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Key Tools
"The SPOT tool, one of the key health investment tools available on this page, gives a local health community a valuable 'challenge to explain' . In NHS Croydon, we found three programmes in the bottom left hand corner - low spend and poor outcomes.
Two of these, respiratory and endocrine systems, correlated with our view that they did need additional investment and did need improvement in outcomes. Both were significant drivers of health inequalities too, so investment was part of the solution. Marginal Analysis advisory groups are being set up in both, drawing on the input of users, referrers, providers and payers.
In other quadrants of the tool we have tried to explain expected and unexpected findings, and in each case it opens up a constructive dialogue about where the money goes, what it does, and how we might spend it better, irrespective of where any programme might sit on the chart.
SPOT is an invaluable tool but should always be interpreted with caution and prompt further investigation before coming to conclusions or action."
Click on the following for a full description and link to the key tools:
1. Programme Budgeting Benchmarking Tool
2. Spend and Outcome Tool (SPOT)
5. Inpatient Variation Expenditure Tool (IVET)
6. Patient Reported Outcome Measure Tool (PROMT)
Programme Budgeting Benchmarking Tool (UPDATED VERSION DEC 2011)
Click on the following icon to access a tool that enables PCTs to identify: how they spend their allocation over the 23 diseases and their respective subcategories; how, and by how much, their expenditure distribution pattern compares with PCTs nationally, locally or with similar characteristics; and how their expenditure distribution has changed over time. This new version was released in December 2011 and covers data for 20010/11. (after clicking on icon, scroll down to section called 'Commissioner level expenditure data'. The link in this section contains the tool)
Spend and Outcome Tool (SPOT) - UPDATED MARCH 2012
Programme Budgeting Atlas
NHS Comparators
Click on the icon below to access NHS Comparators: a benchmarking tool that has been developed by the Information Centre for Health and Social Care. It enables PCTs, PBCs, GP practices and providers to: investigate detailed variation in activity, costs and outcomes; provide variation over time, at specialty and disease level; examine a wide variety of datasets in the same format including secondary care activity, Quality & Outcomes Framework data, and prescribing (costs and volume). This link is to the NHS network connection. Non NHS users can now access the tool but need to contact the Information Centre directly for registration details.
Inpatient Variation Expenditure Tool (IVET)
Click on the icon below to access an Excel ready reckoner to calculate potential savings by reducing admissions across major disease groups and for interventions with the highest spend. A guide is also provided detailing how to use the tool and emphasising that it should not be used in isolation. This tool was updated in January 2011 and now includes more diseases and high spend HRGs
IVET
Step-by-Step Guide
Patient Reported Outcome Measures Tool (PROMT)
Click on the following icons to access a new tool and analysis providing information and interpretation of Patient Reported Outcome Measures (PROMs) data. The tool, called PROMT, is the first of its kind designed specifically for commissioners to assist with health investment decisions.
PROMs are currently collected for 4 procedures: hip and knee replacements, groin hernia and varicose veins. The tool, and analysis, enable commissioners to examine the relationship between a range of factors at local level: pre-operative and post-operative health status, health gain, activity volumes, expenditure, and demographic factors.
A step-by-step guide accompanies PROMT. It features a helpful case study using NHS Oldham as an example.
PROMs Analysis
PROMT
Step-by-Step Guide
