PCT CCG Spend and Outcome Factsheets and Tool (SPOT)
NHS England has commissioned Public Health England to develop a tool which helps commissioners to link health outcomes and expenditure. The development of this tool and a Spend and Outcome Factsheet for every PCT and CCG in England has been led by PHE Knowledge and intelligence team (Northern and Yorkshire)'s Health Economics work programme.
Programme budgeting is a well-established technique for assessing investment in programmes of care rather than services. All PCTs in England have submitted an annual programme budgeting return since 2003/4. The tool and factsheets use this Programme Budgeting data and overall indicators of health outcome by programme (where available) to present PCTs and CCGs with an analysis of the impact of their expenditure. This allows easy identification of those areas which require priority attention, where relative potential shifts in investment opportunities will optimise local health gains and increase quality.
Commissioners can use the tool and the factsheets to gain an overview of outcome and expenditure across all programmes.
Access SPOT (updated May 2013)
Clinical Commissioning Groups were added in September 2012
Please note as programme budgeting data is only available at PCT level the spend per head for the parent PCT has been used for CCG spend. CCG specific outcome measures have been used where these are mortality or based on QOF.
The Health Investment Network website has an E-guide to further tools which are available to analyse programme budget spend by programme and sub-programme and to explore the relationship between spend and outcome within a programme.
- NHS Right Care has used the SPOT tool as one of a number of intelligence sources to analyse value for money across a number of care pathways.
The Commissioning for Value packs have been produced and piloted within the Derbyshire PCT cluster area. Aggregated CCG potential savings of £20.8m over the cluster area were identified together with case studies and recommendations of improvements to care pathways to tackle un-warranted variation.
Read From Insights to Action: identifying opportunities to improve value in NHS Derby and Derbyshire County’s CCG populations from the Right Care website.
- The Musculoskeletal Partnership at NHS Oldham has used the SPOT tool.
Download their case study from the Right Care website.
North East Lincolnshire Care Trust Plus has used the SPOT tool to identify areas of high spend and poor outcomes and then implement a PBMA project with support from YHPHO.
Read the case study from the Right Care website.
The NHS Alliance's Dr Shane Gordon writing in Pulse Today (19 January 2011) provides five steps to assessing population need and explains how SPOT can be used to assess value for money.
Last Updated: Monday, 20th May 2013
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