Public Value: How can it be measured, managed and grown?

Public Value: How can it be measured, managed and grown?
NESTA May 2019

• This paper brings together views from Nesta on better ways of mapping and measuring public value. It builds on work Nesta has done in many fields – from health and culture to public services – to find more rounded and realistic ways of capturing the many dimensions of value created by public action.

Defining Value-based Healthcare in the NHS

Defining Value-based Healthcare in the NHS
Centre for Evidence Based Medicine, University of Oxford May 2019

• "Value-based healthcare is the equitable, sustainable and transparent use of the available resources to achieve better outcomes and experiences for every person"
• This report sets out a route to defining value-based healthcare in the NHS, an assessment of the barriers to its development, and an understanding of what skills and training would support implementation.

Seven Key recommendations or patients and professionals in the NHS who are interested in increasing value at a local or national level:

Approaches to better value in the NHS Improving quality and cost

Approaches to better value in the NHS: Improving quality and cost
Kings Fund 4 October 2018

• This report explores how three different organisations (the Royal Free London NHS Foundation Trust, Bolton NHS Foundation Trust and Bradford Teaching Hospitals NHS Foundation Trust) are attempting to improve the value of the services they offer to patients. It examines how they have developed organisation-wide strategies to improve value, and on how individual clinical services or teams have pursued value improvement.
• The report is based on a literature review to assess current approaches to improving value in the delivery of high-quality health care in the United Kingdom and other comparable health care systems. and a roundtable discussion where nine representatives of NHS hospitals and national bodies shared their experiences of value improvement. 
• The organisations’ value improvement strategies and operating context:
• Developing shared clinical pathways across different hospitals. The recent formation of the Royal Free London Group of hospitals has catalysed the development of new clinical pathways that aim to deliver the best possible outcomes for patients at the lowest cost possible. Services are being redesigned across sites through clinical practice groups (CPGs), which bring together medical and finance staff to develop the best models of care across a clinical pathway, such as community-acquired pneumonia.
• Using Lean methodologies and making them more value based. Following a long history of using Lean methodologies at Bolton NHS Foundation Trust, and given the continued financial pressures facing the Royal Bolton Hospital, the hospital has developed a focus on activities to improve the financial position of the organisation/reduce costs, while maintaining the quality of care delivered to patients. The hospital has a central programme management office (PMO) that co-ordinates these activities.
• Codifying and systemising a ‘virtual ward’ approach to cover as wide a range of hospital services as possible. Bradford Teaching Hospitals NHS Foundation Trust has brought together separate ‘virtual ward’ approaches (which allow patients to receive consultant-led care in their own homes) and developed these into its value improvement strategy.

Future Health Index 2018

Future Health Index 2018
Phillips 2018

The Future Health Index provides a platform for discussing where governments and businesses should concentrate resources to enable a revolution in the way health care is being delivered and experienced. The 2018 FHI zeroes in on two major solutions around data collection and analytics, and care delivery.

Future Health Index 2018 Part 1 Building systems for better outcomes
Phillips 2018

Future Health Index 2018: Part 2 Moving data to the heart of health systems
Philips, October 2018

• Five key recommendations to drive better collection, analysis and use of healthcare data in order to deliver value based healthcare.

Value based healthcare

Taking the value-based agenda forward: The five essential components of value-based approaches to health and care
NHS Confederation 17 September 2018

• This paper explores how we can spread the adoption of value-based healthcare across all parts of the system and ensure that we maximise the benefits for those who use NHS and wider services.
• It explores five key characteristics which we believe can support the wholesale adoption of value-based healthcare approaches. These are:
• learning and adapting through
• the adoption of innovation
• managing risk
• making best use of data
• thinking about pathways across the whole system
• listening to patients.