Rationalizing rationing in health care: experience of two primary care trusts

Journal of Public Health
Zafar IqbalMusarrat Afza

Abstract

Priority setting, or rationing, in healthcare is an unavoidable consequence of competing demands on the resources available. This is a description of the experience of the two Primary Care Trusts in using an explicit scoring tool to prioritize proposals submitted for new funding within the local health economy. A Priorities Forum Panel was established, comprising representatives from the local NHS trusts. The Panel reviewed and scored new funding proposals and then ranked them for priority funding. Over 100 proposals were submitted (total cost: approximately 44 million pounds). Sixty-six proposals were scored (total cost: over 26 million pounds). Around 5 million pounds was available for funding, resulting in few of the top-scoring proposals being supported. The proposals which were linked to the implementation of National Institute for Health and Clinical Excellence (NICE) guidance were generally given a lower priority compared with those likely to relieve local pressures and facilitate the implementation of specific National Service Framework criteria. Funding of the locally driven priorities took precedence over some of the nationally driven priorities, such as funding of specific NICE guidance. The shortfall in resources di...Continue Reading

Citations

Jun 23, 2010·Health Economics, Policy, and Law·Rudolf Klein
Dec 18, 2012·Journal of Public Health·K MarshM Lugon
Jun 2, 2011·BMC Health Services Research·Richard D HolmesCam Donaldson
Aug 3, 2012·Journal of Health Organization and Management·Peter LittlejohnsAlbert Weale
May 26, 2007·BMJ : British Medical Journal·Rudolf Klein
Jun 11, 2019·The Medico-legal Journal·Sayantan BhattacharyaMilind Shrotri

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