Use of programme budgeting and marginal analysis as a framework for resource reallocation in respiratory care in North Wales, UK.

ABSTRACT:

Background

Since the global financial crisis, UK NHS spending has reduced considerably. Respiratory care is a large cost driver for Betsi Cadwaladr University Health Board, the largest health board in Wales. Under the remit of 'prudent healthcare' championed by the Welsh Health Minister, a Programme Budgeting Marginal Analysis (PBMA) of the North Wales respiratory care pathway was conducted.

Methods

A PBMA panel of directors of medicines management, therapies finance, planning, public health and healthcare professionals used electronic voting to establish criteria for decision-making and vote on candidate interventions in which to disinvest and invest.

Results

A sum of £86.9 million was spent on respiratory care in 2012-13. Following extensive discussion of 13 propose

SUBMITTER: Charles JM 

PROVIDER: S-EPMC5072164 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature