All Payment by results (PbR) articles – Page 3
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CommentFunding of restorative dentistry is a cause for concern
A survey into how restorative dentistry is paid for has found wide disparity in the funding of the service in the UK, which leads to variations in the service provided, note Ulpee Darbar and Ishpinder Kaur Toor
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HSJ LocalNational 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.”
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CommentReports 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
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NewsRegional 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.
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NewsExclusive: 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 ...
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NewsNHS 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 ...
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NewsNHS 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 ...
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NewsExclusive: 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 ...
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NewsExclusive: 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 ...
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NewsExclusive: 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, ...
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NewsNew 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 ...
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HSJ KnowledgeEasy 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
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NewsExclusive: 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 ...
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NewsMonitor 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.
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NewsNursing 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.
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NewsMonitor 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.
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NewsClinical 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.
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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.
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LeaderThis is the chance to stem GP leaders' frustration
Despite the share of health spending in general practice falling
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NewsPrivate 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.