This presentation was made by Andrew Blazey, OECD, at the 3rd Health Systems Joint Network meeting for Central, Eastern and South-eastern European Countries held in Vilnius, Lithuania, on 25-26 April 2019

1. Session VI: Spending Reviews in OECD
Countries
Third Health Systems Joint Network Meeting for Central,
Eastern and South Eastern European Countries
25 – 26 April 2019
Vilnius, Lithuania
Andrew Blazey
Public Governance Directorate, OECD

2. • Coverage:
45 questions on
Performance Budgeting
Spending Review
Evaluation
• Respondents mainly
from central budget
authorities
• Response rate: 33
countries (out of 35)
2
OECD Performance Budgeting Survey

3. Spending Reviews
3
OECD Performance Budgeting Survey

4. 4
Spending Reviews
Continued increase in number of countries conducting
spending reviews
Adoption of spending reviews (2011-2018)

5. 5
Spending Reviews
Focus is moving away from short-term budget cuts to a more medium-
term view on efficiency and an improved programme impact
Main objectives of Spending Reviews over the past 10 years

6. 6
Spending Reviews
Key result has been the reallocation of spending to match
government priorities
Main results of Spending Reviews over the past 10 years

7. 7
Spending Reviews
Main challenges are the availability and quality of
performance information

8. 1. Continued increase in number of countries conducting
Spending Reviews
2. Focus is moving away from short-term budget cuts to
– a more medium-term view on efficiency
– improved programme impact
– alignment of spending with government priorities
3. Main challenges are the quality and availability of
performance information
8
Spending Review – Key Observations

9. 9
Special focus: Gender
Indicators of cross cutting or thematic objectives in the budget (2018)

10. 10
Sustainable Development Goals are not yet systematically
reflected in performance frameworks
Reflection of SDG targets and indicators in national frameworks (2018)

11. Evaluation
11
OECD Performance Budgeting Survey

12. 12
Evaluation
Conducted by health and other line ministries
Governance of ex-ante and ex-post evaluation

13. 13
Evaluation
Continues to have a limited budgetary impact
How often are evaluation findings used during budget negotiations
between the CBA and line ministries?

14. 1. Evaluations are mainly conducted by line ministries
and agencies
2. Budgetary impact
– Evaluation continues to have a limited budgetary impact
– More influence on decentralised level (programmes) than
at CBA
3. A big constraint is the lack of a formal mechanism to
consider evaluation findings in the budget process
14
Evaluation – Key Observations

15. THANK YOU
For more information:
andrew.blazey@oecd.org