Rational decisions: the ethics of rationing in newborn intensive care. (360G-Wellcome-106587_Z_14_Z)

My aims are to: 1. Draw on my unique combination of clinical experience and philosophical training to rigorously analyse ethical questions involved in resource allocation in NICU 2. Develop recommendations on: a. Whether or how cost-effectiveness should be applied to life-sustaining treatment in NICU b. The development of thresholds for intensive care on the basis of resources c. Whether disability may be factored in to resource allocation decisions (compared with other factors such as ch ance or duration of survival) d. How resource allocation in NICU should compare with other settings (for example adults, developing countries) 3. Publish my findings in a series of 9 papers in leading medical and bioethics journals 4. Organise a conference in Oxford bringing together clinicians and ethicists to debate resource allocation for NICU; Edit a special issue of the Journal of Medical Ethics based on the conference 5. Publish a monograph on the ethics of resource allocation in NICU 6. Communicate my findings with clinicians, policy makers, politicians and the wider public through involvement in national policy development, public lectures, feature articles, editorials, media interviews, 7. Establish myself as a clinical academic and expert in NICU and medical ethics