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Hi Anyone else needing technical help regarding the list, your first port of call is: http://www.jiscmail.ac.uk/help/ Failing that, email me on [log in to unmask] cheers Douglas On 25/08/2012 10:06, Alan Jones wrote: > Dear List-Owner, > Please I need to unsubscribe from this list > & don't know how..... > I don't know if it is possible but an unsubscribe > button on the bottom of these notes would be > helpful. > Alan Jones > > ----- Original Message ----- > *From:* Roper Tom (WESTERN SUSSEX HOSPITALS NHS TRUST) > <mailto:[log in to unmask]> > *To:* [log in to unmask] > <mailto:[log in to unmask]> > *Sent:* Friday, August 24, 2012 4:11 PM > *Subject:* Re: Evidence based healthcase delivery > > For anyone who can't get through the HSJ's paywall, the text is > also on the Nuffield Trust's blog: > http://www.nuffieldtrust.org.uk/blog/how-useful-are-randomised-controlled-trials-evaluating-new-ways-delivering-health-care > > Tom Roper > Primary Care Librarian > West Sussex Knowledge & Libraries > Mobile: 07786 981123 > > E-mail: [log in to unmask] <mailto:[log in to unmask]> > http://www.westsussexknowledge.nhs.uk/ > > ------------------------------------------------------------------------ > *From:* Evidence based health (EBH) > [[log in to unmask]] On Behalf Of Gray Anne > Commissioning.Libraria (5CQ) Milton Keynes PCT > [[log in to unmask]] > *Sent:* 24 August 2012 16:07 > *To:* [log in to unmask] > *Subject:* Re: Evidence based healthcase delivery > > Hi > > I was not supporting the WSD project with its hair raising costs > etc!!! If anything your comment just supports my argument that we > need a better understanding of evidence around service delivery – > perhaps it would be cheaper to put everyone with more than one LTC > and over the age of 80yrs up in a 5* hotel. This may sound > totally ridiculous, but looking at the costs of WSD it is not so > silly. We all know of services which work well in one place but > fall flat in another – why? We need a better understanding of the > evidence base around service delivery, just as we now have for RCTs. > > Anne > > Anne Gray, Knowledge Officer > > [log in to unmask] > > NHS Milton Keynes > > 01908 278686 > > *From:*Ash Paul [mailto:[log in to unmask]] > *Sent:* 24 August 2012 14:59 > *To:* Gray Anne Commissioning.Libraria (5CQ) Milton Keynes PCT; > [log in to unmask] > *Subject:* Re: Evidence based healthcase delivery > > Dear Anne, > > Off the top of my head (please do correct me if I'm wrong), the > cost per QALY of the WSD project was 88000 pounds. > > I wonder what NICE would have said if it had been asked to pass > judgment on it (their QALY threshold, if you recollect, is in the > region of 30000 pounds). > > Regards, > > Ash > > ** > > *From:*Anne Gray <[log in to unmask] > <mailto:[log in to unmask]>> > *To:* [log in to unmask] > <mailto:[log in to unmask]> > *Sent:* Friday, 24 August 2012, 12:01 > *Subject:* Evidence based healthcase delivery > > > How useful are randomised controlled trials in evaluating new > ways of delivering care? > > This question is asked in an editorial in HSJ today > (http://www.hsj.co.uk/5048586.article) relating to the Whole > system demonstrator project which the government is using to > justify spending huge amounts of money on telehealth and > telecare. > > The Author raises really useful comments about variables in > service delivery - such as how long it takes to recruit people > to new services. The length of time to recruit does not affect > the outcome of the RCT but definitely does if you are trying > to work out in which year the service will give you your QIPP > savings. > > It would be good for those of us supporting comisisoners to > get a better grip on the evidence needed about health services > so that we can support the spread of good services. RCTs work > when the variables can be controlled ie when we can control > WHAT we are doing. Services are about HOW that is delivered. > Having worked with comissioners I am well aware that we do not > understand (nor does anyone else I suspect) the variables > needed to predict outcomes of transferring services from one > location to another ie the spread of good practice. > > Could we develop a critical appraisal tool for service > delivery? Some of the case studies and QIPP study templates > have made a start. > > Please consider the environment, do you really need to print this email? > > The information contained in this message or any of its attachments may be privileged and confidential and should not be disclosed to any other party without valid consent. The views expressed may not be official policy but the personal views of the originator. > If you are not the intended recipient of this e-mail, please advise the sender and delete it all and any attachments from your system. Any disclosure, reproduction, distribution, other dissemination or use of this communication is strictly prohibited. > The Anti-Virus software used by both Milton Keynes Hospital NHS Foundation Trust and Milton Keynes Primary Care Trust is regularly updated in an effort to minimise the possibility of viruses infecting our systems. 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If you are not > the intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this > e-mail or take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful. > > Thank you for your co-operation. > > NHSmail is the secure email and directory service available for > all NHS staff in England and Scotland > NHSmail is approved for exchanging patient data and other > sensitive information with NHSmail and GSi recipients > NHSmail provides an email address for your career in the NHS and > can be accessed anywhere > > ******************************************************************************************************************** > -- Mr Douglas Badenoch Director, Minervation Ltd ------------------------- 23 Bonaly Grove Edinburgh EH13 0QB ------------------------- Tel: +44 131 441 4699 Web: www.minervation.com ------------------------- Minervation is a limited company registered in England and Wales Registered number: 4135916 VAT number: 792674384 Registered Office: Salter's Boat Yard, Folly Bridge, Abingdon Road, Oxford, OX1 4LB United Kingdom