A national payment system which rewards improvements in clinical quality and transformation should be scrapped or radically overhauled, local leaders have argued.
NHS hospitals must roll out a new “early warning score” across all their wards following a change to a key national target – or they risk losing income.
NHS hospitals will have a proportion of their income tied to the adoption of a new national early warning score, which could help save thousands of lives, HSJ has learned.
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.
New funding for transforming mental health services must not be used to balance the books in other services or plug deficits and savings need to be reinvested back into the sector, NHS England has said.
Plans to reduce inappropriate outpatient follow-ups by introducing a block payment system from 2017-18 have been scaled back by NHS England.
A further £3.6bn of “sustainability funding” will be used to plug NHS provider deficits over the next two financial years, according to NHS planning guidance published today.
A patient safety alert has been issued by NHS Improvement to help NHS providers better recognise and treat acute kidney injury, which causes more than 13,000 preventable deaths a year.
Local NHS organisations will be expected to agree two-year operational plans by the end of December, national leaders have said.
The chief executive of NHS Improvement has stepped into the burgeoning row over contracting for 2016-17, saying commissioners that have made “unrealistic” offers have until Friday to come up with new proposals.
Angry teaching hospitals have warned that new conditions imposed by NHS England on quality incentive payments put efforts to bring the provider sector into the black at risk.
Financial incentives for commissioners to improve mental health care will be dropped next year and replaced partly by a new measure aimed at improving GP access.
NHS providers will be expected to reduce stress and musculoskeletal problems among their staff to access incentive payments next year.
Several large hospital trusts that rejected the voluntary tariff agreement have predicted huge swings in their financial position for 2015-16.
Monitor’s pricing team are readying themselves to be able to refer rejected tariff proposals for 2015-16 to the Competition and Markets Authority as soon as next month, should the regulator’s board decide to do so.
Penalties for breaching referral to treatment targets have been toughened up to try to bring down waiting lists, in the final standard contract issued by NHS England, but sanctions for accident and emergency and elective treatment breaches have been reduced.
NHS England offered a group of trusts access to a £124m fund on the condition they dropped their opposition to its latest tariff offer, HSJ can reveal.
A number of trusts are taking legal advice about the potential to challenge Monitor and NHS England’s decision to withhold their commissioning for quality and innovation payments.
The vast majority of NHS providers have accepted NHS England and Monitor’s offer of a ‘voluntary’ tariff for 2015-16, it has been announced, but the country’s biggest teaching hospital trusts have rejected the deal.
A significant number of providers are still yet to decide whether to accept NHS England and Monitor’s offer of a ‘voluntary’ tariff for 2015-16, with just a day to go until the offer expires, HSJ has been told.