From: Opportunity costs and local health service spending decisions: a qualitative study from Wales
Local Health Board | |||||||
---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
Institutional frameworks for prioritisation | |||||||
Framework for prioritising interventions | ✘ | ✓ | ✘ | ✘ | ✓ | ✘ | ✘ |
Interventions Not Normally Undertaken | ✓ | ✓a | ✓ | ∙ | ✓ | ✓a | ✓a |
Responding to NICE TAs | |||||||
Horizon scanning | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✘ |
NICE contingency fund | ✓ | ✓ | ✘ | ✘ | ✓ | ✓ | ✓ |
Efficiency savings | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ∙ |
Displacements linked to individual NICE TAs | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ |
Other examples of displacement by LHB | ✘ | ✓ | ✘ | ✘ | ✓ | ✘ | ✘ |
Phasing in of NICE guidance | ✓ | ∙ | ∙ | ∙ | ∙ | ✓ | ✓ |
Savings first sought in same clinical programme | ✘ | ✘ | ✘ | ✘ | ✓ | ✘ | ✓ |
Savings first sought in medicines budget | ✘ | ✓ | ✘ | ✓ | ✘ | ✘ | ✘ |
Extra funds sought/received from Welsh Govt. | ∙ | ∙ | ∙ | ✓ | ∙ | ∙ | ✘ |
Responding to other financial shocks | |||||||
Contingency fund for other shocks | ✘ | ✓ | ✘ | ✘ | ✓ | ✓ | ∙ |
Extra funds requested/received from govt. | ✓ | ∙ | ✓ | ∙ | ✓ | ∙ | ✘ |