Healthcare Science: Making it Happen - Risk
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Transcript of Healthcare Science: Making it Happen - Risk
Innovation: Managing Risk, Not Avoiding it
Sir Mark WalportChief Scientific Adviser to HM Government
• Wellbeing, health, security & resilience
• Knowledge translated to economic advantage
• The right science for emergencies
• Underpinning policy with evidence
• Advocacy and leadership for science
Government’s Chief Scientific Adviser
2 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: iStockphoto
GCSA Themed Annual Report
• Topic of report all pervasive in work as GCSA.
• Growth driven by science and innovation.
• Innovation to deal with global challenges (ageing populations, scarce resources, infectious diseases, carbon emissions).
• Innovation held back by poorly framed discussions about risk
• If governance of risk goes wrong, miss out on major potential benefits, or suffer needlessly.
3 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Where does risk come in?
Natural events
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Credit: National Museum of Health and Medicine, USA Credit: CDC/ Ethleen Lloyd
Where does risk come in?
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Human
Credit: 9/11 Photos/CC BY 2.0Credit: AP
National Risk Register
Effusive Volcanic eruption
Explosive Volcanic Eruption
Severe Space Weather
Public Disorder
Disruptive Industrial Action
Effusive Volcanic eruption
Explosive Volcanic Eruption
Severe Space Weather
Public Disorder
Disruptive Industrial Action
6 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
• Hazard
• Exposure
• Vulnerability
• Risk
• Uncertainty
• Threat
Using common principles about language to raise the level of
conversations
7 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Warren Photographic
Innovation has got us where we are
• Widespread electrification
• Improvements in healthcare
• Mass production systems
• Better transport links
8 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: A_Werdan/PD
Credit: Cavale Doom/CC BY-NC-ND 2.0 Credit: Cromemco/CC BY-SA 3.0 Credit: Greg Goebel/PD
We live in a challenging age
•Technological change
•Innovative generation
•Changing demographics
•Ageing
•Interconnectedness
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The innovative world we live in today
Credit: Pascal666/CC BY-SA 3.0
A growing global population requires innovation
10 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
The challenges we face include:
•Climate change
•Water security
•Food and agricultureCredit: Lindsey Bengtson/PD
Credit: יגאל שרגיאן /CC BY 2.5Credit: stockphoto
Forms of innovation and risks
1) High level of acceptance but who pays?
11 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: FluzoneCredit: Sponge/CC BY-SA 3.0
Forms of innovation and risks
2) Science meets values
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Credit: werktuigendagen/CC BY-SA 2.0
Credit: Peretzp/CC BY-SA 3.0
Forms of innovation and risks
3) My risk, your benefit
13 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Sunil060902/CC-BY-SA-3.0
Credit: istockphoto Credit: BBC
Forms of innovation and risks
4) Unintended consequences
14 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Dalbera/CC BY 2.0 Credit: istockphoto
Holding a Wider Conversation about Risk
• Risk – a societal issue
• Language
• Values and lenses
• Who benefits and who carries the risk
• Transparency
• Widening the conversation is a democratic necessity
15 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Focus Features
GMOs
•What organism?
•What gene?
•What purpose?
•The specific application – not the generic technology
Risk Discussions Require Specificity
17 Innovation: Managing Risk, Not Avoiding It, 17 March 2015
Credit: IRRI/CC BY 2.0
Credit: Rosalee Yagihara/CC BY 2.0 Credit: Sarah Usher/Rothamsted Research
The policy challenge: Viewing difficult issues through varied
lenses
Parkhill et al, Transforming the Energy System – Public Values, Attitudes and Acceptability, 2013 (UKERC)
18 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Thomas Shahan/CC BY-NC-ND 2.0
Science and Values: Mitochondrial DNA
• Human Fertility and Embryology Authority
• addresses policy issues relating to fertility regulation
• sometimes ethically and clinically complex
• Scrupulous care in assessing a wide range of data and evidence
• Comprehensive programme of public engagement
• Helped build trust in community at large
• Worked closely with legislators
19 Innovation: Managing Risk, Not Avoiding It, 17th March 2015
Credit: Bob Whitehead/CC BY 2.0
Regulatory challenges
• Economic regulation – A systems approach
• Asymmetric incentives
• Encrusted regulation
• Regulation when science meets values
20 Innovation: Managing Risk, Not Avoiding It, 17 th March 2015
Credit: Red Flag Act
Credit: iStockphoto
21 Innovation: Managing Risk, Not Avoiding It, 17 th March 2015
• Investment: Aligning national priorities for investment on resilience, infrastructure and innovation with an evidence and risk-based approach;
• UK coordination: Ensuring a more coherent and structured approach to assessing impact of risk in policy, regulation and crisis management;
• Regulators: Putting in place the right governance structures and incentives in relation to our regulators and regulated industries;
• Science-based EU: Rooting the approach to policy and decision-making in EU in robust scientific evidence.
STOP CONFUSING SCIENCE AND VALUES
Call to Action
Every effort has been made to trace copyright holders and to obtain their permission for the use of copyright material. We apologise for any errors or omissions in the included attributions and would be grateful if notified of any corrections that should be incorporated in future versions of this slide set. We can be contacted through [email protected].
@uksciencechief
www.gov.uk/go-science