Decisions of Value


16 / 10 / 2014

The NHS needs, now more than ever, to find ways to balance the desire to improve quality of care with the pressure to reduce costs overall. This is a summary of the findings and work of a major project exploring how the NHS is meeting the biggest challenge facing it today.

Decisions of Value is a project led by the Academy of Medical Royal Colleges and the NHS Confederation that has spent six months studying what is influencing the decisions made in the NHS. It brings together a large amount of research to show how decisions impact on the value delivered and how this extends beyond Whitehall to the front line.

To gather our findings, we have undertaken research at three different levels. Firstly, we established direct local engagement through a series of site visits and interviews at four NHS organisations across the different sectors of the NHS. Secondly, we published a survey to get wider national engagement bringing together the views of almost 300 staff across all levels in the NHS. Finally, we conducted targeted expert and stakeholder engagement through a series of meetings and roundtables, as well as an academic literature review which was led by the University of Birmingham’s Health Service Management Centre.

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