From: Developing a prioritisation framework in an English Primary Care Trust
Criterion | Definition |
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Access & equity | • Does this proposal increase or improve access to services for the target population? • Does this proposal have any impact on access to services for other populations or other NHS agencies (positive or negative)? • Is this a locally based service? • Is this service available to all who need it? • Is this patient-centred healthcare? Do they get a say in the delivery of their care? Is there demonstrable 'patient & public involvement'? • Does the proposal enable treatment in an appropriate environment? • Does the proposal raise the profile of an important but currently low profile disease / condition? |
Effectiveness | • Is the proposal proven to work? (what evidence is there for it working?) • What is the quality / grade of the evidence? (e.g. well conducted randomised controlled trial versus expert opinion). • What is the balance of risk and benefit to the patient? • Will the proposal result in enough activity to maintain quality? (clinical governance issues) |
Local & National Priorities | • How far towards meeting an explicit national or local target does this proposal go (for example, National Institute for Clinical Excellence, National Service Frameworks, Local Development Plans etc)? |
Need | • What is the prevalence / incidence of the disease or condition this proposal is intended to treat? • What is the current mortality or morbidity associated with this disease/condition? (note this should take into account the impact of existing treatments) • Does this proposal meet an identified health need (either local or national)? • Does it meet public expectations / does it meet a local health want? |
Prevention | • Does the programme focus or put greater emphasis on prevention of ill health? (For example through health promotion, screening/ immunisation or reduction in future morbidity.) |
Process | • Is the proposal achievable within a realistic timescale? • Does the proposal involve multi-agency working / partnership working across different areas of the NHS (and wider bodies)? • Is the proposal acceptable politically? |
Quality of life | • What impact does the intervention have on different domains of quality of life (e.g. disability reduction, increase in independence, pain reduction, whether it allows a patient to play active role in society, social relationships, etc)? • What is the potential QALY (Quality Adjusted Life Years) gain from the intervention? • Does the proposal decrease (future) care needs for the patient, carer or family? • What evidence is there for the patient experience / satisfaction? |