Creating and delivering value in UK healthcare

Advanced certificate - optional module
20 credits, total study time: 200 hours (17 weeks)

Improving value is a high priority in the NHS faced with delivering more each year within limited resources. This module will address important issues affecting contemporary healthcare systems in relation to value. These include variation in access to services and the associated quality, cost and outcomes; overuse which results in waste i.e. anything that does not add value to the outcome for patients; and underuse, especially on harnessing the potential of technology. In a climate where there is a rising need and demand for healthcare with no additional resources, the focus must be on delivering better value for individuals and populations. This module will explore issues raised by health economics, the allocations process and patient-level cost and outcome data. It will help learners understand how the NHS, using scarce resources, can improve the quality of care to sustainably deliver the best possible outcomes for patients. The important role of the board in driving this change and in balancing competing priorities and seeking better value in healthcare will be explored.

Topics covered

  • Defining value in healthcare finance – the role of health economics
  • Allocation policy and its impact on value
  • The use of NHS payment systems to drive value and change behaviours
  • NHS cost behaviour analysis and its contribution to generating value
  • NHS improvement techniques – efficiency, productivity and quality
  • Investment and disinvestment decision-making in the NHS
  • Working with the private sector to add value to the NHS
  • Measuring outcomes and taxpayer value
  • Board level decision-making for value
Learning outcomes

  • Propose and defend the concept of value in contemporary UK healthcare and evaluate opportunities for the NHS to increase value
  • Assess and evaluate different approaches to allocating scarce resources in the UK nations and the ways that providers are reimbursed for delivering healthcare services
  • Evaluate the effectiveness of cost reduction methods and service transformation activities within a local health economy in the UK nations
  • Evaluate the current NHS approach to costing and recommend ways to make the NHS costing process more efficient and effective
  • Appraise the Service Line Management (SLM)/ Service Line Reporting (SLR) approach adopted by many providers in England
  • Critique the available outcome measures and propose how these may be used to influence payment arrangements to improve service delivery
  • Assess the role of the NHS board in balancing priorities and performance objectives


  • Learners will complete a 4,000 word portfolio based assessment, including a case study and essay questions

Making finance work in the NHS 
Core module


Personal effectiveness and leadership
Optional module


Comparative healthcare systems 
Optional module


Managing the healthcare business 
Optional module

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