Best Possible Value

The aim of our action area is for finance and clinical colleagues to be the joint leaders of putting best value for service users at the heart of the way we do business. We’ve collated a variety of healthcare value tools and resources to support individuals, organisations and local health economies in making effective, value-based decisions.

The Decision Framework contains three main elements (which can be applied iteratively or individually as needed) to improve the effectiveness of decision-making:

  1. The Decision Planning tool supports multi-stakeholder groups in designing and planning a structured decision process that clearly defines the value goal and agrees stakeholder responsibilities up-front
  2. The Value Generation tool builds on decision planning to generate a rationale for the impact of a decision on outcomes and value, and details the evidence supporting the decision rationale or assumptions
  3. The Option Priorities tool allows users to demonstrate that decisions have been prioritised based on maximising outcomes and minimising risk, and not solely on the financial or strategic implications

The framework can be used for intra- and inter-organisational decision-making by all healthcare system players including commissioners, providers, regulators, public health and other arms-length bodies. The framework is particularly suited for use by Sustainability and Transformation Partnership (STP) footprints and Accountable Care Organisations (ACOs), and have been designed to support putting value thinking into practice for all individuals holding responsibility for deciding how resources are used.

Benefits of using BPV

  • Evaluate decisions using value and the evidenced outcomes for service users
  • Make and enact value-based decisions with the agreement of all key players
  • Make decisions transparent and demonstrate good organisational governance
  • Reduce waste in terms of the time, effort and resource spent making decisions
  • Adopt a consistent and comparable approach to evaluating success
  • Support value-based shared decision-making between finance and clinicians

How to get involved

Explore the resources on offer using the links on the right side of this page and contact futurefocusedfinance@nhs.net for comments and queries.