Making Decisions in the Public Sector Watch

daisyfresh
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How are decisions normally made in the public sector when it comes to service provision - how do they cost and benefit analysis etc? I'm talking about the health sector in particular.
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Heathen Christ
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(Original post by daisyfresh)
How are decisions normally made in the public sector when it comes to service provision - how do they cost and benefit analysis etc? I'm talking about the health sector in particular.
A bunch of bloated bourgeois bureaucrats get round a table and pull together a bunch of spreadsheets collected by some other dead beat bureaucrat on minimum wage, then they decide how to spend other people's money, usually wasting half of it before they are finished.
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daisyfresh
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Although true to a certain extent; not helpful.
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daisyfresh
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bumpety-bump?
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Quady
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Business case?
I don't really understand the question, costed options are made and their benefit modeled.

Are you talking about quantifiable vs subjective benefits? Pretty much the discretion of the budget holder.
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Quady
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(Original post by Heathen Christ)
collected by some other dead beat bureaucrat on minimum wage,
Too right! Raise public sector wages so you don't have deadbeat in analyst positions.
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daisyfresh
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(Original post by Quady)
Business case?
I don't really understand the question, costed options are made and their benefit modeled.

Are you talking about quantifiable vs subjective benefits? Pretty much the discretion of the budget holder.
how is their benefit modeled?
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Quady
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(Original post by daisyfresh)
how is their benefit modeled?
The saving to the public purse and/or economic benefit over a period of time to determine the payback period at net present value.
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Biblio
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Is this for economics?

Cost benefit analysis

- Private Cost

- Social Cost

You have to account for time and with time there is likely to be inflation of the currency.

If you want the ins and outs I can't really give you them, the first reply touches on the beaucrats which is right but the goverment also hires people to do their work for them ( private companies) and think tanks who produce statistics such as the institute of economic affairs http://www.iea.org.uk/
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daisyfresh
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(Original post by Biblio)
Is this for economics?

Cost benefit analysis

- Private Cost

- Social Cost

You have to account for time and with time there is likely to be inflation of the currency.

If you want the ins and outs I can't really give you them, the first reply touches on the beaucrats which is right but the goverment also hires people to do their work for them ( private companies) and think tanks who produce statistics such as the institute of economic affairs http://www.iea.org.uk/

nah it's not for economics it's a practical project im doing for the nhs
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Biblio
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(Original post by daisyfresh)
nah it's not for economics it's a practical project im doing for the nhs
That sounds pretty cool, is it some form of test? I'd assume the NHS know how their own decision making process
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daisyfresh
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it's basically my dissertation lol. well they are struggling with this one and wanted my input.
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Biblio
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(Original post by daisyfresh)
it's basically my dissertation lol. well they are struggling with this one and wanted my input.
ah.. well .. maybe... http://www.dorset.nhs.uk/aboutus/how...-decisions.htm

Dorset is a little way from Glasgow, but hey It can't be that different?

Just google it I found a bunch of PDFs, you've got all night to read through them enjoy
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daisyfresh
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(Original post by Biblio)
ah.. well .. maybe... http://www.dorset.nhs.uk/aboutus/how...-decisions.htm

Dorset is a little way from Glasgow, but hey It can't be that different?

Just google it I found a bunch of PDFs, you've got all night to read through them enjoy
thanks, although I think I'll wait til tomorrow ;-)
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MagicNMedicine
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The Green Book talks about appraisal and cost benefit analysis in government in general:

https://www.gov.uk/government/upload...k_complete.pdf

Some supplementary guidance relevant to health:

https://www.gov.uk/government/public...uidance-health
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Pariah
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Based on my occasional experience:

1) as far as possible they avoid taking any decision so they can't be blamed if it goes wrong

2) if they can't avoid taking a decision they base it on advice or evidence from external advisors so they have someone to blame if it goes wrong

it's all about arse covering. That and making sure that they knock off at 5 no matter how urgent the matter is.
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