Can an Office of Budget Responsibility for Population Health improve fiscal and economic planning?
PHE ePoster Library. Lodge H. 09/12/19; 274324; 133
Ms. Heather Lodge
Ms. Heather Lodge
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Abstract
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Abstract Introduction
Westminster's powers lie in scrutinising public money retrospectively rather than during budget planning. Accordingly, the Public Administration and Constitutional Affairs Select Committee believes that HM Treasury should provide better information on public service costs and “realistic forecasting.”The problemsNeither the Treasury nor the Office for Budget Responsibility (OBR) have the technical capabilities to assess the value of public health interventions or investments. There is a lack of public health input into Treasury or OBR forecasting: current modelling capacity is service / treatment based rather than demand-side and existing epidemiological and economic models are not linked.Short-term planning cycles focus on immediate returns on investment and cost-savings. The proposalThe OBR was established to provide economic and fiscal forecasting and financial scrutiny of public finances. An OBR for Population Health would provide equivalent forecasting and analysis on:Health, disease and risk factors and their economic impact.The impact of interventions on public services and the economy.The contribution of health capital to the nation.The public policy impact of health considerations.
Conclusion
The UK Public Health Network's investigations reveal growing interest in an OBR for Population Health to improve investment in the country's health and wellbeing. Although no other country has developed an OBR solely to support the health of its population, the OECD believes that “independent fiscal institutions are … among the most important innovations in … public financial management.” External funding details The Health Foundation hosted the UK Public Health Network summit on an OBR for Population Health on 28/9/2018.
Abstract Introduction
Westminster's powers lie in scrutinising public money retrospectively rather than during budget planning. Accordingly, the Public Administration and Constitutional Affairs Select Committee believes that HM Treasury should provide better information on public service costs and “realistic forecasting.”The problemsNeither the Treasury nor the Office for Budget Responsibility (OBR) have the technical capabilities to assess the value of public health interventions or investments. There is a lack of public health input into Treasury or OBR forecasting: current modelling capacity is service / treatment based rather than demand-side and existing epidemiological and economic models are not linked.Short-term planning cycles focus on immediate returns on investment and cost-savings. The proposalThe OBR was established to provide economic and fiscal forecasting and financial scrutiny of public finances. An OBR for Population Health would provide equivalent forecasting and analysis on:Health, disease and risk factors and their economic impact.The impact of interventions on public services and the economy.The contribution of health capital to the nation.The public policy impact of health considerations.
Conclusion
The UK Public Health Network's investigations reveal growing interest in an OBR for Population Health to improve investment in the country's health and wellbeing. Although no other country has developed an OBR solely to support the health of its population, the OECD believes that “independent fiscal institutions are … among the most important innovations in … public financial management.” External funding details The Health Foundation hosted the UK Public Health Network summit on an OBR for Population Health on 28/9/2018.
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