Public spending: a brief introduction

"This note describes the different ways in which public spending is
categorised, and presents statistics and commentary on recent spending in each category."

Public spending: a brief introduction
P O'Brien
House of Commons Library
Briefing paper number 8046, 20 July 2017

Read more here.

High need, high-cost patients

"Those who face financial or other barriers to care, or who are less likely to seek care when medically needed, may be underrepresented in counts of chronic diseases because they have not had the opportunity to be medically evaluated and diagnosed."

High need, high-cost patients: Who are they and how do they use health care? A population-based comparison of demographics, health care use, and expenditures
SL Hayes, CA Salzberg, D McCarthy, D Radley, MK Abrams, T Shah, G Anderson
The Commonwealth Fund
August 2016

Full report and accompanying date available here.

Integrated population needs-based planning

"Planning techniques such as the one described here consider the impact of health care policies on service, workforce and expenditure requirements, bringing these together to avoid the roadblocks arising from health-free planning methods."

Improving the fiscal and political sustainability of health systems through integrated population needs-based planning: Seminar briefing 17
S Birch
Office of Health Economics
June 2015

Read more here (free registration is required).

Review of operational productivity in NHS providers

"Many hospitals have told us they would welcome more detailed guidance on what
good looks like. We therefore believe it would be appropriate to publish, in stages, what a model NHS hospital could look like in terms of operational productivity and cost."

Review of operational productivity in NHS providers: Interim report
NHS Procurement
June 2015

Read more here.

What is the evidence on the economic impacts of integrated care?

"Failure to better integrate or coordinate services along the care continuum may result in suboptimal outcomes and available evidence of integrated care programmes points to a positive impact on the quality of patient care and improved health or patient satisfaction outcomes."

Policy summary 11: What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies
World Health Organization
2014

Read more here.

Value for money in health care

"An index assessing these performances in light of provincial health expenditures finds that some [Canadian] provinces do a better job than others at providing value for money in health care. Equally importantly, the measurement shows clearly that higher health spending does not lead to superior health system performance in Canada."

Value for money in health care: varying performances across Canada
B Barua, N Esmail
Fraser Forum, 2013, May/June, pp22-25

Read more here.

Tool to link health outcomes and expenditure

"NHS England has commissioned Public Health England to develop a tool which helps commissioners to link health outcomes and expenditure."

Access this tool for commissioners here.

Health care lessons from Australia

"This paper is the first in a series that examines the way health services are funded and delivered in other nations."

Health care lessons from Australia
N Esmail
Fraser Institute
February 2013

Read more here.

Diabetes Outcomes Versus Expenditure Tool (DOVE)

The Diabetes Outcomes Versus Expenditure (DOVE) tool allows users to compare expenditure on diabetes care with clinical outcomes for a selected Clinical Commissioning Group (CCG), other CCGs with similar populations and all other CCGs.

Access the DOVE tool here.

Care for older people

"This research summary sets out projections of public expenditure on social care and continuing health care for people aged 65 or over in England from 2010 to 2022."

Care for older people
R Wittenberg, B Hu, A Comas-Herrera, JL Fernandez
Nuffield Trust
December 2012

Read more here.

Chronic kidney disease in England: the human and financial cost

"The purpose of this paper is to examine the impact of chronic kidney disease (CKD) and associated complications and comorbidities on quality of life, mortality and NHS costs in England."

Chronic kidney disease in England: the human and financial cost
M Kerr
NHS Kidney Care

Read more here.

Reducing expenditure on low clinical value treatments

"This briefing looks at primary care trusts'(PCTs) spending on low clinical value treatments and how some PCTs have successfully reduced their spending in this area."

Reducing expenditure on low clinical value treatments: a health briefing
Audit Commission
April 2011

Read a summary or download the full version here.