Diabetes care areas - click here to navigate to care area page
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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999
Step 6 - programme budgeting
Programme budgeting is the analysis of expenditure in a whole healthcare programmes, such as diabetes. It is often used together with marginal analysis which examines which changes in costs and benefits are possible when resources in programmes are increased, decreased, or deployed in new ways.
Programme budgeting enables answers to the questions: Are we spending money wisely? What are we getting for it?
Programme budgeting data has been collected nationally every year since 2003/04. For 23 main programmes of care based on the World Health Organisations international Classification of Diseases (ICD10, an overview is available at www.dh.gov.uk/programmebudgeting. An interactive atlas showing data by PCT is available at nww.nchod.nhs.uk.
Issues for diabetes: Diabetes is included within endocrinology and nutrition and the data sources do not take into account the complexities and subtitles of where resources are spent across primary, community and secondary care services in individual health economies or the overlap with other conditions; cardiovascular drugs for people with diabetes would be included in the cardiovascular disease categories rather than diabetes.
Yorkshire and the Humber Public Health Observatory has produced tools specifically for diabetes which are of use for local services making comparisons with similar areas:
- Spend and outcome tools and fact sheets
- Diabetes Outcomes Versus Expenditure Tool (DOVE)www.yhpho.org.uk/resource/view.aspx?RID=88739
However, commissioners wishing to make major changes to fund their priorities may need to carry out a specific local piece of work to identify where the many sources of spending on diabetes are occurring.
