We are delighted to announce a forthcoming event titled “The Ethics and Practice of Disinvestment: On Knowing What Not to Do in Health and Social Care” .
When: Wednesday May 22nd, 2019, 10:00-18:30.
Where: Anatomy Museum, King’s Building, Strand Campus, King’s College London, London WC2R 2LS. Directions: The Anatomy Museum is located on Level 6 of the King’s Building. Access to the King’s Building is via the main entrance on the Strand. Please note: The Anatomy Museum is a different room from the Anatomy Lecture Theatre (also on the 6th floor, right next to the Anatomy Museum).
As new healthcare interventions continually become available and as pressures on healthcare systems across the world continue to mount, there is an increasing tension between the desire to rapidly adopt innovative health technologies in the name of medical progress and the need to ‘do more with less’ across the system as a whole. One way to relieve this tension is by ceasing to provide ineffective or ‘lower value’ interventions and services through a range of disinvestment policies (or, perhaps more frequently, ad hoc decisions). Recent years have thus seen an increase in such activity, both in the UK and elsewhere.
Such decisions inevitably create both winners and losers, as the interests of different groups are considered, weighed and ultimately prioritized. However, the ethical implications of such activities, though clearly wide-ranging, have historically received relatively little attention. This may be beginning to change, as research groups and practitioners from across the UK, and from across disciplinary boundaries, grapple with the practical and conceptual complexities associated with ‘negative’ prioritisation decisions via healthcare disinvestment, alongside the more often studied ‘positive’ prioritisation decisions made by bodies such as NICE.
This workshop seeks to bring together a diverse group of researchers and practitioners to consider and discuss what, if anything, makes disinvestment distinct from other forms of healthcare prioritisation and to identify potential ways forward to optimise disinvestment policies and approaches in the UK and elsewhere.
Dr Gry Wester (King’s College London)
Catherine Max (Catherine Max Consulting)
Vicky Charlton (King’s College London)
If you’d like to attend this event please email Dr Gry Wester: firstname.lastname@example.org
|10.00-10.30||Arrival and registration|
|10.30-10.45||Welcome Gry Wester and Catherine Max
|10.45-12.45||Session 1: Current research: The practice of disinvestment
Chair: Gry Wester (King’s College London)
Jill Manthorpe (King’s College London): Disinvestment in social care
Janet Bouttell (University of Glasgow): Methods of disinvestment in healthcare
Iestyn Williams (University of Birmingham): Local decommissioning in the English NHS
Scott Greer (University of Michigan): Change for, with, or against the public: Three logics of service redesign across the UK
|13.45-15.30||Session 2: Is disinvestment ethically ‘special’?
Chair: Vicky Charlton (King’s College London)
Mark Sheehan (University of Oxford): The ethics of ‘grandfather clauses’ in healthcare resource allocation
James Wilson (University College London): How much ethical weight should be given to reasonable expectations?
Jim McManus (Director of Public Health, Hertfordshire County Council): The ethics of doing least harm: managing health and care in an era of austerity
|15.45 – 16.45||Session 3: Summing up and reflections
Courtney Davis (King’s College London): Review of day’s discussions
Catherine Max: Future research agenda
Participant comments and discussion
|16.45-17.00||Closing remarks and next steps|
Gabriele Badano, University of York
Clare Coultas, King’s College London
Alan Cribb, King’s College London
Katherine Furman, University College Cork
Mark Gamsu, Leeds Beckett University
Susan Griffin, University of York
Vicky Hobart, Greater London Authority
Tom Irving, Dept of Health and Social Care
Dr Peter Jones, Bangor University
Selena Knight, King’s College London
Peter Littlejohns, King’s College London
Polly Mitchell, King’s College London
Katharina Orellana, King’s College London
Benedict Rumbold, University of Nottingham
Keith Syrrett, University of Bristol
Martin Utley, Clinical Operational Research Unit, University College London
Albert Weale, University College London
Wei Yang, King’s College London