and endoscopy. We are also staffing the facility with people who have expertise in our style of ‘executive health’ screening and diagnostics. This is a programme that is not simply about pushing people through the latest scanning technology on fishing trips to see what we can find; it is about evidence-based, individualised risk assessment and scientifically-driven screening of patients. Every clinical decision we take is evidence based. Every year at Mayo Clinic we go through the process of refining our protocols—each process is rigorously assessed, based on the outcomes it has produced in the previous year and the application of any new, relevant scientific knowledge. Procedures that are no longer valid or have been supplanted are discarded and ones proven to provide a better set of outcomes are adopted. The aim is to produce actionable findings. We want to be able to say to every patient: “This is what we have found, this is what we can do about it.” Another major benefit of this partnership is Oxford University Clinic’s intimate understanding of the legal, cultural and ethical frameworks of the British medical landscape. As we work on our protocols and procedures for the UK we have excellent guidance as to how to blend what we are bringing from the US with what is expected here. This has been a very collaborative process, which, as well as being exciting and rewarding, has also been a great deal of fun. Mayo Clinic Healthcare in partnership with Oxford University Clinic 15 Portland Place London W1B 1PT 020 3861 3934 mch-ouc.co.uk Prognosis—25
prognosis_issue06_PP1-27 PROOF01.indd 25
04/07/2019 10:38