Where are you today? How much of your environment, the jargon and language you use,
the attitudes, do you take for granted? Do you sometimes find (for example at conferences, or dinner with non-work friends) that you have to explain something you thought ‘everyone knew’?
Half-way to implementation, we have to look at the unrecognisable mish-mash of a service that’s somehow evolved from the original idea, and seriously consider whether to cut our losses or whether it can be remodelled into something functional.
Dr Chandy cares for people with a variety of extremely common conditions: tiredness, depression, weakness, indigestion, in ways that some think are controversial. The video is below but find out more at http://b12d.net/content/bbc_documentary_and_testimonials
Two heads are better than one, especially when they look at a problem from different perspectives.
Let's be realistic: this crunch won't last for ever. And when it ends, consumers will need new products. We're going to need innovation in financial services (after all, we can't reuse the failed products of last year and preceding decades). New delivery services (keeping food miles down, recognising more purchasing on the internet, even home delivery services from a trip down the high street so you can go on spending!).
With savings like these, NHS could become a net contributor to the Treasury!
£50,000 per QALY (Quality Adjusted Life Year - the value assigned by statisticians that an individual puts on being healthy for a year) is a reasonable figure, but lets not get mixed up - nobody gets £50,000 in their hand, least of all government (who may have to pay for statins or insulin during that extra year of life).
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John Thorp's book "the information paradox" is probably the foundation on which future benefits realisation has been based. Although it is based around IT projects (notoriously, with a 70% "failure" rate), there is much that can be applied to all environments.
The Demos report "measuring social value: the gap between policy and practice" asks a very important question 'is there a standard method of measuring SROI?'.
The answer is: that depends.
When planning a new project, or evaluating whether an existing service has been successful, financial success is often the only thing that gets counted.