All Payment by results (PbR) articles – Page 16
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News
PFI debt fears as district general hospitals feel the squeeze
District generals' income is set to take a hit as specialist hospitals and primary care trusts move in on their territory. How will they pay PFI debts of £28.5bn, asks Sally Gainsbury
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News
news & opinion
CommentWelcome to the latest issue of Intelligence, the quarterly HSJ supplement dedicated to innovation, information and technology.In this issue we look at how new health portals are helping drive the choice agenda and improve health outcomes. A number of recent website launches are offering up easy to access information and ...
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News
District general hospitals face heavy specialist service losses
District general hospitals face handing their specialist services to regional centres of excellence because they will no longer be paid the services' full cost, HSJ has learned.
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Comment
Payment by results: top-up scheme clears the way for back-door reconfiguration
The changes to the tariff for specialist services revealed in this week's HSJ risk inflaming public opinion just as Lord Darzi's review is supposed to be restoring confidence in how reconfigurations are managed.
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News
Tariff delays hit specialists
Further delays to the specialist tariff under payment by results could jeopardise applications for foundation trust status, according to managers.Chief executive of the Royal National Orthopaedic Hospital Andrew Woodhead told HSJ the Department of Health 's announcement last week to delay the publication of a list of providers eligible for ...
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HSJ Knowledge
Useful PbR documents and websites
Implementing PbR: information on the 2006 rollout. DoH PbR Implementation Support Guide, March 2006. Introduction, pages 4-52006-07 PbR technical guidance: executive summaryRevised PbR tariff 2006-07Delivering the NHS Plan, the document that outlined the intention of PbRDoH introducing PbR. In particular the executive summary, pages 4-6Annexes to the introduction to PbR, ...
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HSJ Knowledge
PbR timeline
April 2002: Delivering the NHS Plan says payment by results will ensure NHS funding is backed by a new approach to efficiency.April 2003: A tariff is applied to extra non-elective activity for 15 procedures, including standard hip and knee operations across all acute trusts.April 2004: The first 10 foundation trusts ...
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HSJ Knowledge
Payment by Results briefing
In the April 2002 budget, the government announced the introduction of patient choice and the abolition of locally negotiated block contracts between primary care trusts and providers. Instead, it set up a system that would see hospitals paid for the activity they undertook under a system called payment by results.
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News
DoH to push choice policy using payment by results
The government has announced it will begin using payment by results to drive choice.
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News
Selling estate could make trusts more flexible
Hospital and primary care trusts could overcome some of the obstacles of payment by results and private finance initiatives by selling their estate, a report from the Social Market Foundation says.
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Comment
Dr Nick Griffin on clinical input in the development of HRG4
In 2002, the Department of Health developed a policy to fund healthcare by a national tariff applied to patient level activity. This policy, payment by results, required a new currency for the grouping of activity.
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HSJ Knowledge
PbR: the implications for hospital practice
It has been suggested that recent national hospital job cuts in nursing, medical and administrative areas may be a direct result of a loss of expected revenue from PbR due to inaccuracies in coding. This could result in further job cuts, trust downsizing, and even hospital closure.
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News
How crude tariffs are getting under the skin of specialists
Dermatologists and rheumatologists have claimed their specialties are under threat of bankruptcy and patient care at risk as the payment by results tariffs do not cover costs. Is a move into community care services really a better option, asks Daloni Carlisle
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News
DoH compiles a hit-list of acute trusts that cannot survive under Payment by Results
The Department of Health has drawn up a list of acute trusts that will be closed, merged or broken up because they will not survive under payment by results, HSJ has learned.
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News
Poor data threatens future of PbR system, warns minister
Trusts must collect better data about patient services and involve clinicians in decisions if payment by results is to expand successfully, health minister Andy Burnham has warned.
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News
Major malfunction
The market-based system of payment by results is not functioning as hoped, causing adversarial relationships,
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News
Burnham launches payment by results consultation
Andy Burnham has invited views on a number of ways to develop the payment by results system for 2008-09 and beyond.The ideas include strengthening payment by results data, more unbundling of tariffs, setting prices based on effective practice rather than on average costs and extending the system to more services.Read ...
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News
Payment by results and productivity
Noel Plumridge is perplexed by the dilemma of paying for payment by results-induced productivity within a closed, cash-limited system (HSJ, 22 February). I.thought the answer to that was price. As the volumes go up so unit prices go down.
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Comment
Payment by results and South Yorkshire
Noel Plumridge states (HSJ, 22 February) that there was 'never really payment by results; it was always payment for activity' and highlighted the need for incentives for clinicians.
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News
PbR to become 'payment for performance' in NHS North West
Payment by results is set to become payment for performance in the North West of England, under a US model that rewards hospitals for the quality of their care.