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Innovation: in organisations, systems & clinicians/patients

Download the conference programme (pdf)

Case report template

Download the presentations from this year's conference (.zip)

Healthcare professionals across the world are facing increasing pressure because of rising need and demand and stagnant/decreasing resources.  Hellish Decisions in Healthcare, now in its third year, is a forum designed to help healthcare professionals navigate the complex and Hellish Decisions they need to make to ensure they deliver the best value to the patients and populations they are accountable to.  Please join us on January 12-13 at the University of Oxford to learn from and interact with healthcare professionals who have faced problems similar to yours and have used a variety of innovative approaches and strategies to make their Hellish Decisions.

Further reading:

Briefing notes

Right Care Series - The Lancet

Finding a way through the budget setting minefield. Sally Al-Zaidy, 4 January 2017,

 Although tremendous progress has been made over the last forty years, health services still face five outstanding problems no matter how they are structured or funded: 

  • Unwarranted variation in access, quality, cost and outcome, and this reveals the other four
  • Patient harm, even when the quality of are is high
  • Waste, that is anything that does not add value to the outcome for patients or uses resources that could give greater value if used for another group of patients
  • Inequity, and
  • Failure to prevent the diseases that healthcare can prevent, stroke in atrial fibrillation for example.

In addition to these problems, over the past several years and into the foreseeable future, healthcare services have to cope with rising need and demand without additional resources.

To maintain health services globally and continue improving the health ofthe populations we serve, there is an urgent need to transform health services to focus on triple value:

  • Personalised value, the delivery of services informed by what matters to the individual
  • Technical value, determined by how well resources are used within services for each purpose
  • Allocative value, determined by how the assets are allocated to services for different purposes.

Hellish Decisions in Healthcare is designed as a space for healthcare leaders, professionals and researchers within the international healthcare community to shape healthcare policy and systems to deliver Triple Value.

The decisions and strategies needed to deliver Triple Value will not always be immediately apparent and nor will they be easy to make; the Value in Healthcare Forum is a safe place where these strategies can be developed and where strategic discussions can be had with the key thought and implementation leaders in healthcare.

There will be sessions on:

Personal Value
Technical Value
Allocative Value
Unwarranted Variation
Integration of Health & Social Care Services.

Briefing notes (download):

1. Producing evidence for hellish decisions in the value era

2. Developing value based programmes and systems

3. Optimising system value by innovation and redundancy

4. Optimising system value by reallocation of resources for a single condition

5. What needs to be done to optimise the value of the hospital service?

6. Creating public value and social value

7. Hellish decisions for commissioners


Download the full conference programme (pdf)

Confirmed speakers include:


Mara Airoldi

Departmental Lecturer in Economics and Public Policy at the Blavatnik School of Government.


Youssef Beaini

Clinical Lead Cardiovascular Disease, Bradford City CCG


Francesco Benvenuti


Professor Gwyn Bevan

Professor of Management Science and Director of the MSc in Public Management and Governance in the Department of Management at the London School of Economics and Political Science. 


Mike Burrows

Greater Manchester Academic Health Science Network


Andrew Cash

Chief Executive, Sheffield Teaching Hospitals NHS Foundation Trust


David Cole

IBM Watson & "Thinking of Oscar" Charity

Matthew Fay

The Willow's Medical Practice


Greg Fell

Director of Public Health, Sheffield

Alexander Foss

Queens Medical Centre


Professor Sir Muir Gray CBE

Director of Better Value Healthcare; Chair of Health and Social Care Digital Service.


Richard Glover

North of England Commissioning Support (NECS)


Carl Klaxton

Centre for Health Economics, University of York


Sabina Nuti

Scuola Superiore Sant'Anna Pisa

Gary McVeigh

Gary McVeigh

Professor of Cardiovascular Medicine, Queen's University Belfast



Andrew O'Shaughnessy

Consultant in Public Health, Bradford Metropolitan District Council


Sian Rees

Leads on Patient and Public Involvement, Engagement and Experience for Oxford AHSN.

Don Redding

National Voices

Janet Waldron

National Institute for Health and Care Excellence

Roger Wilson

Sarcoma UK

General tickets: For delegates affiliated to NHS/Public Sector/Charitable Organisations.
Private Sector tickets: For delegates affiliated to Ltd Companies/For Profit Organisations.
These ticket prices include: All conference materials, lunch and refreshments.

Earlybird registration. Available until 14 October 2016:
General - £225
Private Sector - £300
Trainee/Student - £150

Standard registration. From 15 October 2016:
General - £275
Private Sector - £350
Trainee/Student - New price: £50. 

Hosted by:

Value Based Healthcare programme, within Oxford University's Nuffield Department of Primary Care Health Sciences, in partnership with Better Value Healthcare and the Oxford Health Experiences Institute (HEXI).

Who is this forum for?

NHS frontline clinicians, medical directors
NHS finance managers, finance directors
Senior commissioners
Senior managers from within trusts
Independent sector providers
Academic sector
Commercial suppliers to NHS, including management consultancies
Commissioning Support Units
Clinical Commisioning Groups
Public Health