Registered with the Charity Commission (No 1120097)
Patron: Baroness Sally Greengross
UK CLINICAL ETHICS NETWORK PRE-CONFERENCE WORKSHOPRESOURCE ALLOCATION AND RATIONING IN THE NEW NHSTHURSDAY 14th JUNE 2012UNIVERSITY OF GREENWICH
Chair: Vic Larcher
1.30-1.45 / Welcome and Introductions / Dr Vic Larcher Former chair clinical ethics committee and consultant in child and adolescent medicine and clinical ethics Great Ormond Street Hospital.
1.45-2.15 / Can ethics committees avoid resource allocation issues?
Setting the scene; Defining terms, and how decisions that involve resource allocation or rationing might reach CEC / Anne Marie Slowther – Chair of UKCEN
2.15-3.15 / The GOSH clinical ethics committee experience of developing a framework for addressing ethical dilemmas around resource allocation:
Developing a framework to consider requests for compassionate or innovative treatment and the principles underpinning it. / Joe Brierley Consultant Intensivist and co-vice chair clinical ethics committee Great Ormond Street Hospital
How did we become involved in broader issues of resource allocation, what principles did we use to discuss cases? / Sarah Barclay Co-vice chair GOSH clinical ethics committee and medical mediator
Two case examples; what issues did they involve and how did we go about discussing them? / Vic Larcher
3.15-3.35 / Tea
3.35-4.05 / Small group work; groups will discuss cases drawn from practice that bridge the gap between pure resource allocation decisions and more recognisable clinical ethics dilemmas e.g. withdrawing or withholding intensive care treatment. / All delegates
4.05 – 4.30 / Formal feedback with facilitated discussion
4.30-5.00 / Drawing it all together. A discussion of the role and importance of concepts of futility, clinical effectiveness and best interests in considering resource allocation decisions or rationing. / To be confirmed
5.00 / Close and evaluations
AIMS AND OBJECTIVES OF WORKSHOP
To enable delegates/participants to:-
1. Understand basic concepts of resource allocation and the need for equitable process of decision making.
2. Understand how and in what form resource allocation dilemmas/decision making (RADs) might reach CECs.
3. Identify and understand the principles that CEC members might use to approach the analysis and discussion of RADs.
4. Explore the concepts of futility and best interests in relation to RADs and their application by CECs
METHODS
Identification of key elements of participants understanding and practice by questionnaire and personal statements at introduction.
Adidactic account of concepts and theoretical aspects of resource allocation and rationing and the need for them in contemporary healthcare.
Interactive and participatory consideration of whether need for resource allocation imposes limits on treatments, using the paradigm of the Great Ormond Street Hospital (GOSH) compassionate and innovative treatment cases (GOSH team).
Interactive group discussion to establish ways in which resource allocation dilemmas might be analysed or resolved and the principles that might be applied.
Facilitated and interactive small group work to analyse cases brought either by delegates or supplied by organizers to apply principles developed in previous discussion.
The final session will draw key concepts together by providing a brief didactic account of futility, clinical effectiveness and best interests (the latter brief and a revision) and discussion of their role and importance in considering resource allocation decisions or rationing.
Debbie Yearsley
South London Healthcare NHS Trust, Queen Elizabeth Hospital, Stadium Road, Woolwich, London SE18 4QH
Tel: 0208-836-4834 E-mail: