Publication - Progress report

Programme Budgeting – Testing The Approach in Scotland

Published: 18 Apr 2012
Part of:
Health and social care
ISBN:
9781780457468

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.

40 page PDF

655.1 kB

40 page PDF

655.1 kB

Contents
Programme Budgeting – Testing The Approach in Scotland
Appendix A: Detailed breakdown of estimated activity and expenditure by programme

40 page PDF

655.1 kB

Appendix A: Detailed breakdown of estimated activity and expenditure by programme

Table A1: Estimated activity by programme

Programme Budgeting Category Acute Services discharges Hospital Sector Community Family Health Services
Geriatric Long Stay discharges Maternity Mental Health & Learning Disabilities discharges Outpatient Services attendances A&E attendances Pharmaceutical Services (no. items) General Medical Services (Practice Team Information - estimated no. consultations) General Dental Services General Ophthalmic Services
Infectious diseases 12,199 39 - - 25,364 - - 4,602,507 471,548 - -
Cancers and Tumours 188,141 517 - - 144,624 - - 1,153,614 195,363 - -
Disorders of Blood 21,053 24 - - 222,650 - - 1,013,227 162,478 - -
Endocrine, Nutritional and Metabolic problems 23,657 106 - 3 - - - 6,885,817 717,097 - -
Mental Health Disorders 10,714 641 - 24,119 279,450 - - 7,627,007 999,863 - -
Problems of Learning Disability 95 2 - 1,636 9,875 - - - 3,975 - -
Neurological 150,883 891 - 78 117,623 - - 2,720,779 2,312,314 - -
Problems of Vision 41,728 8 - - 444,996 - - 1,546,507 192,884 - 2,162,700
Problems of Hearing 6,775 1 - - - - - 226,645 377,963 - -
Problems of circulation 127,387 1,254 - 1 180,365 - - 23,763,840 2,391,296 - -
Problems of the respiratory system 125,633 731 - - 111,342 - - 6,749,081 2,336,456 - -
Dental problems 15,091 - - - 205,976 - - 107,192 25,082 8,162,987 -
Problems of The gastro intestinal system 191,157 140 - 1 224,996 - - 7,711,621 1,078,704 - -
Problems of the Skin 38,220 55 - - 491,329 - - 4,214,283 1,652,564 - -
Problems of the Musculo skeletal system 63,056 98 - - 103,889 - - 7,097,592 530,546 - -
Problems due to Trauma and Injuries 76,301 331 - 10 574,682 - - 1,492,266 308,536 - -
Problems of Genito Urinary system 96,154 213 - - 500,012 - - 1,546,210 1,109,337 - -
Maternity and Reproductive Health 25,587 - - - 227,874 - - 818,030 564,740 - -
Conditions of neonates 1,071 - - - - - - 2,135 2,669 - -
Adverse effects and poisoning 41,965 13 - 32 - - - - 49,218 - -
All Other 51,681 1,211 131,660 1,411 5,813,508 1,602,537 6,962,090 3,590,886 6,291,485 - -
Total 1,308,550 6,276 131,660 27,291 9,678,554 1,602,537 6,962,090 82,869,237 21,774,118 8,162,987 2,162,700

Please note that some activity figures quoted in this table may not match published figures due to a level of apportionment that has been applied to the data.

Data Source: ISD Data request

Table A2: Estimated cost by programme

Code Programme Budgeting Category All Services Percentage Hospital Sector Community Family Health Services
Acute Services Geriatric Long Stay Maternity Services Mental Health & Learning Disabilities Outpatient Services A&E Pharmaceutical Services General Medical Services General Dental Services General Opthalmic Services
01 Infectious diseases £85,184,967 1.1% £31,780,338 £555,511 - - £9,199,277 - - £28,390,532 £15,259,309 - -
02 Cancers and Tumours £475,299,004 5.9% £389,749,741 £8,432,124 - - £25,056,598 - - £45,738,589 £6,321,952 - -
03 Disorders of Blood £65,608,322 0.8% £29,122,838 £330,197 - - £21,985,987 - - £8,911,507 £5,257,794 - -
04 Endocrine, Nutritional and Metabolic problems £195,824,862 2.4% £42,188,930 £2,849,124 - £37,418 - - - £127,544,123 £23,205,267 - -
05 Mental Health Disorders £728,254,492 9.0% £31,581,529 £16,693,721 - £473,410,644 £44,658,771 - - £129,554,256 £32,355,571 - -
06 Problems of Learning Disability £49,220,106 0.6% £308,682 £21,223 - £45,934,887 £2,826,692 - - - £128,622 - -
07 Neurological £437,592,278 5.4% £253,364,540 £19,014,233 - £2,565,452 £19,986,022 - - £67,835,503 £74,826,529 - -
08 Problems of Vision £185,093,353 2.3% £51,583,131 £113,274 - - £35,405,635 - - £12,034,945 £6,241,713 - £79,714,655
09 Problems of Hearing £24,565,963 0.3% £11,434,743 £5,182 - - - - - £895,147 £12,230,891 - -
10 Problems of circulation £756,720,451 9.4% £395,538,916 £32,712,733 - £8,344 £27,658,041 - - £223,420,040 £77,382,378 - -
11 Problems of the respiratory system £508,300,584 6.3% £262,359,340 £22,068,435 - - £15,320,790 - - £132,944,269 £75,607,750 - -
12 Dental problems £374,083,410 4.6% £14,662,735 - - - £28,945,671 - £37,471,000 £374,856 £811,669 £291,817,480 -
13 Problems of The gastro intestinal system £481,524,197 6.0% £336,264,257 £2,133,943 - £13,164 £30,437,294 - - £77,768,666 £34,906,872 - -
14 Problems of the Skin £203,331,806 2.5% £75,363,503 £781,566 - - £40,155,071 - - £33,554,685 £53,476,982 - -
15 Problems of the Musculo skeletal system £290,808,712 3.6% £203,429,496 £2,600,612 - - £15,639,182 - - £51,970,930 £17,168,491 - -
16 Problems due to Trauma and Injuries £357,432,705 4.4% £275,377,840 £5,623,719 - £507,018 £54,660,274 - - £11,279,629 £9,984,225 - -
17 Problems of Genito Urinary system £314,612,189 3.9% £181,919,909 £4,460,379 - - £56,503,742 - - £35,830,005 £35,898,155 - -
18 Maternity and Reproductive Health £77,496,004 1.0% £24,231,488 - - - £26,367,976 - - £8,621,556 £18,274,985 - -
19 Conditions of neonates £1,989,574 0.0% £1,878,189 - - - - - - £25,006 £86,379 - -
20 Adverse effects and poisoning £89,540,357 1.1% £87,309,447 £273,931 - £364,275 - - - - £1,592,705 - -
21-23 All Other £2,363,206,181 29.3% £105,504,726 £12,046,773 £214,848,000 £74,108,005 £412,448,111 £148,300,263 £1,107,522,000 £84,835,759 £203,592,544 - -
Total expenditure £8,065,689,520 100.0% £2,804,954,316 £130,716,681 £214,848,000 £596,949,207 £867,255,135 £148,300,263 £1,144,993,000 £1,081,530,000 £704,610,784 £291,817,480 £79,714,655

Data Source: ISD Data request


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