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Road testing programme budgeting and marginal analysis: Norfolk Mental Health pilot project

  • Hadrian Ball (a1), Linda Kemp (a2) and Ric Fordham (a2)
Abstract
Aims and Method

Programme budgeting and marginal analysis (PBMA) is a recognised tool for commissioning healthcare. the objectives of this project were to test the acceptability, data availability and practical value of PBMA within the sphere of mental health. the PBMA methodology was applied to the consideration of Norfolk Primary Care Trust's National Health Service expenditure on mental health for the fiscal year 2006/7.

Results

The project successfully attracted the interest of, and contribution from, important stakeholders with the exception of general practitioners. the process led to the identification of areas for disinvestment, releasing funds to be made available for the development of new services, or enhancement of existing services.

Clinical Implications

Programme budgeting and marginal analysis is a useful structured tool for the commissioning of mental health services. It is essential, however, that psychiatrists fully engage with the process in order to have an influence over the future direction of mental health services.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Brambleby, P., Jackson, A. & Muir Gray, J. A. (2007) Better Allocation for Better Health and Healthcare: the First Annual Population Value Review. NHS National Knowledge Service (http://www.nks.nhs.uk/APVR.pdf).
Department of Health (2007) The NHS in England: Operating Framework for 2008/9. Department of Health.
Ruta, D., Mitton, C., Bate, A., et al (2005) Programme budgeting and marginal analysis: bridging the divide between doctors and managers. BMJ, 330, 15011503.
Wanless, D., Appleby, J., Harrison, A., et al (2007) Our Future Health Secured? A Review of NHS Funding and Performance. King's Fund.
Wilson, E. C. F., Rees, J. & Fordham, R. J. (2006) Developing a prioritisation framework in an English Primary Care Trust. Cost Effectiveness and Resource Allocation, 4, 3.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Road testing programme budgeting and marginal analysis: Norfolk Mental Health pilot project

  • Hadrian Ball (a1), Linda Kemp (a2) and Ric Fordham (a2)
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