Making better decisions on public health spending

Getting to grips with value for money
Date: 
Venue: 
The King's Fund, London W1G 0AN
Event type: 
One-day conference

About this event

About the event

With local authority public health budgets being ring-fenced, there is increased urgency to demonstrate return on investment in relation to public health interventions and explore methods of decision-support for public health priority-setting.

This one-day conference, run in partnership with the Local Government Association, was aimed at public health professionals and health and wellbeing boards to help them make better decisions on public health spending. 

The conference helped delegates to:

  • discuss and debate the uses (and misuses) of economic tools such as cost-effectiveness analysis, cost-benefit analysis, return on investment and 'the business case', in prioritising how to spend public health budgets
  • introduce tools from Public Health England, NICE, local authorities and others that can help you to make important choices and decisions on public health spending
  • showcase, through case studies, how different local authorities are prioritising in practice
  • provide opportunities for debate, and to influence those developing tools, so as they develop they will be fit for purpose.

See related publications:

Programme

Session one: Why do we need to ensure value for money?

Introduction and welcome
Chair: Cllr Jonathan MacShane, Community Wellbeing Board, Local Government Organisation and Chair, Hackney Health and Wellbeing Board

The financial imperative
Bevis Ingram, Senior Adviser, Policy and Finance, Local Government Association

The economic imperative
Alan Maynard, Professor of Health Economics, University of York

The service imperative
Kate Ardern, Director of Public Health, Wigan County Council

Questions and discussion   

Session two: Value for money: neither saint not devil, but servant?

Chaired by: Cllr Jonathan MacShane, Community Wellbeing Board, Local Government Organisation and Chair, Hackney Health and Wellbeing Board

Value for money and making the case, what it can and can’t do
David Buck, Senior Fellow, Public Health and Inequalities, The King’s Fund
   
Value for money and social justice
Jessica Allen, Deputy Director, Institute for Healthy Equity, University College London
   
Questions and discussion   

Session three: Tools to help with getting value for money

View from Wales and Scotland
Rhiannon Tudor Edwards, Professor of Health Economics / Co-Director Centre for Health Economics and Medicines Evaluation (CHEME), IMSCaR, Bangor University
Neil Craig, Principal Public Health Advisor, NHS Health Scotland

Behaviour change – NICE’s return on investment tools

David Murray, Senior Associate, Matrix Consulting
Tracey Jhita, Economist, Matrix Consulting

Public Health England’s programme of work on value for money evidence
Professor Brian Ferguson , Interim Director for Knowledge & Intelligence (England), Public Health England

Questions and discussion

Session four: Value for money: Using measures and tools to support prioritisation in practice

Horses for courses: Choosing the right measure for the right job
David Buck, Senior Fellow, Public health and inequalities, The King’s Fund  

Shifting the gravity of spending: supporting public health priority-setting in three local authority case study sites
David J Hunter, Director, Centre for Public Policy and Health, Durham University

The Star (socio-technical allocation of resources) tool: prioritisation in practice
Mara Airoldi, Fellow, Research Officer and part-time PhD student in Management Science, London School of Economics

Questions and discussion

Summary and closing comments

Speakers

David J Hunter

Director, Centre for Public Policy and Health, Durham University

David is Professor of Health Policy and Management at Durham University. He is director of the Centre for Public Policy and Health (CPPH), School of Medicine, Pharmacy and Health and Wolfson Fellow in the Wolfson Research Institute for Health and Wellbeing. He is Deputy Director of Fuse, the Centre for Translational Research in Public Health and is a non-executive director of the National Institute for Health and Care Excellence (NICE). David also advises WHO Regional Office for Europe.

David has published extensively on health policy and system reform. His books include The Health Debate (2008); The Public Health System in England (2010), with Linda Marks and Katherine Smith; Partnership Working in Public Health (2014) with Neil Perkins, and Reforming Healthcare: What's the evidence? (2014) with Ian Greener, Barbara Harrington, Russell Mannion and Martin Powell. 

Cllr Jonathan MacShane

Community Wellbeing Board, Local Government Association and Chair, Hackney Health and Wellbeing Board

Jonathan has been a cabinet member for two years and a councillor for more than seven years. Previously Chair of Health Scrutiny he is now Chair of the Hackney Shadow Health and Wellbeing Board. Prior to being a full-time cabinet member, he worked in communications, most recently for an inner London PCT. He is a member of the LGA Community Wellbeing Board and the London Councils Grants Committee.

Jessica Allen

Deputy Director, Centre for Health Equity

Jessica is a Deputy Director of the UCL Institute of Health Equity. Her main activities are working to embed a social determinants approach to health inequalities in England and globally. She is co-director of the Review of Social Determinants of Health and the Health Divide in the WHO European Region and was previously Project Director of the Strategic Review of Health Inequalities in England post-2010 (the Marmot Review). Prior to her work at UCL she was head of health and Social Care at IPPR, research fellow in public health at The King's Fund, and worked at Unicef and the London School of Economics. She has published and broadcast widely on issues relating to health and social care policy. She holds a doctorate from the University of London.

Rhiannon Tudor Edwards

Professor of Health Economics / Co-Director Centre for Health Economics and Medicines Evaluation (CHEME), IMSCaR, Bangor University

Rhiannon is an honorary member of the UK Faculty of Public Health and she and her team at Bangor University provide health economics to Public Health Wales. She was a Commonwealth Fund Health Policy Harkness Fellow 2004/5 when she studied the business case for prevention at Group Health Co-operative HMO, Seattle, USA. Rhiannon co-ordinates an annual two-day short course in health economics for Public Health Practice and Research at Bangor University

Neil Craig

Principal Public Health Advisor, NHS Health Scotland

David Murray

Senior Associate, Matrix Consulting

Bevis Ingram

Senior Adviser, Policy and Finance, Local Government Association

Professor Brian Ferguson

Interim Director for Knowledge & Intelligence (England), Public Health England

Kate Ardern

Director of Public Health, Wigan County Council

Unusually for someone who took English, Ancient History and Latin A Levels, Kate studied medicine at Manchester University, qualifying in 1986, where she was awarded the Professor Patrick Byrne Prize for General Practice. After working in a number of acute clinical specialties, she decided to specialise in Public Health. She came to Liverpool in 1995 to complete her specialist training, became one of country’s first consultants in Environmental Public Health in 1998. She is also an Honorary Lecturer in the Department of Public Health at Liverpool University and the School of Health and Human Sciences at Liverpool John Moores University. She is a graduate of Merseyside Common Purpose (1999) and now teaches on the Common Purpose programme and an alumnus of the Windsor Leadership Programme.  Kate has recently been invited to join the NHS Top Leaders Programme.

In April 2002, she was appointed to be the first Director of Public Health for the newly established South Liverpool Primary Care Trust.  In April 2005, she became Head of Public Health for the Cheshire and Merseyside Strategic Health Authority. In Sept 2006, she was appointed to be Associate Director of Public Health for NHS Northwest. In May 2008, she was appointed as Executive Director of Public Health for the Borough of Wigan, which is a joint appointment between Ashton, Leigh and Wigan PCT and Wigan Council. In November 2013, she was awarded a Honary Professorship by Salford University.

Mara Airoldi

Fellow, Research Officer and part-time PhD student in Management Science, London School of Economics

Mara Airoldi is a researcher at the London School of Economics. Her work focus is healthcare priority setting and value for money. In collaboration with colleagues of the SyMPOSE research programme at the LSE, she developed STAR, a socio-technical approach to resource allocation. The approach has been used successfully by healthcare managers to allocate additional resources and to re-allocate existing budgets to cut expenditures. She has worked with healthcare organisations in England, Italy, Ontario and with the Global Fund to fight Aids, Tuberculosis and Malaria.

Alan Maynard

Professor of Health Economics, University of York

Alan Maynard is Professor Emeritus of Health Economics at the University of York and Chair of the Vale of York NHS Clinical Commissioning Group. He has worked at York University for over 40 years, being Founding Director of the Centre for Health Economics (1983-95). He was a Non-Executive member of York Hospitals NHS Trust from 1983-97, and its Chair 1997-2010. He has been a sceptical analyst of continuous re-disorganisations of the NHS and notes that all the health care systems he has worked in, some two score, are inefficient and inequitable. He has honorary degrees from the Universities of Aberdeen and Northumbria, is a member of the Academy of Medical Sciences and a patient kept alive by the NHS, for which he is most grateful.

David Buck

Senior Fellow, Public health and inequalities, The King’s Fund

Click here to read David's biography