Professor Peter Littlejohns
Menzies Health Institute Queensland and Data Sciences Seminar
Creating sustainable health care systems through the application of evidence and shared values
All health care systems are facing increasing demands within limited resources. Most countries are introducing systems to assess "value for money" and prioritise health services provision. Priority setting requires technical judgements of clinical effectiveness (what works) and cost effectiveness (is it worth the money). But these judgements are embedded in a wider set of social (societal) value judgements that underlie justifiable reasoning about priorities, including transparency, participation and justice. Even when these decisions are based on the best available evidence they face legal, political, methodological, philosophical, commercial and ethical challenges. Through international, multidisciplinary, collaborative working we are developing new ways of addressing these concerns. Based on a social values framework, we have developed an online interactive decision making audit tool (DMAT) which consists of a series of questions that will allow internal and external audit of how an institution is incorporating values into its decision making. We are currently testing this approach in a range of different countries.
Peter is Professor of Public Health in the School of Population and Environmental Sciences at Kings College London and Honorary Medical Consultant to Guy's and St Thomas' NHS Trust. He is Deputy Director and Public Health Lead of the National Institute for Health Research Collaboration for Leadership in Health Research and Care, South London. From 1919-2012 he was the founding Clinical and Public Health Director of the National Institute for Health and Care Excellence (NICE). Since leaving NICE he has established an international research programme addressing how health services can be effective, efficient and fair. In 2010 he was awarded the Irwin M. Weinstein Endowed Lectureship in Health and Public Policy Cedars Sinai Medical Centre USA and in 2016 he delivered the Royal College of Physicians Milroy Lectureship on State and Public Health. He is a Fellow of the Royal College of Physicians, the Royal College of General Practitioners and the Faculty of Public Health in the UK.
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