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Making the right decisions in a complex world Canadian Health Workforce Conference Dr. Graham Willis Head of R&D, Centre for Workforce Intelligence
20

Making the right decisions in a complex world

Jun 10, 2015

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Health & Medicine

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Dr Graham Willis, Head of Research and Development, presented to the Canadian Health Workforce Conference on 21 October.
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Page 1: Making the right decisions in a complex world

Making the right decisions in a complex world

Canadian Health Workforce Conference

Dr. Graham WillisHead of R&D, Centre for Workforce Intelligence

Page 2: Making the right decisions in a complex world

Many years ago…

Page 3: Making the right decisions in a complex world

How many trained hospital doctors will we have by 2040?

increase60% T

WO

BIL

LIO

N2bn£

TW

O B

ILL

ION

Cost

Page 4: Making the right decisions in a complex world

How many do we need?

Do we trust this?

Trai

ned

hosp

ital d

octo

rs

(tho

usan

ds)

60

50

40

30

Year2014 2040

Supply

Demand

?

Page 5: Making the right decisions in a complex world

Policy

What if the future is not what we expect?

Failure

Megatrends

ProblemSystem

Events

Page 6: Making the right decisions in a complex world

Consider many futures…

TodayExpected

future

Use plausible, challenging and consistent futures to test policies

Page 7: Making the right decisions in a complex world

Robust workforce planning

Understand the system

Explore the future

Simulate the possibilities

Make robust decisions

Focal question

Transparent and participatory

Page 8: Making the right decisions in a complex world

Horizon scanning

Context

Issues

Factors

Events

ProbabilityImpactWorkforceStakeholder

Ideas bank System mapping

Page 9: Making the right decisions in a complex world

Scenario generationStakeholder workshops

Influencing factors

Keyfactors

Consistency check

Narrative scenarios

Quantified scenarios

Page 10: Making the right decisions in a complex world

Scenario generation workshopKey factors

Low

I

mpa

ct H

igh

Low Uncertainty High

Predetermined Key factors

Secondary

Page 11: Making the right decisions in a complex world

Scenario generation workshop

Population GDP growth Energy usage Carbonemissions

High

LowCA

B

Consistency analysis

Page 12: Making the right decisions in a complex world

Scenario generation workshop

Vary across different futures

Formal elicitation protocol

Monte Carlo simulation Prob

abili

ty

Value

Quantify critical parameters

Page 13: Making the right decisions in a complex world

Modeling and simulation

Demand side

OutputsSupply

side

Page 14: Making the right decisions in a complex world

Polic

y ou

tcom

es

Policy analysis

Today

Policy options: ABCD

Page 15: Making the right decisions in a complex world

Example PharmacyN

umbe

r of p

harm

acis

ts (f

ull-ti

me

equi

vale

nt)

2012

2014

2016

2018

2020

2022

2024

2026

2028

2030

2032

2034

2036

2038

2040

100,000

80,000

60,000

40,000

20,000

0

2012

2014

2016

2018

2020

2022

2024

2026

2028

2030

2032

2034

2036

2038

2040

100,000

80,000

60,000

40,000

20,000

0

2012

2014

2016

2018

2020

2022

2024

2026

2028

2030

2032

2034

2036

2038

2040

100,000

80,000

60,000

40,000

20,000

0

2012

2014

2016

2018

2020

2022

2024

2026

2028

2030

2032

2034

2036

2038

2040

100,000

80,000

60,000

40,000

20,000

0

Year

Scenario 1

Scenario 3

Scenario 2

Scenario 4

Page 16: Making the right decisions in a complex world

Example Future demand for skillsSk

ill h

ours

/Yea

r (B

illio

ns)

2012 2016 2020 2024 2028 2032 2036

Time (Year)

Probability: 80% 100%Central estimate:

Page 17: Making the right decisions in a complex world

Key points

What if the future is not what we expect?

Consider many futures Transparent and participatory approach

Page 18: Making the right decisions in a complex world

Stress testing

Page 19: Making the right decisions in a complex world

Contact details

Dr Graham WillisHead of Research and DevelopmentCentre for Workforce Intelligence, England

@

+44(0)7812 340 405

[email protected]

www.cfwi.org.uk | www.horizonscanning.org.uk

Page 20: Making the right decisions in a complex world

Making the right decisions in a complex world

Canadian Health Workforce Conference

Dr. Graham WillisHead of R&D, Centre for Workforce Intelligence