The Value Transformation

Tremendous progress has been made over the last forty years due to the second healthcare revolution; the first having been the public health revolution of the nineteenth century. Hip replacement, transplantation, and chemotherapy are examples of the high-tech revolution funded by increased investment and, in the last twenty years, optimised by improvements in quality, safety, and evidence-based decision making.

However, there are still three outstanding problems which are found in every health service no matter how they are structured and funded: One of these problems is huge and unwarranted variation in access, quality, cost and outcome, and this reveals the other two.

In addition, the services will have to cope with rising need and demand without additional resources. We need to continue with the four activities that have transformed healthcare in the last twenty years:

  1. Preventing disease, disability, dementia and frailty to reduce need
  2. Improving outcome by providing interventions strong evidence of effectiveness
  3. Improving outcome by increasing quality and safety of process
  4. Increasing productivity by reducing cost

These are necessary but not sufficient and what is needed is to focus on value which has three aspects:

The focus has to be on value, on better value for individuals and populations. To achieve this we need three new activities:

This, in turn, requires a new set of skills and concepts to help people answer questions such as:

  1. What do you understand by the term complexity?
  2. What is meant by the term system and how does it differ from a network?
  3. What is meant by population-based healthcare rather than bureaucracy based care?
  4. What is the relationship between value and quality?
  5. What is the relationship between value and efficiency?

In addition, there is a need for a new set of skills such as:

These skills and concepts are all covered in our new course for Healthcare Value.


Professor Sir Muir Gray

Scholarships are available for this Accredited Short Course for applicants wishing to take the course for credit. The Scholarship will cover the full cost of tuition fees (£2,110) but excludes the cost of travel, accommodation, and subsistence. The student is expected to cover these costs.

To apply please download the Application form for a Healthcare Value Scholarship and complete this on your computer. Save and email us this form along with your Short Course Application, your CV, and a Reference.

All applicants are asked to write a short paragraph (max 1000 words) about themselves. The Scholarship will be awarded to the applicants who show the greatest ability in terms of a) their existing experience to apply the new learning and b) their ability to influence and improve their local practice.

The deadline for scholarship applications for this accredited short course is Monday 29 May 2017.

The successful applicant will be selected by the EBHC Standing Committee and will be notified of the outcome by Friday 2 June 2017. It is a requirement of the Scholarship that the successful applicant completes and submits the assignment and is willing to share their story. There will be an interview with each scholar after one year to identify the impact of the course on them and their work.