Publication - Progress report
Programme Budgeting – Testing The Approach in Scotland
This paper describes the pilot application of Programme Budgeting and Marginal Analysis (PBMA) in Scotland. Within the Health Care Quality Strategy for NHSScotland one of the three quality ambitions is concerned with providing a more efficient and effective health service. This paper supports this ambition by discussing how outcome measures could be used, along with cost data disaggregated in this way, to inform discussions around the value for money associated with different programmes.
Appendix D: Diagnoses or Specialty groups in 'Other' PBC category
SMR01 - Acute activity
| PBC | ICD10 code | Description |
|---|---|---|
| 23X - Other | Q893 | Situs inversus |
| Q898 | Other specified congenital malformations | |
| Q899 | Congenital malformation, unspecified | |
| Q929 | Trisomy and partial trisomy of autosomes, unspecified | |
| Q933 | Deletion of short arm of chromosome 4 | |
| Q935 | Other deletions of part of a chromosome | |
| Q959 | Balanced rearrangement and structural marker, unspecified | |
| Q969 | Turner's syndrome, unspecified | |
| Q979 | Sex chromosome abnormality, female phenotype, unspecified | |
| Q984 | Klinefelter's syndrome, unspecified | |
| Q998 | Other specified chromosome abnormalities | |
| Q999 | Chromosomal abnormality, unspecified | |
| R53X | Malaise and fatigue | |
| R54X | Senility | |
| R571 | Hypovolaemic shock | |
| R578 | Other shock | |
| R579 | Shock, unspecified | |
| R58X | Haemorrhage, not elsewhere classified | |
| R590 | Localized enlarged lymph nodes | |
| R591 | Generalized enlarged lymph nodes | |
| R599 | Enlarged lymph nodes, unspecified | |
| R600 | Localized oedema | |
| R601 | Generalized oedema | |
| R609 | Oedema, unspecified | |
| R620 | Delayed milestone | |
| R628 | Other lack of expected normal physiological development | |
| R629 | Lack of expected normal physiologic development unspec | |
| R681 | Nonspecific symptoms peculiar to infancy | |
| R682 | Dry mouth, unspecified | |
| R683 | Clubbing of fingers | |
| R688 | Other specified general symptoms and signs | |
| R760 | Raised antibody titre | |
| R788 | Finding of oth spec subs not normally found in blood | |
| R798 | Other specified abnormal findings of blood chemistry | |
| R799 | Abnormal finding of blood chemistry, unspecified | |
| R897 | Abn finds specs oth organs abn histol finds | |
| R898 | Other abnormal findings in specimens from other organs | |
| R938 | Abn finds on diag imaging of other spec body structures | |
| R948 | Abn results of function studies of other organs and systems | |
| R960 | Instantaneous death | |
| Z090 | Follow-up examination after surgery for other conditions | |
| Z091 | Follow-up examination after radiotherapy for oth conditions | |
| Z092 | Follow-up examination after chemotherapy for oth conditions | |
| Z097 | Follow-up exam after combined treatment for other conditions | |
| Z098 | Follow-up exam after other treatment for other conditions | |
| 23X Other cont. | Z099 | Follow-up exam after unspec treatment for other conditions |
| Z451 | Adjustment and management of infusion pump | |
| Z452 | Adjustment and management of vascular access device | |
| Z458 | Adjustment and management of other implanted devices | |
| Z459 | Adjustment and management of unspecified implanted device | |
| Z468 | Fitting and adjustment of other specified devices | |
| Z469 | Fitting and adjustment of unspecified device | |
| Z480 | Attention to surgical dressings and sutures | |
| Z488 | Other specified surgical follow-up care | |
| Z489 | Surgical follow-up care, unspecified | |
| Z501 | Other physical therapy | |
| Z508 | Care involving use of other rehabilitation procedures | |
| Z509 | Care involving use of rehabilitation procedure, unspecified | |
| Z514 | Preparatory care for subsequent treatment NEC | |
| Z518 | Other specified medical care | |
| Z519 | Medical care, unspecified | |
| Z530 | Procedure not carried out because of contraindication | |
| Z531 | Proc not carried out; pat's decision reasons belief/gp press | |
| Z532 | Proc not carried out because pat's dec oth unspec reasons | |
| Z538 | Procedure not carried out for other reasons | |
| Z539 | Procedure not carried out, unspecified reason | |
| Z540 | Convalescence following surgery | |
| Z548 | Convalescence following other treatment | |
| Z549 | Convalescence following unspecified treatment | |
| Z758 | Oth probs related to med facilities and other health care | |
| Z768 | Persons encountering health servs in oth spec circumstances | |
| Z769 | Person encountering health services in unspec circumstances | |
| Z900 | Acquired absence of part of head and neck | |
| Z910 | Personal hist of allergy oth than to drugs and biol subs | |
| Z911 | Personal hist noncompliance with med treatment and regimen | |
| Z912 | Personal history of poor personal hygiene | |
| Z988 | Other specified postsurgical states | |
| U - Unclassified | H031 | Involvement of eyelid in other infectious diseases EC |
| R69X | Unknown and unspecified causes of morbidity | |
| R99X | Other ill-defined and unspecified causes of mortality |
SMR01_E - Geriatric Long Stay
| PBC | ICD10 code | Description |
|---|---|---|
| 23X - Other | R53X | Malaise and fatigue |
| R54X | Senility | |
| R58X | Haemorrhage | |
| R600 | Localized oedema | |
| R609 | Oedema | |
| R798 | Other specified abnormal findings of blood chemistry | |
| Z501 | Other physical therapy | |
| Z508 | Care involving use of other rehabilitation procedures | |
| Z509 | Care involving use of rehabilitation procedure | |
| Z514 | Preparatory care for subsequent treatment NEC | |
| Z539 | Procedure not carried out | |
| Z540 | Convalescence following surgery | |
| Z549 | Convalescence following unspecified treatment | |
| U - Unclassified | B967 | Clostridium perfringens as cause of dis class to other chaps |
| R69X | Unknown and unspecified causes of morbidity | |
| R99X | Other ill-defined and unspecified causes of mortality |
SMR04 - Mental Health & Learning Disabilites
| PBC | ICD10 code | Description |
|---|---|---|
| U - Unclassified | F03x | Invalid code |
| F550 | Invalid code | |
| F552 | Invalid code | |
| F610 | Invalid code |
Outpatient activity
| PBC | Specialty |
|---|---|
| 23X - Other | General Surgery (exc Vascular Surgery) |
| Ear, Nose & Throat | |
| Surgical Paediatrics | |
| General Medicine | |
| Rehabilitation Medicine | |
| Medical Paediatrics | |
| Geriatric Assessment | |
| Medical Other (includes Allergy; Clinical Pharmacology & Therapeutics; Endocrinology; GUM; Homoeopathy; Immunology; Nuclear Medicine; Palliative Medicine) | |
| General Practice | |
| Clinical Genetics | |
| Acute Other (Chiropody; surgical Podiatry) | |
| Allied Health Professionals (AHP) includes Audiometry; Chiropody; Clinical Psychology; Dental Ancillary Staff; Diagnostic Radiology; Dietetics; Electrocardiography; Electroencephalography; Hearing Aids; Industrial Therapy; Nuclear Medicine; Occupational Therapy; Optical Dispensing (by Hosp Opticians); Orthoptics; Physiotherapy; Radiotherapy; Sight Testing (by Hosp Opticians); Speech Therapy; Surgical Appliances; Ultrasonics |
Maternity Services
Currently all costs and activity have been allocated to the 'Other' PBC category.
Accident and Emergency Services
Currently all costs and activity have been allocated to the 'Other' PBC category.
Community Services
Currently all costs and activity (except Community Dental) have been allocated to the 'Other' PBC category.
Contact
Email: Marjorie Marshall
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