Welcome to the Best Possible Value Website


Expressions of Interest Now Open

Until 31st December 2016 we are seeking expressions of interest from teams that are keen to receive support in delivering a value-based approach and improving their decision-making.

Please complete the Expression of Interest form below and email it to futurefocusedfinance@nhs.net by 31st December 2016.

   Download expression of interest form



As part of the Future-Focused Finance programme, this work-stream provides practical tools and resources to support NHS finance business partners and NHS organisations in delivering the Best Possible Value for patients and the public.

This website provides details of the Best Possible Value process and is also a repository of value-oriented tools, data sources and case studies. Contents are updated continually so sign up to the Future-Focused Finance newsletter and get in touch with the Community of Practice to keep up to date.

View the free webinar for an introduction to the programme and Liverpool CCG's feedback from their demonstration project: BPV WEBINAR.


Meet the Team

Paul Baumann, Chief Financial Officer of NHS England, sponsoring Finance Leadership Council member;

Caroline Clarke, Director of Finance at the Royal Free London NHS Foundation Trust, Senior Responsible Officer; and

Jennifer Howells, Regional Director of Finance for NHS England, Programme Director.


Scope and Aims of the Best Possible Value Action Area

To construct a decision-making framework that will support finance professionals in making decisions with a best possible value perspective.  Within this framework, to develop a suite of evidence-based products – tools, exemplars of best practice, case studies, training, etc. – that can be used by finance professionals to make decisions as effectively as possible.


Value in the Planning Guidance

Improving value in the NHS is at the heart of the Five Year Forward View. Over the course of this year NHS England has used the Best Possible Value (BPV) framework to make investment decisions for year two of vanguard funding and for transformation funding for mental health, cancer and maternity. The BPV framework is a structured approach to assessing the value of a particular project. It uses logic models and success hypotheses to estimate both quality benefits as well as financial return on investment and provide a robust mechanism for tracking the delivery of these benefits. For 2017/18 and 2018/19, the BPV framework will be used to assess most applications for transformation investments that are available for the NHS. We expect all STPs to have adopted value-based decision making processes based on the BPV framework, embedded from April 2017. (para. 49, NHS Operational Planning and Contracting Guidance 2017-19).

The Decision Effectiveness Framework handbook for an allocation decision is available to download below and should be used to support and assure all key decisions and in the development of Sustainability and Transformation Plans:

   Download Decision Handbook Example - Allocation

The learning section of this website will help you to use and effectively apply the Decision Effectiveness Framework in your organisation.


Getting Started

BACKGROUND - why focusing on value and decision-making benefits organisations, staff and patients

LEARN - how to use the tools developed for the NHS to improve value-based decisions

TOOLS - download templates and guides ready to use in your organisation

COMMUNITY - find out what others are doing, get advice and share experiences

LINKS - sources of data, additional reading and how we fit with other organisations working on value in the NHS


This site is available for registered users of Future-Focused Finance.
If you are unable to view the full content of this website you may need to login or you can register as a new user at Future-Focused Finance.
For comments or feedback please contact Jo Parris, Best Possible Value Programme Manager at joanna.parris@nhs.net