
Diagnosing harms?
All medicines are poisons. Everything that cures could kill if administered in the wrong doses, to the wrong people, at the wrong times, in the wrong ways.

Decision Making Blog #8: Infinity-shaped debate
I’m argumentative.

Decision Making Blog #7: Should we 'go with the gut'? Yes, but...
I’m not sure there’s a superlative strong enough to describe ‘T

Decision Making Blog #6: The most powerful question in decision making?
I’m a fan of Shane Parrish and his organisation Farnam Street (strapline: ‘Helping you master the best of

Decision Making Blog #5: Reaching disagreement
Two starting points:

Decision Making Blog #4: Embrace uncertainty - it's a badge of honour
Imagine this:

Decision Making Blog #3: The black hole of the status quo
Learning is one of the joys of teaching. And I’ve learnt a lot while helping people develop their decision making skills.

Decision Making Blog #2: Two under-appreciated sources of leadership power
Some forms of leaders’ power are obvious. Leaders hire and they fire.

Decision Making Blog #1: Better decision making: a neglected route to improvement?
There are two main routes for health and care services to improve the health of the populations they serve. The

Socio-economic inequalities in coronary heart disease
There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups. Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified

What are the ethical challenges in addressing inequities?
Produced by Angie Hobbs - the world’s first Professor in the Public Understanding of Philosophy – this paper examines the ethical questions raised by our report outlining strategies for reducing inequity.

Strategies to reduce inequalities in access to planned hospital procedures
UPDATE 10th August: Now including briefing note for Integrated Care Boards on legal duties in respect of reducing inequalities. This report guides ICBs through the process.

We saw them before they were famous: reflections on AphA’s away day
In June 1976, the Sex Pistols played Manchester's Lesser Free Trade Hall.

The Intellectual Forum: a source of fresh perspectives on decision making
The literature on decision making is like a disaster movie highlights reel. Barely has one calamity registered before another serious misstep takes its place. Case study after case study flashes past, each with its own lessons and warnings.

Infant feeding problems, lockdown and attendance at Emergency Departments: what’s going on?
From our previous work, with Nuffield Trust and Health Foundation, we know that lockdown had a significant effect on attendance at Emergency Departments (ED). We also know that this effect was very unevenly distributed: some demographic groups stayed away far more than others.

Less noise and more light: using criteria-driven analysis to tackle inequalities
Reducing health inequality is a long-standing aim of health policy. Yet the gap between policy aim and population outcome has grown in recent years: on most measures health inequalities have got worse.

A framework for understanding policy change
A new policy, strategic direction or major programme is announced.

Localism and the NHS: a case in four stories
In this blog, Fraser Battye makes the case for localism in the NHS. He tells four short stories. He suggests that these stories highlight an opportunity as the NHS enters a period of reform.

Learning from lockdown: support for people experiencing homelessness
There are few clearer measures of societal health than homelessness.