The selection of recommendations has occurred with consideration of value for money for government. Central to this selection, has been the identification of the ‘best’ mix of, and level of investment in, recommendations. There are a number of recommendations that have limited supporting information on their costs and consequences and this means that there is a degree of uncertainty on returns. In addition, with the limited pool of funds available to invest in implementing recommendations, not all recommendations are likely to be funded, or funding will be below the desirable amount. This implies that choices need to be made about the recommendations that will best achieve the objectives of government. The decision about the mix of recommendations therefore needs to occur within a framework that allows assessment of the marginal costs and consequences of recommendations.
In addition, there is also a need to ensure that sufficient monitoring and evaluation of any implementation occurs, to assess the actual impacts and consequences of recommendations and to inform the future decision making process.
10.7.1 Options for funding strategiesDiscussions with stakeholders have identified two means by which new strategies could potentially be funded. These are:
- Utilising a proportion of the funds raised from the increase in tax on pre-mixed spirits to fund preventative health strategies for CVD.
- Using the revenue from the recommended increase in tax on tobacco, the primary purpose of which is to reduce smoking rates, to fund some of the recommended CVD programs.
Both these options have significant political and policy implications and are offered for consideration and discussion rather than as formal recommendations.