title: Releasing resources for reinvestment in health gain.
abstract: The National Health Services in Wales has adopted a strategic approach based on health gain. Five approaches to meeting this problem are considered (i) eliminating basic inefficiencies; (ii) eliminating unnecessary clinical activity; (iii) doing what is done now but differently; (iv) investing now to save later and (v) withdrawing from a particular area of activity, because it is less important than other competing claims. Each of these is briefly considered with particular reference to the Welsh situation. Three particular lines of advance are identified to achieve the above: creating new sources of information; working more effectively across organisational boundaries; and making the cultural changes to make it all possible.
authors.affiliation: Welsh Health Planning Forum, Cardiff, Wales.
authors.forename: C D
authors.initials: CD
authors.lastname: Riley
authors.forename: M M
authors.initials: MM
authors.lastname: Warner
authors.forename: D
authors.initials: D
authors.lastname: Simpson
authors.forename: J
authors.initials: J
authors.lastname: Felvus
mesh_terms: D017046:Cost Savings; D017598:Efficiency, Organizational; D006295:Health Resources / Q000458:organization & administration*; D019451:Information Management; D007449:Investments; D015279:Organizational Culture; D009936:Organizational Innovation; D013222:State Medicine / Q000458:organization & administration* / Q000639:trends; D014852:Wales