Programme Budgeting in NHSScotland
A disaggregation of NHSScotland activity and costs by 23 diagnostic categories.
Appendix A
Table A1: Estimated cost by programme and sector NHS Scotland 2011/12
Table A2: NHSScotland Programme budgeting analysis - 2011/12 - Inclusion/Exclusions
| Service/Area | Data Source | Inclusions/exclusions | Additional notes |
|---|---|---|---|
| Acute Services | 2011/12 SMR01 IRF costed data extract1 | SMR01 IRF costed data extract is based on costs per episode. The following exclusions were applied to the SMR01 IRF costed file for the programme budgeting analysis: Activity at non NHS locations, Activity at NHS locations costed with national average costs, Discharges after end of financial year, Special Care Baby Unit. The IRF dataset includes Golden Jubilee and NSD funded services aswell as Younger physically disabled and rehabilitation activity. Non-elective activity is reported separately under Accident and Emergency. | Any difference between the SMR01 IRF costed file and the Costs Book was apportioned based on the distribution of the SMR01 based PBC data. |
| Geriatric Long Stay | 2011/12 SMR01_E IRF costed data extract2 | SMR01_E IRF costed data extract is based on costs per episode. The following exclusions were applied to the SMR01_E IRF costed file for the programme budgeting analysis: Activity at non NHS locations, Activity at NHS locations costed with national average costs, Discharges after end of financial year. The IRF dataset includes any applicable NSD funded services. | Total cost in the IRF costed file for GLS is approximately 20% lower than those reported in the costs book because of the current resident issue. For GLS the national dataset is discharge based and therefore current residents are not captured under-estimating activity and hence costs. GLS activity has been costed using unit tariffs calculated with Costs Book activity as the denominator to avoid over-costing of the activity that is in SMR01. Any difference between the SMR01_E IRF costed file and the Costs Book has been apportioned based on the distribution of the SMR01_E based PBC data. |
| Maternity Services | Costs Book | Includes Special Care Baby Unit. | |
| Mental Health & Learning Disabilities | SMR04 IRF costed data extract3 | SMR04 IRF costed data extract based on costs per episode . The following exclusions were applied to the SMR04 IRF costed file for the programme budgeting analysis: Activity at non NHS locations, Activity at NHS locations costed with national average costs, Discharges after end of financial year, Special Care Baby Unit, State Hospital. The IRF dataset includes Golden Jubilee and any applicable NSD funded services. | For some SMR04 sites the calculated length of stay for financial year is much greater than the occupied bed days reported in the Costs Book. The Data Support & Monitoring Team continues to work with Boards to improve the completeness and quality of data (see ISD SMR completeness website http://www.isdscotland.org/Products-and-Services/Hospital-Records-Data-Monitoring/SMR-Completeness/ ) Any difference between the SMR04 IRF costed file and the Costs Book has been apportioned based on the distribution of the SMR04 based PBC data. |
| Outpatient Services | 2011/12 Costs Book | Excludes A&E which is reported separately. | Other PBC category includes less specific specialties – e.g. General medicine |
| Accident and Emergency | SMR01 IRF costed data extract (non-elective patients only)1 | Includes non-elective activity from the SMR01 IRF costed data extract. The following exclusions were applied to the SMR01 IRF costed file for the programme budgeting analysis: Activity at non NHS locations, Activity at NHS locations costed with national average costs, Discharges after end of financial year, Specal Care Baby Unit. The IRF dataset includes Golden Jubilee and any applicable NSD funded services as well as Younger physically disabled and rehabilitation activity. | |
| Community | 2011/12 Costs Book | The Other PBC category will include Community Midwifery, Community Psychiatric teams, Learning Disabilities services and Community Nursing and Health Visiting teams. | All community expenditure reported in the 2011/12 Costs Book has been allocated to the Other PBC category, except community dental (Report R820) which can be explicitly identified. |
| Pharmaceutical Services | 2011/12 Prescribing Cost analysis and 2011/12 Costs Book | Hospital prescribing excluded – already included in Acute Services costs. | The Other PBC category includes dressings etc. |
| GMS | 2011/12 PTI estimates of GP Practice consultations; 2011/12 Costs Book | ||
| Dental | 2011/12 Costs Book | ||
| Ophthalmic | 2011/12 Costs Book | ||
| IRF 2011/12 mapping project. 2011/12 costed file for SMR01 (Acute Inpatients & Day cases); costed using Costs Book 2011/12 SFRs 5.3 and 5.5. SMR01 data extract as at April 2013. IRF 2011/12 mapping project. 2011/12 costed file for SMR01_E (Geriatric Long Stay Inpatients); costed using Costs Book 2011/12 SFR 5.3. SMR01_E data extract as at April 2013. IRF 2011/12 mapping project. 2011/12 costed file for SMR04 (Mental Health Inpatients); costed using Costs Book 2011/12 SFR 5.3. SMR04 data extract as at April 2013. Table A3: Distribution of Programme budgeting spend across 3 nations: 2011/12. Ref: Scotland, ISD request: England, Programme Budgeting Aggregate PCT Expenditure for all programmes and subcategories for financial years 2003/04 to 2012/13. Wales, NHS expenditure by programme budget category: 2008-09 to 2012-13 Wales |
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Contact
Email: Steven Gillespie
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