Emeritus of Health Impact Analysis
15-17 Tavistock Place
I took up the newly-created chair in Health Impact Analysis at LSHTM on October 1 2000, leaving the Open University where I had been a member of the Faculty of Social Sciences since 1976. While at the OU I designed and ran the multi-media courses on RISK (from the late seventies) and PROFESSIONAL JUDGMENT AND DECISION MAKING (from the late eighties). My early qualifications were in history and economics at the University of Canterbury, New Zealand and I went on to merge these disciplines in doctoral work (at the Australian National University) and subsequent lecturing in economic development and economic history (at ANU, Kent and Durham). What had been side interests in accidents, gambling and health eventually took over and led to full time involvement with risk and judgment in health decision making and to involvement with both clinical decision analysis and cost-utility analysis in health care. I was a founder member of the Health Economists Study Group and, less well known, the Society for the Study of Gambling. I was a member of the Appraisals Committee of NICE for 10 years. I formally retired in 2003 but remain active in the School and University of Sydney School of Public Health (Honorary Professor) and Faculty of Health Sciences, University of Southern Denmark (Adjunct Professor in Multi-Criteria Decision Analysis) , mainly in connection with the implementation of Multi-Criteria Decision Analysis- based decision support in both individual/clinical and group/policy contexts.
My current work is on the development and evaluation of decision support tools based on Multi-Criteria Decision Analysis, designed to facilitate more equal balancing of intuition and analysis in health decision making, whether it be in the community setting of screening, the clinical setting of the doctor-patient consultation or the macropolitical setting of health and non-health sector policies, programmes and projects. Clarifying the ways in which such decision tools should be evaluated - and establishing that the principles appropriate for decision evaluation (in medicine or public health) are very different from those appropriate for knowledge evaluation ('science', whether it be biophysical, epidemiological or social) - is a major pre-occupation.