Programme budgetting


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Programme budgetting

  1. 1. Dental Budget: Ring-fenced till April 2011 Learning Disability: Standalone 8-bedded inpatient unit with low occupancy decommissioned Vision: Business case to increase use of High Street Optometrists subject to adequate training New Integrated Community Based Service for Sexual Health, Pharmacy and GP LES FOCUS ON CONTINUAL IMPROVEMENT MAJOR RETHINK OF CURRENT PROVISION IMPROVE SERVICE OR PREVENTION TO IMPROVE OUTCOMES ACHIEVE SIMILAR FOR LESS? Programme Budgets in NHS Bedfordshire Cancer : Strategic focus on patient experience and reducing inequality
  2. 2. What is the message? <ul><li>An ideal resource allocation process has the following characteristics: </li></ul><ul><ul><li>Compare competing options then choose, not say ‘yes’ or ‘no’ to individual proposals as they arise </li></ul></ul><ul><ul><li>Have some way of checking if you are spending an unusually small or large amount of money in a particular area </li></ul></ul><ul><ul><li>Favour services that will have a material impact on outcomes </li></ul></ul><ul><ul><li>Have some way of monitoring those outcomes </li></ul></ul><ul><ul><li>Encourage stakeholders to think about ideas for saving money as well as spending money </li></ul></ul><ul><li>Programme budgets enables all of this </li></ul><ul><ul><li>Data from SPOT tool published by Department of Health and APHO </li></ul></ul>
  3. 3. This slide has had a visual impact <ul><li>First slide included in presentations at: </li></ul><ul><ul><li>East of England Public Health Conference </li></ul></ul><ul><ul><li>NHS Bedfordshire Mental Health Stakeholder Group </li></ul></ul><ul><ul><li>NHS Bedfordshire Engagement and Communications Group </li></ul></ul><ul><ul><li>NHS Bedfordshire Board Nov ‘09 and Jan ’10 </li></ul></ul><ul><ul><li>NHS Bedfordshire Strategy Committee </li></ul></ul>
  4. 4. This slide has had a visual impact <ul><li>Comments received on slide demonstrate that it has been influential: </li></ul><ul><ul><li>‘ This demonstrates that we need to have a serious discussion as to whether we are prepared to spend the large amount of additional money we are spending on dentistry’ </li></ul></ul><ul><ul><li>‘ Examining programme budgets… now that is truly strategic’ </li></ul></ul><ul><ul><li>‘ Fantastic, programme budgeting should become part of commissioning cycle’ </li></ul></ul><ul><ul><li>‘ Looking at programme budgets are the best way of mapping out pathways, and can be used in conjunction with Map of Medicine’ </li></ul></ul><ul><ul><li>‘ We can have a rational discussion as to what to invest and disinvest in’ </li></ul></ul>
  5. 5. How has this helped decision making? Examining the mental health programme budget <ul><ul><li>Scatterplot tool used to assess proposals within mental health programme </li></ul></ul><ul><ul><li>Using programme budgeting and marginal analysis, we have compared competing options within a programme budget </li></ul></ul><ul><ul><li>Services that have had a material impact on outcomes and are otherwise most valuable have been prioritised, using resources allocated from services deemed less valuable </li></ul></ul>
  6. 6. How has this helped decision making? <ul><ul><li>Bridge diagram for mental health programme budget </li></ul></ul><ul><ul><li>Stakeholders have engaged in ideas about saving money as well as spending money </li></ul></ul><ul><ul><li>By monitoring the outcomes in this programme budget, we will have a means of assessing the effect of allocation decisions </li></ul></ul>
  7. 7. Contribution to Public Health Competencies <ul><ul><li>The following competencies are the most related: </li></ul></ul><ul><ul><li>Support commissioning, clinical governance, quality improvement, patient safety, equity of service provision and prioritisation of health and social care services. </li></ul></ul><ul><ul><li>Influence the development of policies, implement strategies to put the policies into effect and assess the impact of policies on health. </li></ul></ul><ul><ul><li>Lead teams and individuals, build alliances, develop capacity and capability, work in partnership with other practitioners and agencies and effectively use the media to improve health and wellbeing. </li></ul></ul>
  8. 8. Appendix <ul><li>Contact details: [email_address] </li></ul><ul><li>Index: </li></ul><ul><ul><li>Slide 1: ‘Killer Slide’ </li></ul></ul><ul><ul><li>Slide 2: Criteria 1 (85 words) </li></ul></ul><ul><ul><li>Slide 3-4: Criteria 2 (130 words) </li></ul></ul><ul><ul><li>Slide 5-6: Criteria 3 (90 words) </li></ul></ul><ul><ul><li>Slide 7: Criteria 4 (76 words) </li></ul></ul>