In brief
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.
You can catch up with the key sessions below or download all the presentations from the programme tab above:
Al Mulley: Reducing unwarranted variations
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.
Watch Al's presentation: Reducing unwarranted variations
Jack Wennberg: Reducing unwarranted variations
Jack Wennberg, Founder of the Centre for Evaluative Clinical Evidence, is a leading figure in the work of variations in health care.
Muir Gray: NHS Atlas of Variation
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.
Watch Muir's presentation: Introducing the NHS Atlas of Variation
Angela Coulter: getting the best value for patients
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.
Watch Angela's presentation: Getting the best value for patients
Ben Bridgewater: Measuring outcomes for surgery
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.
Watch Ben's presentation: Measuring outcomes for surgery
Anne Talbot: Clinicians driving Clinical Dashboards
Anne Talbot, National Clinical Lead, Urgent Care Clinical Dashboard, introduces the dashboard and examines its ability to reduce unwarranted variations.
Watch Anne's presentation: Clinicians driving Clinical Dashboards
Peter Littlejohns: The right kind of clinical evidence
Peter Littlejohns, Clinical and Public Health Director, NICE, gives an insight into how NICE generate and analyse evidence and knowledge.
Watch Peter's presentation: Generating the right kind of clinical evidence
Programme
Session one: The secret to reducing unwarranted variations
9.00-10.00am: Registration, refreshments and networking
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
Download Al's presentation: The secret to reducing unwarranted variations (46955 kb)![[pdf]](http://www.kingsfund.org.uk/display_images/document_icons/pdf.gif)
- 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
Session two: Achieving best value for health systems and patients
11.55am-1.10pm
- 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
Download Enrique's presentation: The ECHO project: Potential insights into equitable access, quality and efficiency of health care in Europe (585 kb) - NHS Atlas of Variation: supporting the QIPP challenge
Sir Muir Gray, Chief Knowledge Officer of the NHS, Department of Health
Download Muir's presentation: NHS Atlas of Variation: Maximising values for populations and individuals (1703 kb) - 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
Download Angela's presentation: Best value for patients: The right intervention, in the right place, at the right time with the right level of involvement (894 kb) - Questions and discussion
1.10pm: Buffet lunch, exhibition and networking
Session three: Making a difference on the front line
2.10-3.05pm
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
Download Marc's presentation: Leveraging technology to tackle clinical variations and drive transformation among clinical staff (1138 kb)
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 (1834 kb) - 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 (1233 kb) - '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
Session four: Practical solutions to support reductions in unwarranted variation
3.30-4.30pm
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
Download Peter's presentation: Generating the right kind of clinical evidence and guidance necessary for clinicians and patients (705 kb) - 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
