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At the Value Based Healthcare Programme (VBHP) we work on Healthcare Systems, Networks and Pathways, whose relationship is shown in the diagram above.

The networks and pathways/services are the variables that can be modified to affect the system.  We focus on systems because differences in demography, local politics, and resources preclude the ability to have a one-size fits all solution for the “who/how” of care delivery but we can still have one system specification that all networks and pathways/services can adhere to; the system can be seen as a normalising factor because all patients for a given condition will need the same outcomes, how those outcomes are delivered and who delivers them can certainly be different.

The VBHP design methodology relies on working with multi-stakeholder groups that include the key stakeholders in the care pathway (i.e. patients, GPs, specialists, nurses, para-health professionals, IT, commissioners, etc.) to design ideal population-based systems of care that deliver value to patients. 

The current Outcomes-based Healthcare Systems we are working on include:

 -         Preventing stroke in patients with Atrial Fibrillation

-          Preventing Falls and Fragility Fractures in people aged over 65

-          Pelvic Pain

-          Children with Hearing Loss

-          Early Intervention in Psychosis

-          End of Life and Palliative Care

To learn more about this work or to get involved please contact:


Evaluation of PHE and VBHC Population Healthcare Programme Approach (.pdf)