Teaser: How much should we spend on people with frailty versus people with mental health problems? Unless we can answer questions like this, we cannot have high value universal healthcare. Alain Enthoven, is mistakenly blamed for suggesting to Margaret Thatcher that the NHS should introduce the purchaser provider split- actually his Nuffield Trust paper advocated the development of accountable care organisations. However, this book is about the work he and colleagues did on creating programme budgets in the Department of Defense (sic) in the US. Originally published in 1971 this is a book of enduring value and lasting relevance. Enthoven details the application, history, and controversies surrounding the Planning, Programming, and Budgeting System.

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