All Payment by results (PbR) articles – Page 10
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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.
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HSJ Local
Lincs PCT chosen to pilot PbR for drug and alcohol treatment
FINANCE: The area has been chosen as a pilot scheme for introducing payment by results for drug and alcohol services.
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HSJ Local
South London Healthcare Trust to move back to payment by results
FINANCE: The large south London acute was put on a block contract by its commissioners after “contracting issues” last year but will be moving back to payment by results for 2011-12.
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HSJ Local
NHS Wiltshire assesses impact of 2011-12 tariff change
FINANCE: NHS Wiltshire is planning to achieve a £6.5m surplus at the end of 2011-12, but is struggling to make the new tariff arrangements add up.
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NewsPerformance linked pay for managers labelled a 'distraction'
Linking the stay of senior staff to national objectives would be an “unhelpful distraction”, according to the NHS managers’ union.
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NewsHospitals will not have to close - Lansley
Hospitals will not have to close despite the NHS budget facing annual real-term cuts of 4 per cent, the government said.
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NewsTariff weighting could 'reduce' trust mergers - King's Fund
Paying a higher tariff rate to trusts with larger capital costs could reduce the need for hospital reconfigurations, a report from the King’s Fund has claimed.