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________________________________ From: Equity, Health & Human Development [mailto:[log in to unmask]] On Behalf Of Ruggiero, Mrs. Ana Lucia (WDC) Subject: [EQ] Setting priorities in health Setting priorities in health A study of English primary care trusts Research report: Suzanne Robinson, Helen Dickinson, Iestyn Williams, Tim Freeman, Benedict Rumbold and Katie Spence Health Services Management Centre, University of Birmingham and the Nuffield Trust September 2011 Available online PDF [84p] at: http://bit.ly/nJstO4 <http://bit.ly/nJstO4> The research reported in this document was designed to map the priority-setting activities taking place across the National Health Service (NHS) in England, and to explore and assess the effectiveness of these practices within specific local contexts. The questions that provided the basis for the research were as follows: * What priority-setting tools, processes and activities are practised currently as part of the commissioning processes of English primary care trusts (PCTs)? * What barriers are experienced by PCTs seeking to implement explicit priority setting, and how are these being addressed? * What other strengths and weaknesses can be identified in current priority-setting practice? * What learning can be derived that will be instructive for future priority setting within the NHS and elsewhere? Content: Key messages from the research 1. Background and context Understanding priority setting Priority setting and commissioning The challenges facing priority-setters Research on local priority setting in England Research scope and aims 2. Methodology Stage 1: National survey Stage 2: In-depth case studies Data collection Data analysis and reporting Setting priorities in health: a study of English primary care trusts 3. Priority setting: the national picture Developments in local priority-setting processes Remit and scope of priority-setting arrangements Stakeholder involvement in decision making Use of evidence and decision tools Use of decision tools in priority setting Strengths and weaknesses of priority-setting processes Disinvestment decisions 4. In-depth exploration of priority setting Rationale for forming priority-setting processes Key features of the case study priority-setting processes Formal decision criteria Decision processes Role of discussion and deliberation Technocratic approaches to aid priority setting: the evidence-based approach Stakeholder involvement in priority setting Engagement and involvement of health and social care organisations Engagement and involvement of the public and patients Implementation Leadership Overall coherence and 'success' of priority-setting processes Response to the White Paper: the impact of government reforms on priority setting 5. Discussion Decision tools Outcomes of priority-setting work Non-technical dimensions of priority setting Engaging stakeholders and the public Political dimensions of priority setting Leadership Information resources and expertise Impact of government reforms on priority setting 6. Conclusions and recommendations Key policy drivers Governance Technical challenges System-wide approach to priority-setting Political realities Recommendations References Appendix: Different types of priority-setting activity to be considered Twitter http://twitter.com/eqpaho <http://twitter.com/eqpaho> * * * This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics; Information Technology - Virtual libraries; Research & Science issues. [DD/ KMC Area] Washington DC USA "Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings and interpretations included in the Materials are those of the authors and not necessarily of The Pan American Health Organization PAHO/WHO or its country members". ------------------------------------------------------------------------ ------------ PAHO/WHO Website <http://new.paho.org/equity/> Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html <http://listserv.paho.org/Archives/equidad.html> Twitter http://twitter.com/eqpaho <http://twitter.com/eqpaho> IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please dispose of and delete this transmission. Thank you. Please access the attached hyperlink for an important electronic communications disclaimer: http://lse.ac.uk/emailDisclaimer