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: [log in to unmask]" href="mailto:[log in to unmask]" style="color: purple; text-decoration: underline;">Roper Tom (WESTERN SUSSEX HOSPITALS NHS TRUST)
Sent: Friday, August 24, 2012 4:11 PM
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
NHS Milton Keynes
01908 278686
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).
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. However, you should be aware that there is no absolute guarantee that any files attached to this e-mail are virus free.
Recipients should be aware that all E-mails received and sent by both Trusts are subject to the Freedom of Information Act 2000 and therefore may be disclosed to a third party.!
********************************************************************************************************************
This message may contain confidential information. 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
