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.
6. Conclusion
53. Testing of both top down and bottom up approaches to Programme Budgeting has demonstrated that both approaches are feasible at macro level within NHSScotland.
54. The top down programme budgeting approach described here in section 4 is the first exercise to analyse NHS Scotland spend in this manner. It has the potential to greatly increase understanding of where money is spent. It can act as a starting point for further analyses of resource allocation both between and within programmes.
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Email: Marjorie Marshall
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