With finances coming under increasing pressure and innovative technologies and procedures driving healthcare inflation, this biennial conference presents a landmark opportunity for those involved in priority setting internationally to discuss critical challenges facing the discipline and develop new ways of meeting these challenges equitably through research, policy and practice.

The 2016 meeting was co-hosted by the Health Services Management Centre (College of Social Science) and the Department of Health Economics (College of Medical and Dental Sciences) under the theme ‘New Frontiers in Priority Setting’.

Plenary speakers were drawn from the international priority setting research community, national and international policy and advisory bodies and national and local policy decision makers and other stakeholders.



Day 1

What matters to people: priorities for individuals, communities, populations?

Angela Coulter (Director of Global Initiatives at the Foundation for Informed Medical Decision Making, Boston, and Senior Research Scientist at the Department of Public Health, University of Oxford): Patient choice and experience: challenges for priority setting

Professor Rachel Baker (Professor of Health Economics and Deputy Director, Yunus Centre for Social Business and Health, Glasgow Caledonian University): Perspectives, priorities and plurality: what matters?


Parallel sessions

Judith Bell (Public Health England): Developing a prioritisation framework for NHS England specialised services commissioning

Duncan Campbell (Craigavon Enterprises Ltd, Canada): Agile health systems – aligning financial, operating and prioritization processes in real-time to drive performance

May Dao Van (University of Bayreuth): Trade-off between chance of success and urgency in organ allocation

Barbro Krevers (Linköping University, Sweden): Development of systematic prioritizations between different welfare sectors – and get it running

Bridget Roe (University of Nottingham): A socio-technical approach to healthcare decision-making: how compatible are technical and social perspectives?

Ellen Rule (Gloucestershire Clinical Commissioning Group): Resource scarcity in the English NHS: the relevance of economics for prioritisation decisions

Koonal Shah (Office of Health Economics, London): Does society wish to prioritise end-of-life treatments over other types of treatment?

Marcela Velez (Jerusalem College of Technology, Israel): Addressing ‘waste’ in health systems


Organised sessions

(1) From priority-setting decisions to health impact: new explorations of a complex translation process

(2) Prioritizing medical device investments under resource constraints

(3) Ultra-orphan drugs: establishing a fair and reasonable priority setting process (Jonathan Howell, Public Health England, and Sheela Upadhyaya, National Institute for Health Excellence, NICE)

(4) Medicaid expansion in Michigan:  patient and practitioner priority setting

(5) MCDA for setting priorities in health care


Day 2

Priority setting at the national level: a European comparison of drug adoption decisions

Professor Gillian Leng (Deputy Chief Executive, National Institute for Health and Care Excellence, UK): England and Wales

Professor Eckhard Nagel (Executive Director, Institute for Healthcare Management and Health Sciences, University of Bayreuth, Germany): Germany

Professor Werner Brouwer (Head of Health Economics and Institute for Medical Technology Assessment (HE-iMTA), Erasmus University Rotterdam, Netherlands): The Netherlands


Parallel sessions

Mathias Barra (University of Oslo, Norway): Sub-treatment balancedness is a necessary property for priority setting criteria

Colene Bentley (Canadian Centre for Applied Research in Cancer Control): The patient’s voice in public deliberation--reaching collective solutions on allocating resources for cancer drugs

Karen Calhoun (City Connect Detroit & Michigan Institute of Clinical and Health Research): Priorities of minority and underserved communities for health research: the effect of deliberation

Michele Castelli (Durham University): Setting healthcare priorities as a ‘wicked problem’: Insights from the policy analysis literature

Carole Cummins (University of Birmingham): Assessment of medical devices for the National Institute for Health and Care Excellence (NICE)

Christian Dingwall (Hempsons, UK): The legal challenges of priority setting – a practitioner’s perspective

Susan Goold (Institute for Healthcare Policy and Innovation, University of Michigan): What is the added value of deliberation about priority-setting?

Paul Healy (NHS Confederation): Contextual factors influencing decisions of value in health: a systematic review and narrative synthesis

David Hunter (Durham University): Shifting the Gravity of Spending? Priority-setting for local authority public health commissioners

Maarten Jansen (Radboud University Medical Centre, Nijmegen, The Netherlands): Prioritizing HIV treatment strategies in Sub-Saharan Africa: the need to incorporate health system constraints

Rashi Jhunjhunwala (King's College London): Why and how should we prioritize surgery on the global path to universal health care?

Yvonne Michel (University of Oslo): Diverging interpretations of items in generic preference-based HRQoL instruments: the example of mobility and SCI

Penelope Mullen (University of Birmingham): Are trust and security relevant to health service priority setting?

Rebecca O'Connor (Health Foundation, London): Integration isn’t a competition, collaborate for success

Donya Razavi (McMaster University, Canada): The Influence of priority setting framework health intervention on policymaking

Lindsey Realmuto (New York Academy of Medicine) Prioritize health! How should a hospital contribute to the health of the community it serves?

Ellen Rule (Gloucestershire Clinical Commissioning Group): Outcomes for Commissioning: the potential for capability wellbeing measures to support decision-making

Carl Tollef Solberg (University of Bergen, Norway): The disvalue of death and global burden of disease

Lisa Szymecko (Center for Bioethics and Social Sciences in Medicine, University of Michigan): Champions for priorities during deliberation

Addis Woldemariam (General Director, Ministry of Health, Ethiopia): Ethiopia on the path the universal healthcare

Juliana Yi (University of Toronto, Canada): The jurisdictional and organisational context of priority-setting for health technology assessment


Organised Session

Getting the most out of your budget – a roundtable discussion on how to set priorities in the English NHS (Sir Muir Gray (NHS Right Care) and Jenny Harlock (Health Services Management Centre, University of Birmingham))


Day 3

Ethics, health equity and universal health coverage: perspectives from low, middle and high income countries

Professor Paula Braveman (Professor of Family and Community Medicine and Director of the Center on Social Disparities in Health, University of California, San Francisco, US): Health inequalities and health equity, and their role in priority-setting

Professor Ole Frithjof Norheim (Professor, Department of Global Public Health and Primary Care, University of Bergen, Norway): Ethics, inequality and priority setting: a perspective from Ethiopia


Parallel sessions

Hareth Al-Janabi (Institute of Applied Health Research, University of Birmingham): Beyond the hospital bed? Including family health in economic evaluation

Rob Baltussen (Radboud University, Nijmegen, The Netherlands): Integrating values and facts the need for evidence-informed deliberative processes

Joanna Charles (Bangor University): Resource allocation decisions assessing respiratory care - programme budgeting marginal analysis in action

Marion Danis (National Institutes of Health, USA): Weighing competing commitments to disadvantaged populations within and outside national borders

Eli Feiring (University of Oslo): Restricting access to new cancer treatment: oncologists’ perceptions of legitimate limit-setting

Corinne Gower (Victoria University of Wellington): Does active performance management lead to health service better prioritisation and decision making?

Morten Magelssen (University of Oslo, Norway): Roles and responsibilities of clinical ethics committees in priority setting – facilitator or watchdog?

Craig Mitton (University of British Colombia): Priority setting and resource allocation in health care: lessons learned from Canada

Amanda Owen-Smith (University of Bristol): Priority setting at the micro level: decision-making in two different clinical contexts

Lars Schwettmann (Martin Luther University, Halle-Wittenberg, Germany): The Chimera of WTP for a QALY: inconsistencies of stated preferences in scenario variations

Mieraf Taddesse (University of Bergen, Norway): Out-of-pocket expenditure for  cardiovascular disease care in general and specialized hospitals in Addis Ababa, Ethiopia

Verina Wild (Ludwig-Maximilians-University, Munich, Germany): Weighing competing commitments to disadvantaged populations within and outside national borders


Organised sessions

What are your priorities? Involving service users and adding value to health research (Sandy Oliver (Institute of Education, University College London), Sally Crowe (Cochrane Priority Setting Methods Group), Katherine Cowan (James Lind Alliance), Angela McCullagh and Sabine Best (Marie Curie), Matt Westmore (National Institute for Health Research, NIHR))

Neoliberal epidemics: understanding how neoliberalism threatens health, and how to fight back (Lisa Garnham (Glasgow Centre for Population Health), Kate Pickett (Department of Health Sciences, University of York), Ted Schrecker (Durham University), Katherine Smith (Global Public Health Unit, University of Edinburgh))