All Payment by results (PbR) articles – Page 10
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NewsCommissioners require 'significant help' with mental health tariff
Commissioners will struggle to implement an operating framework requirement to pay for mental health services under tariff without “significant help”, according to the NHS Confederation’s Mental Health Network.
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NewsDH denies tariff adjustment rule revives price competition
The Department of Health has been forced to deny that a measure in the NHS Operating Framework 2012-13 could introduce price competition on elective procedures.
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NewsMental health tariffs 'not fit for purpose' - NHS Confederation
Mental health trusts and commissioners have not made enough progress in devising a tariff for their services despite enthusiasm from staff, the NHS Confederation has found.
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CommentNoel Plumridge: PbR is becoming increasingly irrelevant
The strategic direction of tariff funding used to be steady expansion of scope and steady growth in sophistication. In time, it was understood, payment by results would cover virtually the entire English NHS.
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LeaderThe many questions we still need to answer on integration
Integration: what does it mean to you? For some it is an antidote to the evils of competition, for others a way to create a sustainable future for shaky organisations.
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NewsPrimary care spend fell fastest last year - Information Centre
Spending on primary care last year fell more quickly than expenditure on the rest of the NHS, figures from the NHS Information Centre reveal.
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HSJ KnowledgeThe benefits of PbR in commissioning smoking cessation services
Using a payment by results approach to commissioning smoking cessation services has significantly improved results in the West Midlands, which could have implications for national policy, as Fraser Battye and Steven Wyatt explain.
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NewsCommissioners may struggle with 'tight' PbR timescales for mental health
Plans to bring in payment by results for mental health next year could be delayed by the reorganisation of NHS commissioning structures, the NHS Confederation has warned.
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CommentThe system needs fixing if we're to find the financiers
The NHS’s flawed payments system must be mended and evolved into something more robust and attractive in order to secure the as-yet-undecided new financiers, warn James Barlow, Colin Gray and Steve Wright.
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NewsMonitor could suspend competition to encourage integration models
Monitor’s chief executive has set out a range of measures the future regulator will consider as it works to reconcile competition and service integration.
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NewsExclusive: top teaching hospitals under threat from tariff system
The payment by results tariff system could tip England’s elite teaching hospitals into deficit and damage the country’s medical research industry, their chief executives have warned.
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NewsProviding integrated care won't be easier for CCGs, study suggests
Clinical commissioning groups will find it no easier than primary care trusts to provide integrated care unless they are able to overcome perverse incentives, a report has found.
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CommentSally Gainsbury: PROMs prove McKinsey right - nearly
The latest crop of patient reported outcome measures confirm huge numbers of patients do not feel any better after undergoing one of four measuredprocedures, and quite a few report feeling worse.
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HSJ KnowledgeA hire price to pay: how leasing equipment saves money and improves service quality
In times of plenty, the financing rules made outright purchase the most obvious source of new investment. But dwindling capital means leasing equipment may improve care quality and finances, say Louise Hamilton and Bob Dredge.
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HSJ KnowledgeReducing readmissions could save more than £600m in PBR penalties. Sg2 explains how
Changes to the Payment by Results policy in April 2011 are intended to incentivise trusts to reduce emergency readmissions - or face damaging financial penalties. Analysis by healthcare intelligence specialists Sg2 shows how preventing readmissions could save the health service more than half a billion pounds.
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HSJ Local
Commissioners to investigate 'disproportionate' activity rise
PERFORMANCE: Commissioners in west London ordered a report into short stay emergency admissions at their main hospital after becoming suspicious about an activity rise in the run-up to the trust’s Monitor application.
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CommentThe government's failure to justify reform has left the public short of options
Huge strides have been taken to offer NHS patients a choice of different providers, but there is now a real chance of a backwards step under the coalition government, says management consultant Paul Corrigan.
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NewsMental health PbR to be reviewed
The government is to review the much-delayed drive to introduce payment by results to mental healthcare.
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NewsMonitor urges trusts to use service line system
Monitor is encouraging trusts to use service line management to improve quality and control costs, amid evidence that senior management is taking back control of trust finances.
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NewsGP performance bonuses fail to improve public health
Performance-related pay for GP practices has failed to improve their prevention and health promotion work, according to research published today.











