How much money should we spend on healthcare?
Is the money allocated for the infrastructure that supports clinical care at a level which will maximise value?
Have we distributed the money for clinical care to different parts of the country
by a method that recognises both variation in need and maximises value for the
Has money been distributed to different patient groups by
decision-making that is not only equitable but also maximises value for the whole population?
Are all the interventions offered likely to confer a good balance of benefit and harm, at an affordable cost, for this group of patients?
Are the patients most likely to benefit from the interventions, and least likely to be harmed by them, clearly defi ned?
Is effectiveness being maximised?
Are the risks of care being minimised?
Can costs be reduced further without increasing harm or reducing
Could each patient’s experience be improved?