Think Tank


Social Value and Integrated Care

We worked with the Hillingdon4All voluntary sector consortium to devise a shared outcomes assessment framework underpinned by concepts of social value, such as social capital.  The framework provides the structure to measure and evaluate the impact of prevention and empowerment interventions for a broad range of service users, along with associated healthcare savings, in order to meet the requirements of NHS Hillingdon Clinical Commissioning Group (CCG) in the context of the Whole System Integrated Care programme.

In association with Uscreates.


NICE Citizens Council and Social Value

The National Institute for Health and Care Excellence (NICE) is reviewing the social value judgement principles which underpin their decisions on how health and social care resources are allocated. Catherine worked with the Research and Development Team and the Citizens Council to explore and articulate what we mean by equity and efficiency in this context and what other values should shape NICE’s approach, such as dignity, compassion, right to life, intergenerational fairness and autonomy.

You can read the previous edition here: Social Value Judgements: Principles for the Development of NICE Guidance (2nd edition, 2008).


Read more about the Citizens Council meeting in May 2014 and the public consultation on social values here.


Valuing the Environment

The Ethics of Sustainable Health and Social Care

As the first stage of an ‘inquiry’ into the economic and ethical implications of accounting for carbon in health and social care funding decisions, we co-hosted an expert seminar, funded by SCIE and in association with health think tank The King’s Fund. Leading health economist John Appleby and Professor of Philosophy Jonathan Wolff addressed a high-profile audience of academics, policy-makers and practitioners. The event was chaired by Michael Parker, Professor of Bioethics and Director of Ethox, the multidisciplinary bioethics research centre at the University of Oxford.

With additional funding from the Department of Health, we began to develop a framework for decision-making which addresses the ethical challenges posed by a sustainable development approach to health and social care. This work spans health and environmental inequalities, intergenerational justice, and how to weight different social values in funding and policy decisions. Following an invitation-only seminar held at DH, we published The Ethics of Sustainable Health and Social Care: Towards a Framework for Decision-making.

This work is ongoing. Contact Catherine if you are interested in getting involved.


Low Carbon Innovation and the NHS

Knowledge Transfer Workshops for Small and Medium-Sized Enterprises

Catherine worked with the Anglia Ruskin University’s Global Sustainability Institute (GSI) to design a series of knowledge transfer workshops for SMEs to support innovation in the East of England, focusing on the NHS supply chain and low carbon. 

Funded by the European Regional Development Fund.

Global Sustainability Institute


Climate Change, Risk and Resilience

Lessons for Health and Social Care

  • What are the risks posed by climate change to health and social justice, and how widely are they understood?
  • Do the scale and timeframe of climate change lead to paralysis instead of action?
  • What can we learn from risk management strategies in different sectors and how can we share this learning?

Intrigued by responses to risk in general and climate change in particular, we brought together experts from a wide range of sectors including health, social care, planning, security, transport and the insurance industry. This symposium was organised in connection with two major research projects under the auspices of the EPSRC Adaptation and Resilience in a Changing Climate (ARCC) programme:

Sarah Curtis
Alan Short


Environmental and Financial Sustainability in Health and Care

We contributed to a major scoping review by the King’s Fund to research what is known about environmental sustainability in health and social care and how action on sustainability can support the quality, productivity and prevention agendas.

Sustainable Health and Social Care: Connecting Environmental and Financial Performance (King’s Fund) makes the case to policy-makers for systemic change.

Environmentally Sustainable Health and Social Care: Scoping Review is a more detailed version of the report, published by the National Institute for Health Research (NIHR) in association with SCIE. It focuses specifically on the question of what research is needed to support the development of environmentally sustainable health and social care in the future and provides a framework for coordinating future research.

Chris Naylor


Listen to Chris Naylor sharing highlights from the King’s Fund’s research via this audio slideshow.