All Payment by results (PbR) articles – Page 3

  • East Sussex county hall
    HSJ Local

    National bodies step in as health economy's financial risk grows


    The East Sussex health economy has a “system risk” of £80m with its clinical commissioning groups and the main acute provider likely to miss their control totals and the financial deterioration likely to “one of the most significant in the South East.”

  • Paul Healy NHS Confederation

    Reports of tariff’s death are greatly exaggerated


    The shift of many organisations away from activity based payment models may seem like the death knell for national tariffs but this is not the case, says Paul Healy

  • York Hospital

    Regional leaders plan hospital contract shake-up


    Regional health leaders are drawing up plans to abandon payment by results based on national tariffs and move to a cost and risk based contract for acute providers, along with an STP-level control total.

  • Simon Stevens

    Exclusive: NHS free to 'abandon payment by results'


    NHS England and NHS Improvement “entirely open” to health economies dropping payment by results, says Simon Stevens Follows planning guidance proposals for whole system control totals NHS England chief executive says alternative proposals must “stack up in the round” The NHS England chief executive has said he and ...

  • Bev Humphrey

    NHS England 'risks being in parallel universe' on mental health


    New Mental Health Network chair highlights “disconnect” between national and local commissioning Stresses that pledge of £1bn for mental health by 2020 follows £600m funding decrease in recent years Mental health sector will not get extra funding in 2017-18 and CCGs’ investment is an “empty promise” The mental ...

  • Simon Stevens

    NHS England reveals breakdown of £22bn savings plan


    NHS England has said £6.7bn of the NHS savings needed by 2021 will come from pay restraint, pharmacy cuts and central budget reductions A further £1bn will come from savings on non-NHS provider contracts and CCG running costs £8.6bn will come from provider savings, driven through 2 per cent ...

  • Jim Mackey

    Exclusive: Mackey intervenes in escalating contracts row


    NHS Improvement chief executive issues strong statement on row over 2016-17 contracts and incentive payments Commissioners given until Friday to issue “reasonable” contract offers Jim Mackey acknowledges providers “very unhappy” about NHS England CQUIN proposals NHSI in discussion with NHS England to “find a solution” The chief executive ...

  • Contract

    Exclusive: Spike in NHS block contracts raises private sector concerns


    Data shows 37 per cent increase in value of block contracts for planned care over past three years Growth in block contracts mainly in public sector providers, London and the South King’s College Hospital, Guys’ and St Thomas’, and Cambridge University Hospitals among those seeing steepest growth in block ...

  • Cardiac surgery

    Exclusive: Increase expected in national tariff rate


    Increase expected in tariff rates for the first time in several years Providers may get additional, organisation specific savings targets NHS England to decide details of local health economy transformation fund National tariff prices are set to be increased in 2016-17 for the first time in several years, ...

  • Parliament

    New tariff objection threshold faces Lords challenge


    Labour peers to challenge government’s plans to raise objection threshold needed to trigger tariff arbitration this afternoon Lord Hunt to move amendment claiming proposed changes to secondary legislation are “fundamentally unfair” Lords scrutiny committee warned public consultation on the changes was too short NHS Providers has raised concerns with ...

  • pathway redesign
    HSJ Knowledge

    Easy does it: why slow but sure is the key to redesigning patient pathways


    Redesigning patient pathways is a process that must be handled with care but the results are worth the trouble

  • Jim Mackey

    Exclusive: Mackey backs calls for reduced savings target


    Jim Mackey says an efficiency factor of 2 per cent is “closer to what’s doable” in 2016-17 NHS Improvement chief says there’s a need to make savings targets “challenging but within reach” He hopes to “be clear” by end of the month about package of measures to help bring provider ...

  • Calculator

    Monitor chief warns: Providers can’t bear more than 2pc savings


    David Bennett has warned that NHS providers have little scope to get their deficit below £2bn in 2015-16, and that national bodies must ensure tariff prices for next year impose a savings requirement of no more than 2 per cent.

  • Snow_plough_Matlock

    Nursing directors worry that 'finance is king' as winter looms


    Directors of nursing have warned of their increasing concerns for patient safety as winter approaches, claiming the ‘pendulum is swinging’ towards trusts’ workforce decisions being led by financial considerations due to the escalating NHS deficit.

  • Money

    Monitor moves to mandate new mental health payment systems


    Mental health providers could be required to adopt new payment systems from April next year, in a bid by Monitor to finally move the sector away from block contract funding.

  • Amanda Doyle

    Clinical commissioners attack 'oppressive' regulatory regime


    Clinical commissioning groups have hit out at what they describe as an ever growing bureaucracy and an ‘oppressive’ reporting process imposed by national bodies, which they say is making their jobs more difficult.

  • News

    CCGs support controversial change to tariff veto power


    The representative body for clinical commissioning groups has backed plans to make it more difficult for NHS providers to block national tariff proposals.

  • Dave West

    This is the chance to stem GP leaders' frustration


    Despite the share of health spending in general practice falling

  • Surgeons

    Private providers could take big hit from NHS price changes


    Private hospitals could see a steep cut in their income from NHS funded services under draft prices proposed for 2016-17, Monitor has warned.

  • Richmond house

    DH to clip major hospitals’ power to veto tariff


    The Department of Health has moved to drastically curb the power of NHS hospitals to veto unpopular proposals for the pricing of NHS services.