Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Expenditure and Programme Budgeting


Documents

The main locally produced documents which include information on expenditure and programme budgeting and marginal analysis (PBMA) are as follows:

Hull JSNA Toolkit
PBMA Coronary Heart Disease 2009/10
PBMA Stroke 2009/10
PBMA Cancer 2009/10
PBMA Chronic Obstructive Pulmonary Disease 2009/10
PBMA Diabetes 2009/10
PBMA Mental Health 2009/10
PBMA Children and Young People 2009/10
PBMA Primary and Community Care 2009/10

The Yorkshire and Humber Public Health Observatory have also produced information on expenditure and outcomes for Hull as follows:

PBMA Hull 2011/12
PBMA Hull 2010/11
PBMA Hull 2009/10
PBMA Hull 2008/09
PBMA Hull 2007/08

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Reallocation of Resources

Reallocation of resources requires information about the expenditure of health programmes and outcomes in order to assess whether it would be worthwhile reallocating the resources from one health area to another. The disease-specific Hull JSNA Toolkit reports include information on expenditure and outcomes as well as techniques to reallocate resources, and information on predictive modelling used to reallocate resources locally.

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JSNA Toolkit

Expenditure and Programme Budgeting is given in the disease-specific Hull JSNA Toolkit reports for the main diseases. These include:

All cancers, as well as individually for:

Breast cancer
Lung cancer

Cardiovascular/circulatory disease, including:

Atrial fibrillation
Coronary Heart Disease (CHD)
Stroke

Dental health
Diabetes
Learning disabilities
Mental Health
Respiratory disease, as well as individually for:

Asthma
Chronic Obstructive Pulmonary Disease (COPD)

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Programme Budgeting

Programme Budgeting is a well-established technique for assessing investment in health programmes rather than services. It can provide an overall view of how Hull PCT expenditure (from Department of Health Programme Budgeting information) and health outcomes compare with other PCT's in England, and to identify programmes that may require further investigation. Quadrant charts are given in the disease-specific Hull JSNA Toolkit reports which plot expenditure and outcomes (in standardised units) for different disease areas.

There are specific programme budgeting and marginal analysis reports for 2007/08, 2008/09 and 2009/10 for the following diseases or services:


Cancer

PBMA Cancer 2009/10
PBMA Cancer 2008/09
PBMA Cancer 2007/08


Children and Young People

PBMA Children and Young People 2009/10
PBMA Children and Young People 2008/09
PBMA Children and Young People 2007/08


Chronic Obstructive Pulmonary Disease (COPD)

PBMA Chronic Obstructive Pulmonary Disease 2009/10
PBMA Chronic Obstructive Pulmonary Disease 2008/09
PBMA Chronic Obstructive Pulmonary Disease 2007/08


Coronary Heart Disease (CHD)

PBMA Coronary Heart Disease 2009/10
PBMA Coronary Heart Disease 2008/09
PBMA Coronary Heart Disease 2007/08


Diabetes

PBMA Diabetes 2009/10
PBMA Diabetes 2008/09
PBMA Diabetes 2007/08


Mental Health

PBMA Mental Health 2009/10
PBMA Mental Health 2008/09
PBMA Mental Health 2007/08


Primary and Community Care

PBMA Primary and Community Care 2009/10
PBMA Primary and Community Care 2008/09
PBMA Primary and Community Care 2007/08


Stroke

PBMA Stroke 2009/10
PBMA Stroke 2008/09
PBMA Stroke 2007/08

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PBMA Pilot Project

The Yorkshire and Humber Public Health Observatory (YHPHO) led a Programme Budgeting and Marginal Analysis (PBMA) pilot project in NHS Hull with diabetes (among persons aged over 16 years) chosen as the area of care. The aim of the pilot was to test the model of PBMA at the micro level (within the diabetes programme budget of Hull PCT) as proposed in a seven stage process. Details are given within Hull JSNA Toolkit: Diabetes and Diabetes Equity Audit.

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Predictive Modelling

Some of the topic-specific Hull JSNA Toolkit reports include other information on predictive modelling and a number of approaches and models involving prioritisation of resources. These include the asset approach, use of a local model, scenario generator, work undertaken by Price Waterhouse Cooper and work undertaken by John Hampson an external consultant. Predictive modelling with sensitivity analyses were also undertaken with life expectancy and smoking with the intention of examining this in relation to potential changes to resource allocation.

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