---------------------- Forwarded by Dennis Raphael/Atkinson on 10/25/2001 07:39
PM ---------------------------
Nancy Krieger <[log in to unmask]> on 10/25/2001 04:02:49 PM
To: Spirit of 1848 <[log in to unmask]>
cc: nancy krieger <[log in to unmask]>(bcc:
Dennis Raphael/Atkinson)
Subject: [spiritof1848] Report: Targeting Poor Health
[Townsend Report ] (fwd)
fyi ...
---------- Forwarded message ----------
Date: Wed, 24 Oct 2001 10:04:14 -0400
To: [log in to unmask]
Subject: Report: Targeting Poor Health [Townsend Report ]
Targeting Poor Health : Professor Townsend's Report of the Welsh Assembly's
National Steering Group
on the Allocation of NHS Resources, July 4, 2001
HSS-11-01(p.2) : Townsend Report - Annex A Volume 1, Targeting Poor Health
Available at:
http://www.wales.gov.uk/assemblydata/3B46ECEA0008722E0000348700000000.pdf
<http://www.wales.gov.uk/assemblydata/3B46ECEA0008722E0000348700000000.pdf>
Professor Peter Townsend's report of the Welsh Assembly's National Steering
Group on the allocation of NHS resources. The report Annex A comprises three
volumes - Volume 1: Townsend Report ; Volume 2: Research Team Report and
Volume 3 : Task Group Executive Summaries
Structure of Report
* Chapter 1 summarises the problem of poor health and inequalities in
health within Wales and the UK. It sets the international and UK policy
context and outlines the consensus on the importance of the underlying socio
- economic determinants of health status and action in areas not delegated
to the Assembly including action on income inequalities through the tax and
benefit systems.
* Chapter 2 outlines the scope for action by the Assembly to address
poor health and inequalities in health including policies within and outside
the health system - the dual strategy for action.
* Chapter 3 examines the existing distribution of the Welsh health
budget in detail, including how it has changed over time. It suggests that,
in reviewing the process for sharing out resources between geographical
areas, it is important to take into account the balance between different
components of expenditure within the health budget. The way resources within
each component are spent by NHS service providers on the ground.
Complementary types of expenditure by other agencies eg the social services
budgets of local authorities. These issues need to be given as much
attention as the detail of the formula dealing with area inequalities in
determining the overall effectiveness of the budget in responding to health
need and tackling health inequalities. The chapter also recommends major
changes that are needed to achieve consistency and reliability of
information about the costs of providing health care services at every
level.
* Chapter 4 discusses the limitations of the present analysis
including general limitations of a population formula approach as a means of
promoting equitable access to services. Limitations of financial information
on how resources allocated by formula are currently spent. It also suggests
that an area based formula approach can be used in 2 distinct ways as a
means of allocating cash resources where budgets are delegated for local
decision making and as a means of tracking and auditing expenditure patterns
at local level where budgets are managed and services commissioned at a
different level eg all-Wales or regionally.
* Chapter 5 examines the new model for allocating health resources,
based on the direct measurement of health need, proposed by the Research
Team, and recommends its adoption in Wales, subject to detailed refinement
and phased implementation.
* Chapter 6 sets out the present indirect method of allocating health
resources based on the measurement of the utilisation of health services as
a proxy for health need and explains why the Review decided it should be
changed.
* Chapter 7 presents the conclusions and recommendations of the Review
- pulling together the recommendations in previous chapters.
Wales NHS Resource Allocation Review
by David Gordon, University of Bristol, Elizabeth Lloyd, University
of Bristol, Martyn Senior, University of Cardiff, an Rigby, University of
Lancaster, Mary Shaw, University of Bristol, Yoav Ben Shlomo, University of
Bristol
Independent Report of the Research Team, June 2001
HSS-11-01(p.2) : Townsend Report - Annex A Volume 2, Independent Report of
the Research Team
Available at:
http://www.wales.gov.uk/newsite.dbs?37D6A89F00087B550000121400000000+current
+3B4EED35000873900000190600000000+cur_date+07_2001
<http://www.wales.gov.uk/newsite.dbs?37D6A89F00087B550000121400000000+curren
t+3B4EED35000873900000190600000000+cur_date+07_2001>
Targeting Poor Health : Report of the Welsh
Assembly's National Steering Group on the Allocation of NHS Resources
Report of Task Groups -Executive Summaries, July 2001
HSS-11-01(p.2) : Townsend Report - Annex A Volume 3, Executive Summaries
Available at:
http://www.wales.gov.uk/assemblydata/3B5C47430007545100001BFF00000000.pdf
<http://www.wales.gov.uk/assemblydata/3B5C47430007545100001BFF00000000.pdf>
We welcome posting on social justice & public health that provide:
a) information (e.g. about conferences or job announcements or
publications relevant to social justice & public health), and
b) substantive queries or comments directly addressing issues
relevant to social justice and public health.
Please do NOT post petitions on the bulletin board, as they clog up
the works; instead, if you have a petition you want to circulate,
please post a notice about the petition and provide your email
address so people can email you to get a copy of the petition. Also,
to limit e-mail volume, please do not send posts directed toward a
single individual to the list at large. Instead of hitting 'reply',
cut and paste the person's address into the 'to' field, and send your
message directly to the her/him.
Community email addresses:
Post message: [log in to unmask]
Subscribe: [log in to unmask]
Unsubscribe: [log in to unmask]
List owner: [log in to unmask]
To subscribe or un-subscribe send an e-mail to the address
specified above with the word "subscribe" or "unsubscribe"
in the subject line.
Your use of Yahoo! Groups is subject to http://docs.yahoo.com/info/terms/
|
