
The Choice: Securing the NHS for the Next 75 Years
The NHS is the United Kingdom’s pride, but it is also an institution in crisis. The Choice spotlights a long-overlooked path forward, one that promises to improve outcomes, reduce costs, reduce clinician burnout, and leave patients feeling heard and understood.
For additional resources and much more information, please visit http://www.decision-quality.org
Latest episodes

Sep 10, 2024 • 32min
The Choice: Step by Step
The hosts lay out the practical steps that go along with The Choice, and are joined by Neil Modha, who leads the Thistlemoor Medical Centre, a GP surgery in Peterborough. Dr. Modha’s practice illustrates much of what is possible once the NHS makes The Choice to raise decision quality.
For additional resources and much more information, please visit http://www.decision-quality.org

Sep 10, 2024 • 31min
Strengthening the Voice of the Patient
To improve medical decisions, strengthen the voice of the patient. The hosts are joined by Angela Coulter, a widely influential health policy analyst and researcher.
For additional resources and much more information, please visit http://www.decision-quality.org

6 snips
Sep 10, 2024 • 29min
Biases In Medical Decisions
There are numerous biases in medical decision making, and nearly all favour the delivery of more care. Sir David Haslam, former chair of the National Institute for Health and Care Excellence, discusses the biases with the hosts.
For additional resources and much more information, please visit http://www.decision-quality.org

6 snips
Sep 10, 2024 • 40min
A Wider Set of Options
In this insightful discussion, Anna Dixon, a health policy expert and MP, and Connie Jennings, director of stronger communities for the Walsall Housing Group, delve into the critical need to broaden healthcare perspectives. They advocate for considering social and economic factors alongside traditional medicine. The guests share innovative community solutions to enhance patient care and emphasize the importance of empathy in bridging gaps between healthcare providers and diverse populations, ultimately aiming to empower individuals through comprehensive, community-based support.

7 snips
Sep 10, 2024 • 34min
Five Levels of Decision Quality
Sir Muir Gray, a prominent UK health policy thinker, and Gwyn Bevan, a London School of Economics policy expert, delve into the intricacies of medical decision-making. They explore five levels of decision quality, emphasizing the shift toward patient-centered care. The duo discusses the importance of understanding patient values in treatment choices, highlighting disparities in healthcare practices. They advocate for better resource allocation in the NHS and the necessity for informed collaboration among stakeholders to enhance healthcare outcomes.

8 snips
Sep 9, 2024 • 27min
The Choice: A First Look
Nigel Edwards, former CEO of the Nuffield Trust, joins hosts Al Mulley and John Lotherington to discuss the pressing challenges facing the NHS at its 75th anniversary. They delve into the urgency of improving clinical decision-making to enhance patient care amid rising public anxiety and trust erosion. The conversation highlights the reliance on foreign nurses, dwindling general practitioners, and the need for systemic change beyond funding. They also tackle the critical issues of capital spending and the maintenance backlog affecting healthcare services.
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