Using the EQ-5D as a performance measurement tool in the NHS

In a landmark move, the UK Department of Health (DH) is introducing the routine use of Patient Reported Outcome Measures (PROMs) as a means of measuring the performance of health care providers in improving patient health. From April 2009 all patients will be asked to complete both generic (EQ-5D) and condition specific PROMs before and after surgery for four elective procedures; the intention is to extend this to a wide range of other NHS services. The aim of this paper is to report analysis of the EQ-5D data generated from a pilot study commissioned by the DH, and to consider the implications of the results for their use as performance indicators and measures of patient benefit. The EQ-5D has the potential advantage in the context of PROMs of enabling comparisons of performance across services as well as between providers; and in facilitating assessments of the cost effectiveness of NHS services. We present two new methods we have developed for analysing and displaying EQ-5D profile data: a Paretian Classification of Health Change, and a Health Profile Grid. Using these methods, we show that EQ-5D data can readily be used to generate useful insights into differences between providers in improving overall changes in health; results are also suggestive of striking differences in changes in health between surgical procedures. We conclude by noting a number of issues that remain to be addressed in the use of PROMs data as a basis for performance indicators

The distributional effect of the 2008 Pre-Budget Report

The Pre-Budget Report given by the Chancellor on 24th November 2008 contained a number of changes to the tax and benefit system to come into effect at various points over the next three years. This briefing note expands on the information provided at a briefing given by IFS researchers on the day after the Pre-Budget Report1. It gives details of the changes to taxes, benefits and tax credits directly affecting households, and the total distributional impact of measures announced in PBR 2008 together with pre-announced changes, by income and expenditure decile and household type, at three points in time – January 2009, April 2009 and April 2011. It also discusses what PBR 2008 does to our impression of all tax and benefit changes under this Government. Finally, it discusses what PBR 08 did for child poverty in 2010/11 and the likely effects of the income tax changes for those earning more than £100,000 a year

First Principles LCGO Calculation of the Magneto-optical Properties of Nickel and Iron

We report a first principles, self-consistent, all electron, linear combination of Gaussian orbitals (LCGO) calculation of a comprehensive collection of magneto-optical properties of nickel and iron based on density functional theory. Among the many magneto-optical effects, we have studied the equatorial Kerr effect for absorption in the optical as well as soft X-ray region, where it is called X-ray magnetic linear dichroism (X-MLD). In the optical region the effect is of the order of 2\% while in the X-ray region it is of the order of 1\% for the incident angles considered. In addition, the polar Kerr effect, X-ray magnetic circular dichroism (X-MCD) and total X-ray absorption at the L$_{2,3}$ edges, soft X-ray Faraday effect at the L$_{2,3}$ edges have also been calculated. Our results are in good agreement with experiments and other first principles methods that have been used to calculate some of these properties.Comment: 22 pages RevTex. 8 figures submitted separately as a uuencoded, compressed tar fil

Loss tolerant linear optical quantum memory by measurement-based quantum computing

We give a scheme for loss tolerantly building a linear optical quantum memory which itself is tolerant to qubit loss. We use the encoding recently introduced in Varnava et al 2006 Phys. Rev. Lett. 97 120501, and give a method for efficiently achieving this. The entire approach resides within the 'one-way' model for quantum computing (Raussendorf and Briegel 2001 Phys. Rev. Lett. 86 5188–91; Raussendorf et al 2003 Phys. Rev. A 68 022312). Our results suggest that it is possible to build a loss tolerant quantum memory, such that if the requirement is to keep the data stored over arbitrarily long times then this is possible with only polynomially increasing resources and logarithmically increasing individual photon life-times

Technology transfer - A selected bibliography

Selected bibliography on technology transfe

Computational power of correlations

We study the intrinsic computational power of correlations exploited in measurement-based quantum computation. By defining a general framework the meaning of the computational power of correlations is made precise. This leads to a notion of resource states for measurement-based \textit{classical} computation. Surprisingly, the Greenberger-Horne-Zeilinger and Clauser-Horne-Shimony-Holt problems emerge as optimal examples. Our work exposes an intriguing relationship between the violation of local realistic models and the computational power of entangled resource states.Comment: 4 pages, 2 figures, 2 tables, v2: introduction revised and title changed to highlight generality of established framework and results, v3: published version with additional table I