Waiting Lists Are a Choice
Manage episode 476988050 series 3656229
The waiting list crisis plaguing public healthcare systems isn't just an administrative headache—it's causing clinical harm and unnecessary deaths. In this deep-dive conversation, experts Professor Lindsay Sales and Professor Andy Poh join host Mark Gordon to challenge the conventional wisdom that these backlogs are simply an inevitable consequence of publicly funded healthcare.
Drawing from their extensive experience across multiple healthcare systems, our guests reveal how waiting lists often function as deliberate rationing tools rather than unavoidable capacity issues.
The discussion introduces Professor Andy Poh's concept for a powerful framework (the "OPD" model), the value of data driven analysis (which is HSi's speciality) and analysis that shows why simply throwing more money at the problem rarely solves it, especially when structural issues remain unaddressed.
Most compelling is the real-world evidence that waiting lists can be dramatically reduced without additional funding. Mark shares how one London hospital slashed their surgical backlog by 70% while simultaneously performing 51,000 more procedures than planned—all through better capacity management and operational planning. And yes, using HSi Insight Platform - a revolution in predictive modelling and planning.
The conversation builds toward a vision of truly integrated healthcare where primary care is strengthened, clear clinical pathways guide patient journeys, and AI-powered predictive systems enable forward-looking resource allocation based on population health needs. For healthcare leaders, policymakers, and anyone concerned about improving patient access, this episode provides both immediate tactical solutions and a strategic roadmap for transforming healthcare delivery.
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Chapters
1. Waiting Lists Are a Choice (00:00:00)
2. Introduction to Waiting Lists (00:00:12)
3. Structural Issues vs Funding Problems (00:04:47)
4. Why Waiting Lists Persist (00:13:17)
5. Short-term Solutions for Backlogs (00:21:30)
6. Long-term System Integration (00:27:58)
7. Data-driven Planning and Future Solutions (00:33:19)
4 episodes