Collected blogs to date

People keep asking me to post link to all by category
Here’s the set

Health improvement

1. Prevention generally


a. Transport, active travel, air quality

Ten thoughts on reframing transport policy as a health investment https://gregfellpublichealth.wordpress.com/2016/10/17/ten-thoughts-on-reframing-transport-policy-as-a-health-investment/

parks and bike lanes vs cath labs and cancer drugs. HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/10/01/PARKS-AND-BIKE-LANES-AND-HEALTHY-FOLK-ON-THE-VALUE-OF-DIFFERENT-FORMS-OF-INVESTMENT/  
 


b. Health Improvement approaches in policy terms



Pills v policies the impact of individual level interventions https://gregfellpublichealth.wordpress.com/2016/02/21/impact-of-individual-level-interventions-should-we-go-for-more-individual-level-or-for-policies-that-prevent-the-need-for-pills-some-thoughts/

Preventing diabetes. Indivudal vs population based approaches – on emptying an ocean with a teaspoonhttps://gregfellpublichealth.wordpress.com/2016/11/28/preventing-diabetes-comparing-service-to-policy-based-approaches-on-emptying-an-ocean-with-a-teaspoon/

IF THE NHS WERE BETTER AT PREVENTING STUFF. 10 THOUGHTShttps://gregfellpublichealth.wordpress.com/2017/01/19/if-the-nhs-were-better-at-preventing-stuff-10-thoughts/  

Are thinking and doing on “prevention” going the same way. A Thought experiment https://gregfellpublichealth.wordpress.com/2017/02/13/are-thinking-and-doing-on-prevention-going-the-same-way-a-thought-experiment/

Health in all policies – https://gregfellpublichealth.wordpress.com/2017/04/02/what-does-health-in-all-people-policies-really-mean/

The individualization of PH policyhttps://gregfellpublichealth.wordpress.com/2017/04/01/the-individualisation-of-public-health-and-health-policy/

Improving the determinants of health and well beinghttps://gregfellpublichealth.wordpress.com/2017/04/16/improving-the-determinants-of-health-and-well-being/

PLANNING PROCESSES & HEALTHY CITIES https://gregfellpublichealth.wordpress.com/2017/02/10/planning-processes-healthy-cities/
 
 
c. Nanny state
some (academic) rebuttal arguments to the nanny state line https://wordpress.com/post/gregfellpublichealth.wordpress.com/202
 
 
d. Cigs, fat and booze

Smoking – changing the framehttps://gregfellpublichealth.wordpress.com/2016/09/22/smoking-changing-the-frame/

McKinsey and obesity – the economics of different interventions – https://gregfellpublichealth.wordpress.com/2016/02/28/mckinsey-and-obesity-the-economics-of-different-interventions/

Childhood obesity strategy – worth the wait or not https://gregfellpublichealth.wordpress.com/2016/08/18/childhood-obesity-strategy-worth-the-wait-or-not/

Scaling up prevention – an STP thought experiment https://gregfellpublichealth.wordpress.com/2016/06/11/scaling-up-prevention-an-stp-thought-experiment/
 
 

2. NHS

a. ACO etc

ACOs and the like – will or won’t they save us from certain doom? https://gregfellpublichealth.wordpress.com/2016/06/23/acos-and-the-like-will-or-wont-they-save-us-from-certain-doom/

ACO – how to guide and considered thoughts https://gregfellpublichealth.wordpress.com/2016/10/21/aco-how-to-guide-and-considered-thoughts/

Outcome Measureshttps://gregfellpublichealth.wordpress.com/2016/11/23/outcome-measures-for-aco/

What outcome measure for an Accountable Care System – how will we know its working- https://gregfellpublichealth.wordpress.com/2017/03/31/what-outcome-measure-for-an-accountable-care-system-how-will-we-know-its-working/

Using routinely collected data to demonstrate where the NHS is going wrong https://gregfellpublichealth.wordpress.com/2016/10/01/using-routinely-collected-data-to-demonstrate-where-the-nhs-is-going-wrong/

 
 
 
 
b. STP SPECIFIC

where next for STPs
https://gregfellpublichealth.wordpress.com/2016/07/02/where-next-for-stps/

What IS the “Public Health” contribution to the NHS Sustainability and Transformation Plan – https://gregfellpublichealth.wordpress.com/2016/03/11/what-is-the-public-health-contribution-to-the-nhs-sustainability-and-transformation-plan/

Up scaling prevention and the STP, some questions for CCGs to ponder – https://gregfellpublichealth.wordpress.com/2016/02/21/up-scaling-prevention-and-the-stp-some-questions-for-ccgs-to-ponder/
STPs, prevention and the the ever changing ask of “public health” – https://gregfellpublichealth.wordpress.com/2017/04/29/stps-prevention-and-the-the-ever-changing-ask-of-public-health/
 

c. NHS Policy zombies


GP Referral Management – one view of what the evidence tells us
https://gregfellpublichealth.wordpress.com/2016/02/20/gp-referral-management-one-view-of-what-the-evidence-tells-us/

High risk case management will save mega dollars? https://gregfellpublichealth.wordpress.com/2016/05/30/119/

Case management / key workers – 10 reasons to be cautious
https://wordpress.com/post/gregfellpublichealth.wordpress.com/199

The savings from key workers or case managing “high risk” people
https://gregfellpublichealth.wordpress.com/2016/05/30/119/

A&E divergence schemes, what does the evidence tell us
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/09/07/AE-DIVERGENCE-SCHEMES-WHAT-DOES-THE-EVIDENCE-TELL-US/

Stop before your op – great plan if done well for the right reasons. Terrible idea if done to save money –
https://gregfellpublichealth.wordpress.com/2016/10/09/you-cant-have-yer-op-till-youve-stopped-smoking/

You can’t have your op till you’ve lost weight -HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/10/08/YOU-CANT-HAVE-YOUR-OP-TILL-YOUVE-LOST-WEIGHT/  

how to implement procedures of limited clinical value
https://gregfellpublichealth.wordpress.com/2016/02/20/how-to-implement-procedures-of-limited-clinical-value/
 



d. Other health care stuff

Green Oncology.
https://gregfellpublichealth.wordpress.com/2016/10/21/green-oncology/

A prostate cancer bumper edition -https://wordpress.com/post/gregfellpublichealth.wordpress.com/203  

Public Health, the “core offer” and supporting CCG commissioning – some thougths –
https://gregfellpublichealth.wordpress.com/2016/02/20/public-health-the-core-offer-and-supporting-ccg-commissioning-some-thougths/

Transforming the outpatient model – 15 ideas with some evidence –
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/TRANSFORMING-THE-OUTPATIENT-MODEL-SOME-THOUGHTS-AND-SOME-EVIDENCE/

Quality Improvement Flipped on its head – HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/FIRST-BLOG-POST/

Transforming Planned Care – some ideas and some evidence – HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/TRANSFORMING-PLANNED-CARE-2/

The centralisation of hyper acute stroke care will save lives and money, won’t it? – HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/07/09/STROKE-HOW-MANY-LIVES-WILL-BE-SAVED-BY-THE-CENTRALISATION-OF-HYPER-ACUTE-STROKE-UNITS-HOW-MUCH-MONEY-WILL-THIS-SAVE/

Do you want the money for another 1500 GPs?
https://gregfellpublichealth.wordpress.com/2016/06/30/do-you-want-the-money-for-another-1500-gps/

Ten Commandments of diagnostics
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/03/06/TEN-COMMANDMENTS-OF-DIAGNOSTICS/

Does drug company bribing hospitals improve outcomes and at what cost
https://gregfellpublichealth.wordpress.com/2016/02/28/does-drug-company-bribing-hospitals-improve-outcomes-and-at-what-cost/

POPULATION APPROACH TO KIDNEY CARE AND THE OUTCOMES
https://gregfellpublichealth.wordpress.com/2017/01/28/population-approach-to-kidney-care-and-the-outcomes/

Reconfiguring services is back on the agenda what does the evidence tell us https://gregfellpublichealth.wordpress.com/2016/05/30/reconfiguring-services-is-back-on-the-agenda-what-does-the-evidence-tell-us/

The transformation issues we don’t talk about
https://gregfellpublichealth.wordpress.com/2016/11/18/the-transformation-that-are-missing-from-current-iterations-of-thinking/

AF stroke prevention – turning science into change
https://gregfellpublichealth.wordpress.com/2017/03/04/how-to-cut-the-incident-af-stroke-rate-by-15-in-18-months-turning-science-in-to-change/

DVT. Saving $ and improving care –
https://gregfellpublichealth.wordpress.com/2017/03/04/redesigning-a-dvt-pathway-improving-care-saving-a-lot-of-money/

Outcomes based commissioning. It’s back. It never really went away, or actually never really got started.
https://gregfellpublichealth.wordpress.com/2016/09/10/on-being-an-outcome-based/

Avastin in ophthalmology Briefing for CCGs
https://gregfellpublichealth.wordpress.com/2016/10/22/avastin-briefing-for-ccgs/

GPs and Generalist / specialist

Abandoning “primary care” and “secondary care”
https://gregfellpublichealth.wordpress.com/2016/03/17/abandoning-primary-care-and-secondary-care/

Dear Generalist…changing cultures and attitudes in accountable care
https://gregfellpublichealth.wordpress.com/2017/04/16/dear-generalistchanging-cultures-and-attitudes-in-accountable-care/

THE GP 5YFV AND THE DEEP END. THE IMPORTANCE OF INEQUALITY. HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/12/10/THE-GP-5-YEAR-FORWARD-VIEW-THE-IMPORTANCE-OF-INEQUALITY-AND-THE-DEEP-END/  

The GP Five Year View. 4 strategic issues
– HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/06/19/THE-GP-FIVE-YEAR-VIEW-4-STRATEGIC-ISSUES/
 
 

Public health specific

What does “excellent” look like for a “public health strategy”.
https://gregfellpublichealth.wordpress.com/2016/10/16/what-does-excellent-look-like-for-a-public-health-strategy/
A public health approach to…….five quick thoughts

Changing the language of “public health” – HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/10/02/CHANGING-THE-LANGUAGE-OF-PUBLIC-HEALTH/


what does the future of public health services look like?Old world meets new – https://gregfellpublichealth.wordpress.com/2016/06/16/what-does-the-future-of-public-health-services-look-likeold-world-meets-new/

Transforming public health. What does public health 3.0 look like. – https://gregfellpublichealth.wordpress.com/2016/05/06/transforming-public-health-what-does-public-health-3-0-look-like/

The individualisation of public health and health policy. – https://gregfellpublichealth.wordpress.com/2017/04/01/the-individualisation-of-public-health-and-health-policy/



Public health in 15 years time. – https://gregfellpublichealth.wordpress.com/2017/04/29/public-health-in-15-years-time/

On being “an outcome based …….” https://wordpress.com/post/gregfellpublichealth.wordpress.com/200

to RCT or to not RCT. On the issue of “evidence” and public health -https://gregfellpublichealth.wordpress.com/2017/01/19/to-rct-or-to-not-rct-on-the-issue-of-evidence-and-pubic-health/

The glacial pace of change in the practice of public health.https://gregfellpublichealth.wordpress.com/2016/03/12/the-glacial-pace-of-change-in-the-practice-of-public-health/


“Determinants of health – if only local government took it seriously” –
https://gregfellpublichealth.wordpress.com/2016/06/07/determinants-of-health-if-only-local-government-took-it-seriously/

Ten grand challenges
https://gregfellpublichealth.wordpress.com/2016/11/06/10-grand-challenges-for-public-health/



Screening


Is screening different to case finding in high risk groups
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/IS-SCREENING-DIFFERENT-TO-CASE-FINDING-IN-HIGH-RISK-GROUPS/

What would it take to get guideline bodies eg NSC to change their view on screening for AF –
https://gregfellpublichealth.wordpress.com/2016/08/15/what-would-it-take-to-get-guideline-bodies-eg-nsc-to-change-their-view-on-screening-for-af/

Why I argued against diabetes screening –
https://gregfellpublichealth.wordpress.com/2016/02/28/why-i-argued-against-diabetes-screening/

The case against early diagnosis of cancer
https://gregfellpublichealth.wordpress.com/2016/11/13/lung-cancer-diagnosising-it-early-is-good-the-question-is-how/

 
 
 
 
 
 

Person Centred Care
Meshing together personal and population approaches – reaching the impossible dream
https://gregfellpublichealth.wordpress.com/2016/05/20/meshing-together-personal-and-population-approaches-reaching-the-impossible-dream/


Can anyone suggest resources to help authors incorporate values/shared decision-making in guidelines? Or examples of it done well? #sdm
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/04/05/CAN-ANYONE-SUGGEST-RESOURCES-TO-HELP-AUTHORS-INCORPORATE-VALUESSHARED-DECISION-MAKING-IN-GUIDELINES-OR-EXAMPLES-OF-IT-DONE-WELL-SDM/
 
 
 
 

VALUE ECONOMICS AND COST


Value in pathways versus value in populations – Don’t forget population health in your efforts to improve “efficiency”. Its important but remarkably easy to forget
https://gregfellpublichealth.wordpress.com/2016/02/21/value-in-pathways-versus-value-in-populations-dont-forget-population-health-in-your-efforts-to-improve-efficiency-its-important-but-remarkably-easy-to-forget/

So then Fell – how WOULD you go about solving the cost crisis
https://gregfellpublichealth.wordpress.com/2016/02/21/so-then-fell-how-would-you-go-about-solving-the-cost-crisis/

Is the ageing population is accounting for escalating health costs
https://gregfellpublichealth.wordpress.com/2016/03/21/is-the-ageing-population-is-accounting-for-escalating-health-costs/
This is cost saving”A note on ‘invest to save’ proposals https://gregfellpublichealth.wordpress.com/2016/02/28/this-is-cost-savinga-note-on-invest-to-save-proposals/
But its an effective treatment, you MUST pay for it”. Five considerations https://gregfellpublichealth.wordpress.com/2016/02/28/but-its-an-effective-treatment-you-must-pay-for-it-five-considerations/

The parlous state of NHS finances and getting change done
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/28/THE-PARLOUS-STATE-OF-NHS-FINANCES-AND-GETTING-CHANGE-DONE/

the low value care problem
https://gregfellpublichealth.wordpress.com/2016/02/20/transforming-planned-care/

how to “do” PBMA – survivor’s lessons – HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/HOW-TO-DO-PBMA-SURVIVORS-LESSONS/

Lessons in health economics 101 from non economist world
https://gregfellpublichealth.wordpress.com/2016/08/01/lessons-in-health-economics-101-from-non-economist-world/

BEYOND ROI
– HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/12/11/BEYOND-RETURN-ON-INVESTMENT/

The asymmetric approach we have to expecting cashable returns on investment –
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/09/05/THE-ASYMMETRIC-APPROACH-WE-HAVE-TO-EXPECTING-CASHABLE-RETURNS-ON-INVESTMENT/
 

Prevention as cost control


Prevention as long term health care cost control 1/3
https://gregfellpublichealth.wordpress.com/2016/02/20/prevention-as-long-term-health-care-cost-control-13/

Prevention as long term health care cost control 2/3 –
https://gregfellpublichealth.wordpress.com/2016/02/20/prevention-as-long-term-health-care-cost-control-23/

Prevention as long term health care cost control 3/3 –
HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/02/20/PREVENTION-AS-LONG-TERM-HEALTH-CARE-COST-CONTROL-33/

Prevention – how much money will you save in out STP by next week Fell. Volume 2 –
https://gregfellpublichealth.wordpress.com/2016/09/05/prevention-how-much-money-will-you-save-in-out-stp-by-next-week-fell-volume-2/

Five reasons why we will never scale up prevention
– HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/07/15/FIVE-REASONS-WHY-WE-WILL-NEVER-SCALE-UP-PREVENTION/
 

AGEING POP AND SIMILAR
It’s NOT about the ageing population
https://gregfellpublichealth.wordpress.com/2016/11/18/is-it-the-ageing-population-need-demand-or-supply/

the ageing population” conundrum….where next……
https://gregfellpublichealth.wordpress.com/2016/03/25/the-its-all-about-the-ageing-population-conundrum-where-next/

prevention – ultimately futile in broad economic terms as folk will likely live longer and get dementia….discuss…. HTTPS://GREGFELLPUBLICHEALTH.WORDPRESS.COM/2016/08/24/PREVENTION-LETS-NOT-BOTHER-AS-ITLL-NEVER-SA
VE-MONEY-HOW-MUCH-MONEY-WILL-YOU-SAVE-IN-OUR-STP-BY-NEXT-WEEK-FELL-12/

EPI of multi morbidity
https://gregfellpublichealth.wordpress.com/2017/03/09/on-the-epidemiology-of-multi-morbidity/
 


Niche
Nudge a few thoughts on what we’ve learned
https://gregfellpublichealth.wordpress.com/2017/01/30/nudge-a-few-thoughts-on-what-weve-learned/

Drug “recovery” versus “maintenance” and the smart use of indicators
https://gregfellpublichealth.wordpress.com/2016/10/11/drug-recovery-versus-maintenance-and-the-smart-use-of-indicators/

The limitations of administrative data for to describe quality and or outcomes
https://gregfellpublichealth.wordpress.com/2016/02/28/the-limitations-of-administrative-data-for-to-describe-quality-and-or-outcomes-resulting-from-a-process-or-system/

PeEP – reasons for caution
https://gregfellpublichealth.wordpress.com/2016/08/25/peep-reasons-for-caution/

Public Health, the “core offer”
https://gregfellpublichealth.wordpress.com/2016/02/20/public-health-the-core-offer-and-supporting-ccg-commissioning-some-thougths/

Conflicts of interest and Royal College Guidelines
-https://gregfellpublichealth.wordpress.com/2017/02/11/conflicts-of-interest-and-royal-college-guidelines/

Over diagnosis – a new frontier in green and carbon
https://gregfellpublichealth.wordpress.com/2017/02/14/over-diagnosis-a-new-frontier-in-green-and-carbon/

HEALTHY SUSTAINABLE ECONOMIES
https://gregfellpublichealth.wordpress.com/2017/02/11/healthy-sustainable-economies/
A note on social impact bond & social finance – https://gregfellpublichealth.wordpress.com/2016/07/16/a-note-on-social-impact-bonds/
 

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