Mental health payment by results readiness review

NHS Confederation
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This review provides an assessment of commissioners’ and providers’ readiness to deliver the Department of Health policy commitment that adult mental health Payment by Results (PBR) currencies should be used for commissioning and reimbursement purposes from April 2012. The review was carried out by seeking the views of a wide spread of people in mental health trusts, commissioners, local authorities and the independent sector, as well as national stakeholders. Based on 99 telephone interviews with 100 people in September 2011 the review makes a total of 19 recommendations. Mental health contracts should contain risk sharing agreements until the market is confident that local tariffs are fit for purpose. Reviews should be undertaken to gain a greater understanding of consistency issues in clustering users, and the variation in care packages provided to users within one cluster. Communication mechanisms should be strengthened to ensure momentum is maintained in implementing PBR and consistency of approach. There is a particular need to educate new commissioners about PBR. The establishment of a national website for the sharing of learning, tools and techniques would support local implementation.

Subject terms:
mental health services, assessment, commissioning, evaluation;
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