Choice has its limits.
To meet demand and provide the public with what they should expect we have to adopt more effective ways of treating illness, targeting prevention and enable simple choices where possible. Choice cannot be universal and there are limitations. We need to acknowledge that choice eats up management time and consumes too much money that is not available so our choices are limited for both financial and practical reasons. Where choice is available this should be made clear to the public. We’ve drafted this table – do you think we’ve captured what’s possible?
|
Choice
|
|
Should be optional
|
Not optional
|
| Treatment of minor illness location / provider |
Specialised surgery / treatment for rare conditions |
| When to receive diagnostics / treatment |
Where to receive on-going long term condition care;
Chopping and changing between complex elements within each pathway |
| GP location |
|
| Upgrading to (co-payment for) new technology e.g. type of implant |
|
| In-home monitoring |
|
| Planned and managed medical or surgical intervention |
Emergency medical and surgical intervention |
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About Julia Manning
Julia is a social pioneer, writer and campaigner. She studied visual science at City University and became a member of the College of Optometrists in 1991, later specialising in visual impairment and diabetes. During her career in optometry, she lectured at City University, was a visiting clinician at the Royal Free Hospital and worked with Primary Care Trusts. She ran a domiciliary practice across south London and was a Director of the UK Institute of Optometry.
Julia formed 20/20Health in 2006. Becoming an expert in digital health solutions, she led on the NHS–USA Veterans’ Health Digital Health Exchange Programme and was co-founder of the Health Tech and You Awards with Axa PPP and the Design Museum. Her research interests are now in harnessing digital to improve personal health, and she is a PhD candidate in Human Computer Interaction (HCI) at UCL. She is also dedicated to creating a sustainable Whole School Wellbeing Community model for schools that builds relationships, discovers assets and develops life skills. She is a member of the Royal Society of Medicine’s Digital Health Council.
Julia has shared 2020health's research widely in the media (BBC News, ITV, Channel 5 News, BBC 1′s The Big Questions & Victoria Derbyshire, BBC Radio 4 Today, PM and Woman's Hour, LBC) and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week.
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