Skip to main content

Table 2 The 25 initiatives identified in the PBMA exercise

From: A national Programme Budgeting and Marginal Analysis (PBMA) of health improvement spending across Wales: disinvestment and reinvestment across the life course

Initiative

Approx. spend 2012/13

Assessment category

Cooking Bus

£655 k

Red – Based on published evidence and consultation, this intervention is unlikely to bring a population health benefit and alternatives should be explored to achieve these health goals.

MEND

£480 k

Mental Health First Aid

£143 k

Smokebugs

£131 k

National Breastfeeding Programme – Breastfeeding Peer Support Programme (BPSP)

£31 k

National Breastfeeding Programme – Breast-feeding Welcome Scheme (BFWS)

£11 k

Health Challenge Wales website Cost

£38 k

Smokers Helpline

£30 k

Smoking Resources

£30 k

Skin Cancer Awareness

£15 k

Designed to Smile

£3.75 M

Amber - Greater evidence needs to be found for the impact of this initiative at a population level. and/or There are elements of the programme that need substantial revision or There is insufficient evidence available to make a judgment

Welsh Network of Healthy Schools Schemes

£2.3 M

Stop Smoking Wales – Pre Surgery

£2.2 M (NB total spend on SSW over 5 programmes as it was not possible to break spend down to individual programmes)

Stop Smoking Wales – Pregnancy

Stop Smoking Wales – Vulnerable Groups

Stop Smoking Wales – Brief Intervention Training

Fresh Start Wales

£700 k

Alcohol Brief Interventions in Primary Care Training

£100 k

HIV Prevention

£56 k

National Exercise Referral Scheme

£3.5 M

Green - This is a sound programme with a reasonable evidence base however we need to ensure that reach is maximised and it is cost effective.

Stop Smoking Wales – Adults

£2.2 M (NB spend over 5 programmes as it was not possible to break spend down to individual programmes)

ASSIST

£300 k

National Breastfeeding Programme - Baby Friendly initiative (BFI)

£110 k

No Smoking Day

£27 k

Teenage Pregnancy Pilot

£150 k

White – a Pilot

Steroids and Image Enhancing Drugs

£50 k

White – insufficient information to make an assessment.

Champions for Health

£30 k

White – It is not clear what theoretical or evidence base has been used in planning this intervention. Without an evaluation (which specifies and measures primary outcomes) wider implementation cannot be recommended.

  1. The 25 initiatives identified in the PBMA exercise with an overall traffic light grading and summary statement from the five evidence sub-group categories (total of £15 million expenditure).