Delivering Health: Clinical, Management and Policy Challenges
The four talks in this lecture series explored the many challenges involved with the immensely complex and expensive activity of delivering health and healthcare.
Across the talks, it was identified that collaboration between patients, clinical expertise, management and policy makers is needed if future improvements are to be realised.
Monday 23rd January
Why is it so difficult to implement Evidence Based Healthcare?
The challenges presented when attempting to get research evidence into medical practice are notorious and, because of this, there exists a healthcare gap which warrants discussion.
The relationship between the professions, management and government inevitably leads to one important question; ‘who is accountable for quality improvement?’
This lecture explored the term ‘accountability’ in relation to evidence based healthcare, and outlined the difficulties faced when attempting to implement research in both policy and medicine.
For those of you weren't able to make it to this instalment of the Green Templeton Lectures, we have provided a full summary of the talk [PDF].
Monday 30th January
What are the biggest challenges in global health and what needs to be done?
Global health refers to the variation in disease and death between countries, looking at both human and population health.
In many cases, the conditions of death are easily preventable – ‘First world problems’ are now global problems, and diseases associated with affluence (such as strokes and lung disease) are major causes of death, alongside disability-related disease.
Leading the lecture, Dr Luke Allen explored such challenges and how we got to this point, also asking how, in the context of astounding success and a 20 year increase in life expectancy, how do we build societies that promote health alongside comfort and choice?
If you were unable to make it to the second of the Green Templeton Lectures 2017, we have provided a summary of the talk [PDF] and podcast below.
Speakers: Dr Luke Allen, Oxford GP Training Programme and formerly with the WHO
Monday 20th February
The economics of prevention
Potentially preventable conditions – including some cardiovascular disease, respiratory problems, cancers, and mental ill health – are the leading causes of ill health and death in the UK. It is estimated that 40% of the burden on health services in England may be preventable through action on the determinants of such conditions, but only around 4% of the health budget is spent on prevention.
The total costs of preventable ill health fall far wider than health and care services though, when considering the cost to the economy of the reduced ability to work, the lost years of working life, and the high physical and emotional impact on people’s lives.
This lecture addressed the challenges around adopting a more comprehensive strategy for preventing ill health, the cost effectiveness of interventions and the need for a broader long-term perspective for clinicians, managers and policy makers.
Please see the full summary of the talk [PDF] for more details.
Speakers: Dr Louise Marshall, Senior Economic Fellow and Dr Anita Charlesworth, Director of Research and Economics, both of The Health Foundation
Monday 27th February
The rational, political and emotional aspects of delivering health care
The organisational systems that deliver health and healthcare are extra-ordinarily complex and the politics of healthcare results in a multitude of rational and emotional responses. The introduction of the seven-day delivery of healthcare and the doctor’s strike that followed is a good example of this complexity where positive and negative intended and unintended consequences flow from well-intentioned initiatives.
During this lecture, John Drew of McKinsey Consulting explored the major rational, emotional and political issues in health and healthcare that need addressing, also suggesting a way forward. The second perspective came from Dr Tony Berendt, Medical Director, Oxford University Hospitals, who provided a thoughtful insight into the current state of the UK Health Service, identified key issues and suggested what needs to be done.
Speakers: John Drew, Partner at McKinsey Consulting and Dr Tony Berendt, Medical Director, Oxford University Hospitals