Best Possible Value
Decision Making Toolkit
There is a growing appreciation that taking a value-based approach is key to delivering high-quality sustainable healthcare. Organisations do, however, need support to make value-based decision making a reality and embed a value driven approach within the culture of the organisation or system.
The BPV Decision Framework helps NHS organisations follow a clear, structured decision-making process that demonstrates good governance and models different options based on value. The ‘value equation’, measured as outcomes over resources/costs, is used throughout to assess the impact of strategic and operational decisions within organisations and local health economies.
The BPV Decision Framework – which contains three main elements to improve the effectiveness of decision-making:
The Decision Planning tool supports multi-disciplinary groups in designing and planning a structured decision process that clearly defines the value goal and agrees stakeholder responsibilities up-front
The Value Generation tool builds on the decision planning work to illustrate the impact of a decision and examines the evidence supporting the decision rationale or assumptions
The Option Priorities tool allows users to demonstrate that decisions have been prioritised based on maximising outcomes within agreed resources
To compliment the BPV Decision Framework, we have created a series of Bitesize documents that share some of the principles of the framework and can be used as part of everyday decision making in the NHS:
- Writing a value focused business case
- Framing decisions for value
- Add value to your meetings
- Moving from implementation to high value performance