Once-weekly semaglutide good value for money in T2DM in the UK

2020 ◽  
Vol 847 (1) ◽  
pp. 22-22
Keyword(s):  
Author(s):  
Patrick Barwise

This chapter explores the assumption that public service television (PST), i.e. BBC TV, commercial public service broadcasters (PSBs), and non-PSBs, offers less consumer value for money than the rest of the market in the UK; that the only continuing rationale for PST rests on citizen concerns. It shows that PST does give citizens public service benefits over and above those provided by the non-PSBs and online-only TV players, and these ‘citizenship’ benefits are highly valued by the public. PST also offers consumers better value for money because the non-PSBs' significantly higher cost per viewer-hour seems unlikely to be compensated for by commensurately higher audience appreciation. The main policy implication is simple: there is no necessary trade-off between citizen and consumer benefits: pound for pound, PST appears to deliver both sets of benefits better than the rest of the market.


2015 ◽  
Vol 19 (3) ◽  
pp. 206-217 ◽  
Author(s):  
Yousef Ali Alwardat ◽  
Abdelhafid Benamraoui ◽  
Alison Rieple
Keyword(s):  

2017 ◽  
Vol 38 (2) ◽  
pp. 244-261 ◽  
Author(s):  
Helena Gosling

Since former Chancellor George Osborne described reducing public spending as ‘the great national challenge of our generation’ (Her Majesty’s Treasury, 2010: 12) the UK Government have demonstrated a profound interest in Payment by Results (PbR) as a mechanism to improve service quality, value for money and innovation (Audit Commission, 2012). Although PbR is not a new initiative, it has been rebranded and sold as a vehicle that can steer ongoing strategies for reform, particularly in the field of criminal justice and drug/alcohol treatment (Her Majesty’s Government, 2010; Ministry of Justice 2013). Despite such assertions, the initiative has become synonymous with budget cuts (Community Links, 2015), the privatisation of public services (Policy Exchange, 2013) and controversy. Drawing upon the findings of a focus group with staff who work in a Therapeutic Community, this article highlights the lived experience of practitioners as PbR takes hold of the alcohol and drug treatment sector. The findings suggest that outcome-orientated incentives, such as PbR, hold the potential to transform welfare-orientated sectors into a financial, market-focused milieu.


2015 ◽  
Vol 19 (28) ◽  
pp. 1-100 ◽  
Author(s):  
Frances Bunn ◽  
Daksha Trivedi ◽  
Phil Alderson ◽  
Laura Hamilton ◽  
Alice Martin ◽  
...  

BackgroundThe last few decades have seen a growing emphasis on evidence-informed decision-making in health care. Systematic reviews, such as those produced by Cochrane, have been a key component of this movement. The National Institute for Health Research (NIHR) Systematic Review Programme currently supports 20 Cochrane Review Groups (CRGs) in the UK and it is important that this funding represents value for money.Aims and objectivesThe overall aim was to identify the impacts and likely impacts on health care, patient outcomes and value for money of Cochrane Reviews published by 20 NIHR-funded CRGs during the years 2007–11.DesignWe sent questionnaires to CRGs and review authors, undertook interviews with guideline developers (GDs) and used bibliometrics and documentary review to get an overview of CRG impact and to evaluate the impact of a sample of 60 Cochrane Reviews. The evaluation was guided by a framework with four categories (knowledge production, research targeting, informing policy development and impact on practice/services).ResultsA total of 3187 new and updated reviews were published on the Cochrane Database of Systematic Reviews between 2007 and 2011, 1502 (47%) of which were produced by the 20 CRGs funded by the NIHR. We found 40 examples where reviews appeared to have influenced primary research and reviews had contributed to the creation of new knowledge and stimulated debate. Twenty-seven of the 60 reviews had 100 or more citations in Google Scholar™ (Google, CA, USA). Overall, 483 systematic reviews had been cited in 247 sets of guidance. This included 62 sets of international guidance, 175 sets of national guidance (87 from the UK) and 10 examples of local guidance. Evidence from the interviews suggested that Cochrane Reviews often play an instrumental role in informing guidance, although reviews being a poor fit with guideline scope or methods, reviews being out of date and a lack of communication between CRGs and GDs were barriers to their use. Cochrane Reviews appeared to have led to a number of benefits to the health service including safer or more appropriate use of medication or other health technologies or the identification of new effective drugs or treatments. However, whether or not these changes were directly as a result of the Cochrane Review and not the result of subsequent clinical guidance was difficult to judge. Potential benefits of Cochrane Reviews included economic benefits through budget savings or the release of funds, improvements in clinical quality, the reduction in the use of unproven or unnecessary procedures and improvements in patient and carer experiences.ConclusionsThis study identified a number of impacts and likely impacts of Cochrane Reviews. The clearest impacts of Cochrane Reviews are on research targeting and health-care policy, with less evidence of a direct impact on clinical practice and the organisation and delivery of NHS services. Although it is important for researchers to consider how they might increase the influence of their work, such impacts are difficult to measure. More work is required to develop suitable methods for defining and quantifying the impact of research.FundingThe NIHR Health Technology Assessment programme.


2010 ◽  
Vol 1 (3) ◽  
pp. 1-13
Author(s):  
Mark Wareing

The UK Nuclear Decommissioning Authority (NDA) is a Non Departmental Public Body (NDPB) responsible for the remediation of the UK’s civil nuclear liabilities. To secure government funding and demonstrate that the NDA is delivering its mission, it must be able to show that it provides value for money across its estate. Value comes in many forms, such as an improved environment, hazard reduction, changes in sky line, social amenities, money, employment, and so forth. Depending on the perspective of the receiver, and their closeness to the affected area, the weighting placed on the different aspects of value will vary. Therefore, the challenge has been to get a consistent approach that measures value and is broadly acceptable to stakeholders in which different aspects are compared and decisions are made on a national basis.


Author(s):  
Dave Miller ◽  
Derek Glover

This chapter reviews the literature that has charted the progress of the use of interactive whiteboards within schools, predominantly within the UK. It is concerned, firstly, with the way in which change is introduced, managed and supported. The literature has also shown the progress from presentation and motivation issues to a consideration of the pedagogic possibilities of the integration of the interactive whiteboard in teaching situations. This involves an understanding of interactivity in educational contexts. This chapter also investigates the value for money issues implicit in the use of technology in pedagogic change and considers discussions related to technology and educational effectiveness.


2005 ◽  
Vol 25 (2) ◽  
pp. 219-240 ◽  
Author(s):  
CHRIS LONSDALE

This article discusses the concept of contractual uncertainty and assesses its impact upon the ability of public sector bodies to obtain value for money from their suppliers. Particularly in the realm of public private partnerships, governments around the world are increasingly developing specifications that are likely to be subject to contractual uncertainty. Contractual uncertainty is not necessarily a problem in itself, but can be if the public body cannot avoid an unfavourable power relation in its dealings with the supplier, because it is in a poor position to undertake the inevitable post-contractual negotiations. The argument is illustrated with two cases from the UK public sector that highlight the fact that British public bodies are often seeking to manage contractual uncertainty from a position of weakness.


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