Less fog on the Tyne? Programme budgeting in Newcastle and North Tyneside.
Programme Budgeting (PB) has been widely promoted as a model for the better conduct of the work of Health Authorities in the National Health Service in the United Kingdom. This paper reports on a project which looked at the development of PB in Newcastle and North Tyneside Health Authority (NNTHA), concentrating on the construction of a computerised tool for the compilation and analysis of programme budgets. The main activities carried out were a survey of user requirements for PB, a survey of data availability, the collection of data to construct programme budgets, and development of a relational database for storing and manipulating PB information. The main source of data was the Contract Minimum Data Set, which was supplemented by data from a number of other sources to give comprehensive information on spending in NNTHA. Costed activity data were produced, which could be aggregated in a large number of ways, such as by care setting (inpatient, outpatient, community, general practice, etc.), disease group (ICD9 chapter headings), case mix (Healthcare Resource Groups) and socio-demographic variables (age/sex, locality of GPs practice).
Miller
P
P
Department of Epidemiology and Public Health, University of Newcastle upon Tyne, UK.
Parkin
D
D
Craig
N
N
Lewis
D
D
Gerard
K
K
D002017:Budgets; D003153:Community Health Services / Q000191:economics; D003625:Data Collection; D003627:Data Interpretation, Statistical; D004194:Disease / Q000145:classification / Q000191:economics; D005102:Health Expenditures / Q000145:classification; D006291:Health Policy / Q000191:economics; D006779:Hospitals, Public / Q000191:economics; D006801:Humans; D008331:Management Information Systems; D011320:Primary Health Care / Q000191:economics; D016730:Program Development / Q000191:economics; D012040:Regional Health Planning / Q000191:economics*; D013222:State Medicine / Q000191:economics*; D006113:United Kingdom