Choice – what’s possible?

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 Manning is a social pioneer, writer, campaigner and commentator. Formerly a clinical optometrist specialising in diabetes and visual impairment, she is the founder and Director of 2020health, an independent, social enterprise Think Tank whose aim is to Make Health Personal and Social. 2020health has through research, events and campaigning influenced opinion and action in fields as diverse as bioethics, alcohol, emerging technologies, fraud, education, consumer technology and vaccination. In 2014, 2020health were founding partners of the Health Tech and You Awards with Axa PPP and the Design Museum. Since 2016, 2020health has increasingly focused on digital health and public health in the community. Julia is a Fellow of the RSA and now also a part-time PhD student at the UCL Interaction Centre, studying the use of digital technology for stress management in the workplace. 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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