>
>> The unnecessary invention of commissioning / purchasing was solely
>> about developing a commercial market in health care. Public health
>> doctors who enjoy clinical epidemiology should work in hospital
>> based teams with clinicians - who should have the final say in
>> clinical decisions. Public health doctors who enjoy public health
>> should work in properly funded local authorities
>>
>> Alex
>>
--
Martin Rathfelder
Director
Socialist Health Association
22 Blair Road
Manchester
M16 8NS
0161 286 1926
www.sochealth.co.uk
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