Response to A First Class Service - a
consultation document
Radical Statistics Health Group
In general, we see many positive developments in NHS statistics,
arising from the more open approach to government. Thus we are
pleased to see that the documents proposing clinical effectiveness
indicators give a full account of the methods used to construct
them and that these include age adjustment and attaching
confidence intervals to rates.
On the other hand, we are concerned at the way single indicators
are used as proxy measures for a much wider range of population
characteristics and NHS activities and at the use of 'league
tables' to rank them. Related to this is the questionable value of
collapsing indicators into 'composites'. As similar processes are
being abandoned for motions to political conferences they should
also be dropped in the compilation of statistics.
A major concern is the need for investment to improve the
quality and relevance of statistics and the need to relate data
about care provided to the socio-economic circumstances of the
individual people receiving it, not simply to the areas in which
they live.
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