University of St Andrews

The Centre for Evidence and Values in Healthcare

Next event

5th February 2026 

Screening – it’s complicated. The science, evidence and practice of screening for disease

                 

    FULLY BOOKED – waiting list only

What we do 

We exist to help people make better decisions about healthcare. We do this in several ways:

  • Events and resources to empower people using and working in and around healthcare

A mix of in-person, hybrid and online events to address areas of challenge in medicine using critical thinking and analytical skills in a multidisciplinary environment. These sessions aim to strengthen how we ask and answer questions more robustly, and to be helpful to decision-making – which is often taken under a great deal of pressure. We aim to build a community of people – professionals, policymakers, patients, academics and researchers – to support each other and work together in aligning values and practice. Throughout the year, we will produce reports summarising each meeting and compiling resources for ongoing use.

  •  Support policymakers

We want to work with policymakers to distil evidence into user-friendly applications, for example, on robust ways of handling conflicts of interest, or ways to upskill in critical appraisal of evidence. 

  •  Research

We will continue to research in the area of conflicts of interest in healthcare (please see our policy document). We are currently developing an educational resource, initially for undergraduates, and completing a scoping review.

What we are interested in

We are interested in the ways that evidence is sought, created, used, described and applied, and the values that underpin these. By exploring how we think about evidence and professional values together, we hope to offer ways to think about medicine in society – and make better decisions on what we do, and why. We will not tell people what to think – but we hope, that we can help with how to think about these issues.

We are interested in both the day- to- day work of health professionals and the big picture of how medicine operates in society. This includes issues such as  conflicts of interest, commercial advertising and sales of medical interventions, and how professionals communicate risks, benefits, and trade-offs to patients. We care about what drives actions and inactions—why we diagnose conditions, order tests, or choose to initiate or avoid treatments. In particular, we are concerned about bias, especially commercial bias. Biases may stem from connections between health professionals and the pharmaceutical industry, or healthcare companies, but are also linked to the commercial determinants of health, like alcohol, tobacco, food, and transport.

What we research 

Our current research focus is on conflicts of interest. We start from the premise that transparency in healthcare is important, but on its own it will not fix the problems that conflicts create. We aim to develop and test ways to fairly inform people about healthcare interventions that actually can protect patients – and healthcare systems – from the harms that conflicts cause. We also want to find effective, efficient ways that enable people to make and understand their own potential conflicts. We are creating an educational resource, based on this work, that we will test and make freely available.

We are also researching the impact of our programme of meetings in the Centre, and we will publish the results.

In addition, we supply policy briefings and documents on key areas relating to evidence and values in health care. We also have capacity for some commissioned work.

Whether you are a healthcare professional, policymaker, patient, or journalist, we hope you can join us: please sign up to receive information and news about our publications and events.

 

The Centre for Evidence and Values in Healthcare is funded by the Della Fish Foundation and aims to become a self-sustaining centre.

Donations are welcomed to support the work of the Centre and can be made here.

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