Reducing unwarranted variations in health care

Date: 
Venue: 
The King's Fund

Event highlights

This conference, featuring keynotes from Al Mulley and Jack Wennberg, looked at patterns of variations, how they can support health professionals to meet the QIPP challenge of £20 billion efficiency savings by 2014/15 and how to provide the most clinical and cost effective interventions.

Presentations and talks from this event

Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science and Visiting Fellow here at the Fund, gave an insight into his work around health care variations in the US.

Jack Wennberg, Founder of the Centre for Evaluative Clinical Evidence, is a leading figure in the work of variations in health care.

Sir Muir Gray, Chief Knowledge Officer, NHS, introduces the NHS Atlas of Variation, as we move into the third era of medical revolution where knowledge is the key factor.

Angela Coulter, Director of Global Initiatives, Foundation for Informed Medical Decision Making and Visiting Fellow here at the Fund, discusses the importance of shared decision-making when it comes to reducing variations in care.

Ben Bridgewater, Director of Clinical Audit, University Hospital of South Manchester, explains how making clinical information available to the public has improved quality in his surgical team.

Anne Talbot, National Clinical Lead, Urgent Care Clinical Dashboard, introduces the dashboard and examines its ability to reduce unwarranted variations.

Peter Littlejohns, Clinical and Public Health Director, NICE, gives an insight into how NICE generate and analyse evidence and knowledge.

Programme

Programme

10am-11.25am: Session one: The secret to reducing unwarranted variations

Welcome and introduction
Professor Chris Ham, Chief Executive, The King's Fund

Joint keynote address

Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College and Professor of Medicine at Dartmouth Medical School and Visiting International Fellow, The King's Fund

Dr Jack Wennberg, Founder of the Center for Evaluative Clinical Evidence and founding editor of the Dartmouth Atlas of Health Care

Professor Chris Ham in conversation with...

  • Dr Jack Wennberg, Founder of the Centre for Evaluative Clinical Evidence and founding editor of the Dartmouth Atlas of Health Care
  • Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College and Professor of Medicine at Dartmouth Medical School and Visiting International Fellow, The King's Fund
  • Dr Enrique Bernal Delgado, Project Co-ordinator, European Collaboration for Healthcare Optimisation, Health Services Research and Health Policy Unit - ARiHS

Questions that will be addressed include:

  • how can we ensure patients are best informed to make choices about their health care and how we can ensure they are supported to reveal their preferences?
  • how can we achieve consistent best practice across regions?
  • how can we support a reduction in unnecessary interventions and remove perverse incentives that lead to bad variations?
  • what are the incentives and levers for reducing unwarranted variation?

11.25am: Refreshment break and networking

11.55am-1.10pm: Session two: Achieving best value for health systems and patients

The ECHO project: new insights into equitable access, quality and efficiency of health care in Europe
Dr Enrique Bernal Delgado, Project Co-ordinator, European Collaboration for Healthcare Optimisation, Health Services Research and Health Policy Unit - ARiHS

NHS Atlas of Variation: supporting the QIPP challenge
Sir Muir Gray, Chief Knowledge Officer of the NHS, Department of Health

Best value for patients: the right intervention, in the right place, at the right time with the right level of involvement
Dr Angela Coulter, Director of Global Initiatives, Foundation for Informed Medical Decision Making

Questions and discussion

1.10pm: Buffet lunch, exhibition and networking

2.10pm-3.05pm: Session three: Making a difference on the front line

Keynote address

Video address: The role of lveraging technology to tackle clinical variations and drive transformation among clinical staff
Marc Probst, Chief Information Officer, Intermountain Healthcare

This session will feature three case studies where unwarranted variations have been reduced:

  • Measuring outcomes for surgery, including the patient's perspective
    Ben Bridgewater, Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester
    Download Ben's presentation: Measuring outcomes for surgery, including the patient's perspective
  • Clinicians driving Clinical Dashboards: making the best use of data across boundaries (performance and urgent care management)
    Dr Anne Talbot, Clinical Director, Bolton Community Practice CIC, and National Clinical Lead, Urgent Care Clinical Dashboard
    Download Anne's presentation: Clinicians driving Clinical Dashboards: Making best use of data across boundaries
  • 'Doctor First' - Transformation of urgent care: how evidence-based GP practice is reducing emergency admissions
    Dr Stephen Clay, GP and Primary Care Adviser, NHS East Midlands
    Simon Swift, Director, East Midlands Quality Observatory, NHS East Midlands

Questions and discussion

3.05pm: Refreshment break and networking

3.30pm-4.30pm:Session four: Practical solutions to support reductions in unwarranted variation

Welcome back
Professor John Appleby, Chief Economist, The King's Fund

Generating the right kind of clinical evidence and guidance necessary for clinicians and patients
Peter Littlejohns, Clinical and Public Health Director, NICE

Reducing variations in quality and outcomes in general practice
Dr Howard Freeman, Associate Medical Director, NHS London, and Joint Medical Director, SW London Cluster and Julia Murphy, Head of Primary Care Quality Improvement, NHS London

Questions and discussion

4.30pm: Close of conference