Efficiency To Influence Prescribing Allocation In UK

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Allocations £000's St.Helens Health and Wellbeing Board

The prescribing budget has been set at 2014/15 out-turn (based on month 10 prescribing data) plus a net 1% uplift (5% inflation less 4% efficiency), once again in recognition of uncontrollable cost pressures outside of the CCG s direct influence such as national drug price increases as well as volume increases.

A Correlative Study on International Healthcare System

in the United Kingdom, many people being treated for chronic pain felt that one or many of these variables had a significant effect on their experiences with treatment6. The ideas mentioned within the UK study can also be applied more broadly, and to the United States. Physician education and training, resource allocation, coverage for

Annual Report - ScotPHN

share their learning in relation to improving quality and efficiency. The QPO led the refresh of the NHSScotland Efficiency and Productivity Framework through the development of the 2020 Framework for Quality, Efficiency and Value, a dynamic web-based resource that provides practical tools and guidance to support NHS Boards.


acknowledges that progress has been made in GP prescribing efficiency savings, the Audit Office report points out that there is scope for further improvement in that area. I would like to take you to figure 2 on page 11 of the report, which gives a comparison of prescribing costs from 2007 and 2013, showing that spend here was higher.


including volume being stable and efficiency requirements for 2016/17. The resultant GIC allocation for 2016/17 was £17.6million. To September, Moray currently has an overspend of £0.2 million overall on prescribing and the forecast overall over spend is currently £0.4million (currently +2% estimated increase on expenditure to year end).

Variations in Lengths of Stay and Rates of Day Case Surgery

variations largely reflect the influence of local differences in facilities and services and the organisation of care at a hospital level, as well as the independent effects of differences in clinical practice style. The main rationale for advocating a reduction in length of stay and increased use of day surgery is to increase efficiency by

Present and future configuration of health and - GOV.UK

In England, the largest financial allocation from the Treasury is to healthcare (£107 billion), with nearly half that figure allocated to acute and emergency care, 30% to primary care and 10% equally to community care, mental health and prescribing (NHS England and BMJ, 2014).

Chapter 3: A review of the health resource allocation

Capitation methods are used for equity and efficiency reasons, although it is equity which is prominent in public health systems controlled by central governments. Thus, all UK resource allocation formulae operate on the principle of fairness or equity. They have the objective of equalising access to health care for equal need.

The Economics of Health Care - Office of Health Economics

the demand for health care. Countries like the UK have an ageing population. Elderly people require more health care than other age groups. For instance, in 1998/99, 39% of NHS hospital and community health services expenditure was used for treating people aged 65 and over, even though they are only 16% of the total population.

IMO Submission to the Oireachtas Committee on the Future of

found to influence pharmacy prescribing above clinical evidence. 17 There is no evidence that patient outcomes are improved by transferring tasks to other healthcare professionals in the community. Recommendation No. 1 The IMO is calling on the Department of Health and the HSE to agree a strategy with the IMO for

Strategy for General Practice in Devon

6 Background This strategy sets out our ambition and vision for general practice over the next five years (2019-2024). It describes how we will support GP practices in Devon to provide accessible and coordinated care, with


enhance efficiency are prohibitive. It is important to maximize the possibility of generalizing results from one setting to another. The approach of generalized CEA (GCEA) proposed in this Guide seeks to provide analysts with a method of assessing whether the current mix of interventions is efficient as well as whether a proposed new technology or


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Long-Term Plan Long-Term Plan The NHS Long Term Plan Long

#NHSLongTermPlan www.longtermplan.nhs.uk Contents THE NHS LONG TERM PLAN OVERVIEW AND SUMMARY CHAPTER 1: A NEW SERVICE MODEL FOR THE 21ST CENTURY 1. We will boost out-of-hospital care, and finally dissolve the historic divide between primary and community health services A new NHS offer of urgent community response and recovery support

Volume 4, number 2 Sponsored by an educational grant from Aventis

resource allocation, broken down into meaningful programmes, with a view to tracking future resource allocation in those same programmes.1 Marginal analysis is the appraisal of added benefits and added costs when new investment is proposed (or lost benefits and lower costs when disinvestment is proposed), in an incremental way.1

Optimising trial designs to identify appropriate antibiotic

antibiotic prescribing for conditions for which antibiotics are often unnecessary [7 10]. Moreover, the duration of antibiotic courses can often be reduced without signifi-cantly compromising cure rates [11 15]. Shortening antibiotic duration can have a large impact on reducing exposure of bacteria to antibiotics, including bacteria

Community Variations in lengths of day surgery: implications

budgeting and resource allocation. Assessing quality requiresthatattention is given to patient acceptability and satisfaction as well as to the monitoringof clinical outcomes. Animportantfeature ofhealth service activity is the variation whichoccursbetweengeographical areas and between individual clinicians. This

Rational Use of New Medicines - International Society for

Cost per QALY Threshold - UK Cost < £20K probably yes Cost £20-30K maybe Cost >£30K probably not Thresholds are a matter of choice Higher would maybe bankrupt NHS (or even UK!) Lower would restrict access to treatment further Other countries have different (lower) thresholds

Greater Glasgow and Clyde NHS Board JB Russell House

To answer your question around percentage efficiency savings, I can confirm that in the 2017/18 budget, the target was 3% of the total budget of £3.1bn or 5.6% of the baseline allocation from which savings can be made - £2.1bn. For 2018/19 the figure is 3% of the total budget of £3.2bn or

Framework for commissioning community nursing

wellbeing gap, the care and quality gap and the funding and efficiency challenges in the context of rising demand and resources focussed on hospital care. Despite the intended transfer of care closer to or at home there has been only a 0.6% increase in the number of nurses working in the community over the past ten years. (1 p. 30)

Predictors of primary health care pharmaceutical expenditure

and allocation Paschal N. Mujasi1* and Jaume Puig-Junoy2 Abstract Background: There is need for the Uganda Ministry of Health to understand predictors of primary health care pharmaceutical expenditure among districts in order to guide budget setting and to improve efficiency in allocation of the set budget among districts.

Capturing the potential of pay-for-performance within

influence provider behavior In financing policy, we aim for active or strategic purchasing: Linking the allocation of resources to information on provider performance or population health needs Seek to promote efficiency, use of desired services, and quality

June 2015 An Introduction and Background to Value in - HFMA

In the UK achieving value is a high priority for managers and politicians. A combination of safety concerns, demand for health services and financial constraints has led to the current focus on value. Value for money has generally been understood, in the UK public sector, as the three Es: economy, efficiency and effectiveness.

Nurse prescribing of medicines in Western European and Anglo

In the United Kingdom, an important additional fea-ture of supplementary prescribing is formed by the col-laboration between the independent and supplementary prescribers in drawing up a Clinical Management Plan which needs to be approved by the patient before imple-mentation [15,16]. Supplementary prescribing is also

Calculative Measures of Organising and Decision-Making in

unintended consequences when the calculative logic of development accounting, prescribing a neoliberal resource allocation mechanism (claiming rural empowerment, participation, local accountability and performance evaluation), encountered the rural cultural-political logic.

Lippi Bruni Nobilio Ugolini WP - COnnecting REpositories

including aspects such as quality, efficiency and equity, is deemed to depend largely on workers' motivations. While it has been recognised that remuneration can influence GP behaviour, there are also counter-balancing arguments in line with those previously discussed [Gosden et al., 2001]. In particular, ethical values may dilute the

AGENDA ITEM NO: 2 Inverclyde - library.nhsggc.org.uk

relation to prescribing of medicines within our CHCP. 2.0 SUMMARY : 2.1 Prescribing is an area of activity, key to the operational and financial efficiency, and clinical effectiveness of healthcare organisations. Decision-making occurs within a complicated environment


Published by European Centre for Research Training and Development UK (www.eajournals.org) 3 ISSN 2054-0930 (Print), ISSN 2054-0949 (Online) and the deliverables under the contract. It includes an exchange of offers, concessions and bargaining. For collaborative relationships the focus is on gaining a win-win solution, while for

Understanding quality in district nursing services

Prescribing Pressure area care (to prevent the development of pressure ulcers) Referral to other services Risk assessment Skin care Urinary catheterisation and ongoing catheter care Wound care Source: Adapted from The Queen s Nursing Institute 2009

Approaches to capitation and risk adjustment in health care

countries. It was commissioned as part of the fundamental review by UK Ministers of the formula used to allocate health care finance to local areas in England, being carried out under the auspices of the Advisory Committee on Resource Allocation (ACRA). The study was commissioned in February 1999 and completed in May 1999. It was informed by a


Prescribing allocation £19 mill £16.2 mill £27.0 mill change to improve the efficiency and safety of systems and processes. change/influence prescribing to

Leadership and engagement for improvement in the NHS

NHS needs to deliver unprecedented efficiency savings over many years. We attach particular importance to leadership across systems of care to support greater integration of services around the needs of patients and populations. Leadership across systems is significantly under-developed in the NHS and must become a higher priority.

Department of Health and NHS England - NAO

[email protected] in 2016. 020 7798 7819 Mike Newbury Financial Audit Director, Department of Health group audits [email protected] 020 7798 5468 If you are interested in the NAO s work and support for Parliament more widely, please contact: [email protected] 020 7798 7665

Caithness General Hospital NORTH HIGHLAND COMMUNITY www.show

Presentation on Prescribing Findlay Hickey gave the background to how prescribing savings have been achieved and gave an overview of prescribing in the North Highland CHP. Prescribing Efficiency Savings :- ♦ ensuring tax payer gets best choice and quality ♦ adopting best practice and reducing inappropriate prescribing

Aris Angelis and Panos Kanavos Multiple Criteria - core.ac.uk

used widely to improve efficiency in resource allocation is Health Technology Assessment (HTA). The use of HTA has expanded significantly over the past 20 years and it is now used to assess and appraise the value of new medical technologies as well as inform coverage decisions.

Frank Windmeijer DoB: Contact: Positions: Centre for

Efficiency comparisons for a system GMM estimator in dynamic panel data models , in R.D.H. Heijmans, D.S.G. Pollock and A.Satorra (eds.), Innovations in Multivariate Statistical Analysis, A Festschrift for Heinz Neudecker (2000), Advanced Studies in Theoretical and Applied Econometrics, vol. 36, Dordrecht: Kluwer Academic Publishers.

CHP Prescribing Adviser Job Description - apply.jobs.scot.nhs.uk

Prescribing allocation £19 mill £16.2 mill £27.0 mill recommendations and support in order to influence policy and service changes efficiency savings

The HEAT trial: a protocol for a multicentre randomised

results that will inform and influence the prescribing of paracetamol. It will also determine if a large-scale Phase III trial of paracetamol is required in this patient group and whether such a trial is feasible. Trial registration: Australian and New Zealand Clinical Crit Care Resusc 2012; 14: 290 296 Trials Registry (ACTRN12612000513819).

Glasgow City CHP Item No. 12

Prescribing expenditure for April to May 2013 was £19.03 million in line with prescribing allocation expectation. Prescribing position and current issues A number of medicines in short supply with subsequent increases in prices. Changes in prescribing practice due to recent MHRA alerts and new