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Spending reviews - Andrew Blazey, OECD

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This presentation was made by Andrew Blazey, OECD, at the 3rd Health Systems Joint Network meeting for Central, Eastern and South-eastern European Countries held in Vilnius, Lithuania, on 25-26 April 2019

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Spending reviews - Andrew Blazey, OECD

  1. 1. Session VI: Spending Reviews in OECD Countries Third Health Systems Joint Network Meeting for Central, Eastern and South Eastern European Countries 25 – 26 April 2019 Vilnius, Lithuania Andrew Blazey Public Governance Directorate, OECD
  2. 2. • Coverage: 45 questions on Performance Budgeting Spending Review Evaluation • Respondents mainly from central budget authorities • Response rate: 33 countries (out of 35) 2 OECD Performance Budgeting Survey
  3. 3. Spending Reviews 3 OECD Performance Budgeting Survey
  4. 4. 4 Spending Reviews Continued increase in number of countries conducting spending reviews Adoption of spending reviews (2011-2018)
  5. 5. 5 Spending Reviews Focus is moving away from short-term budget cuts to a more medium- term view on efficiency and an improved programme impact Main objectives of Spending Reviews over the past 10 years
  6. 6. 6 Spending Reviews Key result has been the reallocation of spending to match government priorities Main results of Spending Reviews over the past 10 years
  7. 7. 7 Spending Reviews Main challenges are the availability and quality of performance information
  8. 8. 1. Continued increase in number of countries conducting Spending Reviews 2. Focus is moving away from short-term budget cuts to – a more medium-term view on efficiency – improved programme impact – alignment of spending with government priorities 3. Main challenges are the quality and availability of performance information 8 Spending Review – Key Observations
  9. 9. 9 Special focus: Gender Indicators of cross cutting or thematic objectives in the budget (2018)
  10. 10. 10 Sustainable Development Goals are not yet systematically reflected in performance frameworks Reflection of SDG targets and indicators in national frameworks (2018)
  11. 11. Evaluation 11 OECD Performance Budgeting Survey
  12. 12. 12 Evaluation Conducted by health and other line ministries Governance of ex-ante and ex-post evaluation
  13. 13. 13 Evaluation Continues to have a limited budgetary impact How often are evaluation findings used during budget negotiations between the CBA and line ministries?
  14. 14. 1. Evaluations are mainly conducted by line ministries and agencies 2. Budgetary impact – Evaluation continues to have a limited budgetary impact – More influence on decentralised level (programmes) than at CBA 3. A big constraint is the lack of a formal mechanism to consider evaluation findings in the budget process 14 Evaluation – Key Observations
  15. 15. THANK YOU For more information: andrew.blazey@oecd.org

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