Programme Budgeting and Marginal Analysis

To inform the development of guidance to help Health and Social Care Partnerships prioritise investment decisions effectively, the Scottish Government commissioned work in pilot sites to investigate the use of Programme Budgeting and Marginal Analysis (PBMA).

PBMA is an analytical approach to assessing the costs and benefits of alternative courses of action. It can enable Health and Social Care Partnerships to identify the potential effect of shifting patterns of investment, and disinvestment, within and between programmes of activity in terms of outcomes for patients and service users, and effective resource use.

The aim of this pilot project was to work with three Partnerships to develop a PBMA approach suitable for use in integrated care settings.

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