Autumn Budget 2017 and the NHS

Two HM Treasury documents outlining the impact of the budget on the NHS.

Autumn Budget 2017: NHS spending
HM Treasury 23 November 2017

• The Autumn Budget 2017 included £6.3 billion of new funding for the NHS in England, including £2.8 billion over the next three years for day-to-day services and £3.5 billion of capital investment by 2022/23. This document sets out the background to NHS spending including the impact of the budget announcement.

Funding for local groups of NHS organisations (Sustainability and Transformation Partnerships)

HM Treasury 23 November 2017

• This document sets out the first twelve schemes due to benefit from government investment in local groups of NHS organisations (Sustainability and Transformation Partnerships) to deliver transformation schemes and improve their ability to meet demand for local services.
• Sustainability and Transformation Partnership bids selected for the first wave of provisional funding
• Barnsley Hospital Children’s Emergency Department and Assessment Unit scheme (South Yorkshire and Bassetlaw STP)
• Doncaster Urgent and Emergency Care scheme (South Yorkshire and Bassetlaw STP)
•  Leeds Community Child and Adolescent Mental Health Inpatient Unit scheme (West Yorkshire STP)
• Chesterfield Urgent Care scheme (Derbyshire STP)
• Russell’s Hall Hospital Dudley Urgent Care Centre scheme (Black Country STP)
• Birmingham Children’s Hospital Emergency Department scheme (Birmingham and Solihull STP)
• South Warwickshire NHS Foundation Trust Out of Hospital Care scheme (Coventry and Warwickshire STP)
• Mid and South Essex Acute Hospitals reconfiguration scheme (Mid-and-South Essex STP)
• South West London and St George’s NHS Mental Health Trust Estates Modernisation scheme (South West London STP)
• Frimley Out of Hospital Integrated Care Hubs scheme (Frimley Health STP)
• Bracknell Forest Heathlands scheme (Frimley Health STP)
• Chiltern and Aylesbury Vale Primary Care Hub scheme (Buckinghamshire, Oxfordshire and Berkshire West STP)

The ‘Preventonomics’ Unit Cost Calculator (PUCC)

The ‘Preventonomics’ Unit Cost Calculator (PUCC)
PSSRU January 2017

• The PUCC is a simple, free-to-download Access database which can help you estimate costs of new – and existing –health and social care services.

Defining and measuring unmet need to guide healthcare funding

Defining and measuring unmet need to guide healthcare funding: identifying and filling the gaps
Centre for Health Economics, University of York, January 2017

• This article describes a literature review which aims to understand the available evidence regarding unmet need. 
• The research developed a conceptual framework for what constitutes ideal evidence that; defines unmet need for a given population, indicates how that need can be met by health care, establishes the barriers to meeting need and provides relevant proxies based on observable measures.
• The review found that the literature was strongest in defining need but weakest in regard to establishing observable proxies of need capable of being used in budget allocations.

Approaches to pooled budgets in LAs

One Place, One Budget? - Approaches to pooling resources for public service transformation
RAND Europe, LGA 2015

• An evaluation of different approaches to pooling resources from nine local authorities in England where a pooled approach was being used for service delivery. 
• The approach included an examination of the literature on community budgets, pooling and public service reform; interviews with key representatives from the LAs and a workshop with representatives to discuss emerging findings. 
• This report summarises findings and draws out lessons from the evidence including enablers, barriers, creating a ‘reform deal model’.

Making best use of resources in adult social services

A problem shared - Making best use of resources 
Think local act personal, 6 March 2013

• Two reports and a toolkit providing develop practical advice and guidance for local council managers and their partners on how to maximise the efficiency and effectiveness of the resources for adult social care.
• A Problem Shared: Making best use of resources in adult social care 
• A Problem Shared: Progress in delivering budget savings in adult social care 2007/8-2011/12 - how councils have spent their budgets in adult social care since 2007/08.

The 2012 budget implications for the NHS

Budget 2012 – Key points for the NHS 
NHS Confederation,  21 March 2012

• "life isn't going to get any easier for NHS organisations over the next year"

Mapping the budgets across the new NHS structures

Baseline spending estimates for the new NHS and Public Health commissioning architecture
Department of Health,  7 February 2012

• This paper uses the spending data from existing NHS organisations to estimate budget required by organisations under the new NHS structure - including CCGs, NHS Commissioning Board and Public Health.

What is covered by core NHS funding?

Rationing health care: is it time to set out clearly what is funded by the NHS?
Nuffield Trust, 27 February 2012

• An examination of the feasibility and the advantages and disadvantages, of setting out explicitly the care patients are entitled to, in the form of a nationally specified NHS ‘benefits package’.

Calculating expenditure allocations

Modelling Individual Patient Hospital Expenditure for General Practice Budgets 
Centre for Health Economics, Dec 2011

• A procedure for calculating a needs-based target allocation for practices using the expenditure of individuals linked to practices, and diagnostic information from past hospital utilisation to construct individual level morbidity measures.