Value in Health Week will take place from 12 to 16 October 2020. Here you will find the details of the programme for the week including morning, afternoon and evening sessions.
Monday 12 October
Monday 12 October, 8.30 – 9.45: Value in Health - what does it mean for Wales?
Speakers:
- Introduced by Prof Chris Jones, Deputy Chief Medical Officer, Welsh Government
- Dr Sally Lewis, National Lead for Value in Health, Session Chair
- Dr Chris Jones, Deputy Chief Medical Officer, Welsh Government
- Prof Alan Brace, Director of Finance Health & Social Services, Welsh Government
- Helen Thomas, Director, NHS Wales Informatics
- Judith Paget, Chief Executive, Aneurin Bevan UHB
- Cari-Anne Quinn, Chief Executive, Life Sciences Hub Wales
Synopsis:
Prof Chris Jones, DCMO, will open Value in Health Week and introduce this topical panel session.
The panel will discuss Wales’ approach to value based healthcare, from defining its approach at policy level to how organisations are applying it in practice. Benefits and challenges to its applications will be debated, with consideration of how value in health must work seamlessly with other enablers within the systems to ensure NHS Wales can transform to ensure a sustainable future that provides optimum care for its population and meets the needs and circumstances of the individuals we care for.
Monday 12 October, 13.00 – 13.45: Using Outcomes to improve access for patients, based on greatest need
Speakers:
- Daniel Davies, Programme Manager, Aneurin Bevan University Health Board
Synopsis:
This session will focus on how Value Based Healthcare principles can support service re-design and equip services to deliver prudent healthcare. The session will provide an overview of the demand and capacity issues in our urology department at Aneurin Bevan Health Board, and their difficulty in meeting RTT target whilst having a dedicated focus on patient care. The session will walk you through how implementation of outcome collection and other patient reported information enabled the service and its clinicians to think differently on how they manage demand and capacity, the challenges in achieving this, the benefits and also lessons learnt (technology isn’t always the answer).
Monday 12 October, 15.00 – 16.30: Health Technology Wales Health Economic Training (Part 1)
Speakers:
- Matthew Prettyjohns: Principal Researcher (Health Technology Wales)
- Lauren Elston: Health Services Researcher (Health Technology Wales)
Synopsis:
Value in Health Week will see the return of the Health Technology Wales (HTW) Health Economics (HE) 101.
During the 90-minute webinar, HTW will present the methods of economic evaluation used to understand the cost effectiveness of health and care technologies, and how they impact on resources. Participants will gain increased awareness of the role health economics plays in the technology assessment process and how it might support the life sciences sector to best evidence their products or services and commissioners to make best use of limited resources.
The webinar, which is suitable for participants from a broad range of sectors, will provide insight into how health economics contributes to a value based health care system. Participants will be equipped with transferable value based skills and knowledge to apply within their organisation, their projects and their own value based approach to healthcare.
Monday 12 October, 19.00 – 20.00: Value Based Health Care and Industry
Speakers:
- Ahmed Abdulla, CEO, Digipharm
- Emma Clifton-Brown, UK Head of Health and Value, Pfizer
- Dafydd Loughran, CEO, Concentric
- Matthew Prettyjohns, Principal Researcher, Health Technology Wales
- Victoria Bates, Managing Director, Bates Cass Consulting Ltd
Synopsis:
This session will launch the Life Sciences Hub Wales’ role in supporting the life sciences industry sector in Wales to understand and meet the challenges of planning, delivering and procuring health and care interventions, treatments and services with a value based approach. The panel consists of global and Welsh companies describing why they are taking a value based approach, the challenges faced and benefits, and Victoria Bates will discuss findings from recent research into value based healthcare and industries in Wales.
Tuesday 13 October
Tuesday 13 October, 9.00 – 10.00: Using Technology to Implement Value Based Healthcare in NHS Wales (Digi Leaders Week) -
Speakers:
Dr Sally Lewis, National Clinical Lead for Value in Health
Synopsis:
Dr Sally Lewis, National Clinical Lead for the Value in Health programme will describe the national direction for NHS Wales and the vision of providing a data-driven system of health care to the population of Wales. The session will include an overview of what value means in Wales, an understanding of end-to-end outcome collection and what the future looks like for the digital patient programme. This webinar will outline the key benefits of better data utilisation as a result of enhanced technologies, with supporting case studies to share experiences. This session is part of the UK-wide Digi Leaders Week.
Tuesday 13 October, 11.00 – 11.30: Bringing Data to Life - Lung Cancer Dashboard Case Study
Speakers:
- Dr Gareth Collier, Respiratory Consultant and Assistant Medical Director for Digital in Hywel Dda UHB
Synopsis:
This session will showcase the lung cancer dashboard, with Dr Collier providing delegates with an overview of how he can use the tool in his daily practice. From supporting care delivery for individual patients, to ensuring data quality for audit purposes, and to help assess his service care delivery against his peers in real time – helping understand variation and drive outcome improvement.
Tuesday 13 October, 12.30 – 13.30: Value in Health in Primary Care
Speakers:
- Dr Susan J Goodfellow; Clinical Improvement Lead Value-Based Health Care – Session Chair
- Dr Alastair Roeves, National Clinical Lead for Primary Care & Community Care for Wales and Interim Deputy Medical Director, Swansea Bay University Health Board
- Dr Karen Pardy, Community Director, Cardiff SW Cluster
- Dr Duncan Williams, GP and Amman Tawe Partner
- Craig Davey, Programme Manager, Finance Delivery Unit
Synopsis:
Frontline primary care leaders will discuss what value based healthcare means in the context of primary care practice, discussing the challenges faced but also the opportunities for transformation. Examples from primary care (Cardiff South West Cluster and Amman Tawe) will be shared, demonstrating some of the existing work underway in primary care, while a national picture and vision to further support expansion in this area will be considered by the panellists.
Tuesday 13 October, 14.00 – 15.00: Cardiac Data Dashboard Launch
Speakers:
- Dr Jonathan Goodfellow, National Clinical Lead, Cardiac Network
- Sally Cox, Principal Specialist (Information), NHS Wales Informatics Service
Synopsis:
Dr Jonathan Goodfellow will launch the Cardiac Data Dashboard, the latest in a series of Value in Health data dashboards that aims to bring together activity and outcome data from across Wales. Delegates will be able to explore the different elements of the data dashboard.
Delegates will also hear examples of where value based healthcare principles are being applied to achieve service transformation, resulting in early diagnosis and better outcomes, delivered in a financially sustainable way.
Tuesday 13 October, 15.30 -16.30: Value in Health and Finance
Speakers:
- The session will be delivered by the Finance Delivery Unit
Synopsis:
Staff from the NHS Wales Finance Delivery Unit will provide delegates with a finance perspective on Value in Health in Wales, in terms of both national and local programmes. The team will discuss some of the key ongoing developments around the finance agenda, including the upcoming launch of a Value Finance Toolkit that will be made available to staff across NHS Wales. The session will then conclude by exploring the key role(s) that the finance function has to play in ensuring the success of Value in Health, both now and in the longer-term.
Tuesday 13 October, 17.00 – 18.00: Patient Perspectives - Why Better Data is Key to Patient-Centred Care
Speakers:
- Dr Susan J Goodfellow; Clinical Improvement Lead Value-Based Health Care, Session Chair
- Wayne Lewis, Policy Lead (Wales), Crohn’s and Colitis UK
- Dr Natalie Joseph-Williams, Lecturer, Cardiff University
- Sian Hughes, Palliative CNS, Cardiff and Vale UHB
- Dr Clea Atkinson, Consultant in Palliative Medicine, Cardiff and Vale UHB
Synopsis:
A panel of clinicians and patients will discuss how accessible, good quality real world data is key to driving forward the implementation of person-centred care. Issues such as self-management, shared decision making, remote monitoring and the need to balance safety with personal choices will be discussed as part of this topical panel session.
Wednesday 14 October
Wednesday 14 October, 10.00 – 10.30: PROM Development in Lymphoedema
Speakers:
- Melanie Thomas, National Clinical Lead for Lymphoedema
- Marie Gabe-Walters, National Research and Innovation Lymphoedema Specialist
Synopsis:
The National Lymphoedema team will share their journey to develop and validate a new PROMs for their patient population. The team started by testing some of the existing tools and soon realised they did not provide the level of sensitivity and range of issues that mattered to their patients. Working collaboratively with their service users they have embarked on a two year long PROM development journey, which is nearing completion as they get ready to submit their work for publication.
Wednesday 14 October, 11.00 -11.45: Standardising PROMs Across Wales - Insight into the Data Standard Work to Support Data Flow
Speakers:
- Gareth Griffiths, Data Standards Manager, NWIS
- Sarah Puntoni, Programme Manager, Value in Health
- Sally Cox, Principal Specialist (Information), NHS Wales Informatics Service
Synopsis:
Delegates will hear about the work underway in Wales to nationally standardise patient reported outcome measures (PROMs) data to ensure consistency in collection and allow data to flow across organisational boundaries. This data will feed a number of nationally developed tools, supporting both patient care and service improvement. The group will describe the reasons why standardisation is key to supporting the use of PROMs in clinical practice and also the steps required to achieve this within the context of NHS Wales. Particular attention will be given to data items that allows data linkage, longitudinally, across specialties and across organisational boundaries. Challenges and opportunities will be discussed as well as progress to date.
Wednesday 14 October, 12.00 – 12.45: Optimising Outcomes for Diabetic Patients
Speakers:
- Dr Sally Lewis, National Lead for Value in Health
- Dr Julia Platt, National Clinical Lead for Diabetes
- Claire Green, Assistant Director, Finance Delivery Unit
Synopsis:
Delegates will learn of the ongoing work undertaken to collate numerous nationally held data sets to assess how the current diabetic pathway (including preventative services) impact on the health outcomes of the population across the pathway. This work seeks to use innovative analytical insight on existing data sets to explore how outcomes could be optimised using existing resources more intelligently across a whole pathway.
Wednesday 14 October, 13.30 – 14.30: National Approach to Value in Health Learning in Wales
Speakers:
- Dr Sally Lewis, National Clinical Lead and chair of the session
- Professor Hamish Laing, Professor of Enhanced Innovation & Engagement, Business, Swansea University
- Rebecca Richards, Director, NHS Wales Finance Academy / Academi Gyllid GIG Gymru
Synopsis:
Dr Sally Lewis, National Clinical Lead for Value in Health, will introduce Wales approach to value based healthcare learning for Wales in its varied forms.
Professor Laing will describe the Executive Education Programme run by Swansea University. This Programme further strengthen a growing collaboration between Wales’ Academia institutions, the national programme and NHS Wales organisations, evidenced by work under development in Hywel Dda University Health Board and an existing educational package offered by the NHS Wales Finance Academy, headed by Rebecca Richards who joins the panel to discuss future aspirations and existing opportunities and challenges.
Wednesday 14 October, 15.00 – 16.30: Health Technology Appraisal Training Session (Part 2)
Speakers:
- Jenni Washington, Information Specialist (Health Technology Wales)
- Lauren Elston: Health Services Researcher (Health Technology Wales)
Synopsis:
Value in Health Week will see the return of the Health Technology Wales (HTW) Health Technology Assessment (HTA) 101.
During the 90-minute webinar HTW will explore the key methods used to appraise health and care technologies and understand their potential value to service users, providers and technology partners when taking a value based health care approach. Participants will gain increased awareness of the role health technology assessments play in a value based health care system and how it enables the life sciences sector to best evidence their products or services and commissioners to make best use of limited resources
The webinar, which is suitable for participants from a broad range of sectors, will include a look at real life topics that Health Technology Wales has previously appraised. Participants will also be introduced to HTW’s topic proposal process and encouraged to consider topics they think HTW could appraise.
Wednesday 14 October, 16.30 – 17.30: Value in Health and the COVID Recovery
Speakers:
- Dr Sally Lewis, National Lead for Value in Health, Session Chair
- Dr Jonathan Goodfellow, National Clinical Lead, Cardiac Network
- Michelle Price, National Clinical Lead, Neuro Conditions
- Hywel Jones, Director, Finance Delivery Unit
Synopsis:
Panellists will discuss the impact of Covid-19 on NHS Wales and how Value in Health offers a clear roadmap to transform the system sustainably. The new care landscape evolving as a direct result of the pandemic is proving fertile ground for innovation and a faster paced cultural change towards the use of digital platforms in healthcare to communicate with patients, remote healthcare monitoring, and care delivery, for some. Panellists and delegates will consider the opportunities available to drive forward transformation to optimise outcome for individuals and communities in Wales.
Thursday 15October
Thursday 15 October, 9.30 – 10.00: Value in Health Procurement
Speakers:
- James Griffiths, Value Based Procurement Project Manager, NWSSP
- Andrew Smallwood, Head of Sourcing, NWSSP
Synopsis:
Sacral nerve stimulation (SNS) for faecal incontinence (FI) is recommended by NICE as a cost-effective use of healthcare resources compared with alternative treatments for faecal incontinence. The technology was not available to be implanted in patients in Wales prior to 2018. However, in 2018, Health Technology Wales (HTW) concluded “NHS Wales should adopt this guidance or justify why it has not been followed”. It is estimated that over 150 patients per year in Wales could benefit from this device to treat FI and more if extended to urinary incontinence (UI). After proof of concept operations in Cardiff and Vale and thanks to the expertise and support from a lead colorectal surgeon and Head of Procurement at Cardiff and Vale, a risk share partnership has been entered into with the supplier where the SNS device is paid for after 12 months provided the patient attains a specified reduction in incontinence episodes and a measured increase in QoL.
Thursday 15 October, 12.30 – 13.00: Social Prescribing in Primary Care – A Case Study
Speakers:
- Dr Karen Pardy, Community Director, Cardiff SW Cluster
- Dr Susan J Goodfellow; Clinical Improvement Lead Value-Based Health Care
Synopsis:
The South West Primary Care Cluster in Cardiff has developed a social prescribing model which is well embedded into its community support structure, linking third sector, local authorities and healthcare providers to offer a cost effective, community and person-centred approach to the most disadvantaged in their care. The project has been running for over a year and data is showing the impact this model is having across the system, with fewer secondary care referrals, improved experience and improved overall quality of life and outcomes for the patients who access it.
Thursday 15 October, 13.00 – 13.45: Digital Services for Patients and the Public: Creating a Core Platform
Speakers:
- Stephen Frith, Programme Director, Digital Services for Patients and the Public, NWIS
- Navjot Kalra, Interim Head of Value Based Health Care, Swansea Bay University Health Board
Synopsis:
The session will provide an overview of the new national programme to improve digital services for NHS Wales patients. This large body of work will explore the opportunities and challenges within the system and how this work seeks to improve the way NHS Wales uses digital for a multitude of patient interactions and activities.
Thursday 15 October, 14.00 – 14.45: Swansea Bay Heart Function Service – Not Accepting Failure
Speakers:
- Dr Kirstie Truman, Primary Care Clinical Lead for Cardiology
- Dr Benjamin Dicken, Consultant Cardiologist, Secondary Care
Synopsis:
This work has identified ways to optimise the care of heart failure patients at Swansea Bay University Health Board with a view to redesigning the service using value based healthcare principles. The primary drive for change is to address the unmet needs of patients with heart failure and to prevent those suspected of having the disease from reaching the acute stage in order to reduce mortality.
COVID 19 has provided an opportunity to pilot the different models of working that we had planned, and have resulted in a positive impact to several aspects of Heart Failure care in line with our project objectives. This presentation will take you on that journey.
Thursday 15 October, 15.30 – 16.00: OECD Patient Reported Indicator Survey (PaRIS) Programme
Speakers:
- Dr Andy Carson-Stevens, Wales Scientific Director of OECD PaRIS
Synopsis:
The Organisation for Economic Cooperation and Development is leading the international Patient Reported Indicator Survey (PaRIS) programme which aims to make health systems more people-centred. PaRIS will create the first international survey of patient-reported health outcomes and experiences of adults with one or more chronic conditions who are treated in primary care settings. Internationally, PaRIS will accelerate and standardize the monitoring of patient-reported indicators in crucial areas of health systems where little is being measured at present. Wales' participation in the PaRIS programme represents an opportunity for Wales to: demonstrate international leadership in the development of tools to support the delivery of patient-centred care; make comparisons around key outcomes and experiences with other countries; support policy makers to identify best practices to support the delivery of the Value-Based Health Care plan; enable a medium-to-long term assessment on Welsh Government’s Value-Based Health Care programme, targeted at patients with one or more chronic diseases in pursuit of A Healthier Wales; and, enable data-driven policy decision-making about priorities for population health and social care improvement.
Thursday 15 October, 19.00 – 20.00: Procurement for Value
Speakers:
- Professor Hamish Laing, Professor of Enhanced Innovation & Engagement, Business, Swansea University
- Dr Rupert Dunbar-Rees, Founder & CEO Outcomes Based Healthcare
- Andrew Smallwood, Head of sourcing, NHS Wales Shared Services Partnership
- Jessica Burton, Director Outcomes Innovation, UK Health & Value, Pfizer
- Dee Puckett, Head of Health & Care Engagement, Life Sciences Hub Wales
Synopsis:
This session consists of a panel outlining approaches to value based procurement which will be of interest to health and industry delegates. The session will cover examples of procuring for value in practice and outcome based agreements.
Friday 16 October
Friday 16 October, 11.00 – 11.45: Analysing PROMs - An introduction
Speakers:
- Dr Robert Palmer, Senior Researcher, CEDAR
- Amanda Willacott, Programme Manager, Value in Health
Synopsis:
This session will give an introduction to generic and condition-specific PROMs, and how they can be used for analysis. It will also include how to calculate scores by following official scoring documents and some things to keep in mind when linking PROMs to other clinical and administrative datasets. The session will be of interest to those wishing to use PROMs in clinical practice or research, or who may want to explore PROMs data already available within their organisation.
Friday 16 October, 13.00 – 14.00: Knee Dashboard Launch
Speakers:
- Mr Phill Thomas, Clinical Lead for PROMs and Paediatric and Adult Hip Consultant, Cardiff and Vale UHB
- Amanda Willacott, Programme Manager, Value in Health
- Keith Howkins, Lead Specialist (Publishing), NWIS
- Thomas Adams, Lead Specialist ( Information), NWIS
Synopsis:
Data dashboards aim to triangulate casemix, outcome and costing data. Delegates will be able to see phase 1 of the knee dashboard, presenting an all Wales view of casemix, activity and PROMs data.
Case studies of further orthopaedic analysis will also be shared, showing that clinical and patient outcome data can be brought together to help drive improvement and optimise outcomes.
Friday 16 October, 14.30 – 15.00: What Next? – Meet the Value in Health and the Life Sciences Hub Wales teams
Speakers:
- Meet members of the Value in Health and the Life Sciences Hub Wales teams
Synopsis:
Come and meet members of the Value in Health and Life Sciences Hub Wales teams who have helped deliver Value in Health Week. Learn about the new Value in Health website and what resources are available to you, your team and organisation.