I use research about the illnesses people have in my area to make sure that the health services we have are the right ones. Its no use our hospital being able to do 500 hip replacements if we only need 50. But not treating any broken legs!
We only have a fixed amount of money to spend on all the NHS services in my area, so sometimes we have to decide which services to spend money on, and which ones not to spend money on. Do we need more midwives to deliver babies, more x-ray machines, or more help for people to stop smoking? Or more IVF treatment?? Which is more important?
To do make decisions about which health services to spend money on, we look at science research about how well the different services work.
We also think about how serious an illness is (is it a heart attack, or a stubbed toe?)
We ask people what services they want (do you want to see doctor once a week, or look after yourself if you can?)
We also think about how much money different services cost (if one heart medicine costs £2 a day, and one costs £20 a day, but both work just as well, which one should doctors choose to give patients?)
One other thing to think about – I work in part of Essex that includes Colchester, Clacton-on-Sea and Harwich. A baby born into a family living near Clacton is likely to die 13 years before than a baby born 20 miles down the road. 13 years less life!! Is that FAIR? An important part of my job is trying to make that 13 year life difference smaller. The NHS helps people all live longer and healthier lives. But it also tries to make how healthy people are more equal.