Testing the PHE budget prioritisation framework in adult social care and commissioning
PHE ePoster Library. ONeill G. Sep 12, 2019; 274331; 139
Gill ONeill
Gill ONeill
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Abstract Testing the PHE budget prioritisation framework in adult social care and commissioning IntroductionThe County Durham public health (PH) team used the Public Health England (PHE) Prioritisation Framework to inform the PH budget for 2019/20. The process was then tested for applicability with adult social care (ASC) and commissioning. The framework provided an auditable and transparent process which resulted in the required savings for ASC and commissioning being achieved and budgets being set for the medium term financial plan (MTFP). MethodThe process included: • A multi-disciplinary group establishing a shared understanding of current budgets and future value.• Agreeing budget areas: e.g. 24 hour care, telecare and day care.• Agreeing criteria to consider the evidence and weight for priority.• Populating templates to capture evidence/intelligence.• Workshops to debate the evidence and score against criteria; seeking consensus utilising a delphi process. • producing a set of recommendations to increase, decrease or maintain spend. • Scenario planning for proportion of savings to be achieved against those budgets identified to decreaseResults• An auditable process enables elected members and corporate directors to understand the rationale for recommendations for budgets and savings.• Feedback from staff stated it was an engaging framework which stimulated debate and gave a sense of ownership.
The prioitisation framework enables theoretical rigor to be applied pragmatically; engaging professionals and reaching a required conclusion. Following an auditable process to decide how programme budgets should be spent provides a transparent rationale at times of austerity when there are limited options to make savings without implications. External funding details
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