Tag Archives: Payment by Results (PbR)

Brief Guide to the New NHS (NHS England)

Posted on June 29, 2014 by Dementia and Elderly Care News

Summary This updated guide, from NHS England, clarifies the structure and function of the NHS, reflecting changes from the Health and Social Care Act 2012. Topic headings include: Introduction The NHS belongs to us all. Foreword (Sir Bruce Keogh). NHS … Continue reading →

Information Governance and the Delayed Care.Data Programme (BBC News)

Posted on April 19, 2014 by Dementia and Elderly Care News

Summary Dame Fiona Caldicott, Chair of the Independent Information Governance Oversight Panel (IIGOP) which advises the NHS and ministers on the handling of patient information, has commented that the currently delayed care.data programme could have been planned better. Full Text Link … Continue reading →

NHS Payment Reform (Nuffield Trust)

Posted on February 23, 2014 by Dementia and Elderly Care News

Summary The NHS payment system has evolved over years into a complex mix of methods, prices, incentives and penalties. It is the product of over a decade of reforms to different components. Aspects of NHS payment systems may act as … Continue reading →

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Standards, Systematic Reviews, UK, Universal Interest | Tagged 2012/13 Reference Costs, 2014/15 Tariff, 2015/16 National Tariff Payment System, Access to Services, Additional Payments, Alternative Payment Systems, Assessing and Meeting Needs and Payments, Attention Shift, Barriers to Integration, Best Practice Tariffs (BPTs), Beyond Institutional Boundaries, Block Budgets, Budget Management, Budgets, Calculating National Prices, Capitation, Care in Appropriate Settings, Care Settings, Case-Based Payments, Challenges of Reconfiguration, Clinical Negligence Scheme for Trusts (CNST), COBIC Consortium, Commissioning Acute Care Services, Commissioning for Quality and Innovation (CQUIN), Commissioning Landscape in England, Commissioning Local Services, Community Health Services, Community-Based Services, Competition and Markets Authority (CMA), Configuration of Services, Cost Benchmarking, Cost Uplifts, CQUIN Incentive Payments, Diagnosis-Related Payments, Differential Efficiency Factors, Direct Enhanced Service (DES) Payments, Disincentives, DRG Payments in European Countries, Efficiency, Efficiency Factor (Costings), Efficiency Savings, Emergency Services, Evolution of Payment by Results in the NHS, Extrinsic Motivation, Fee-For-Service, Fragmentation of Services and Commissioning, Funding GP Practices in England, Funding Reform, Gaming the System, HCHS: Hospital and Community Health Services Needs Index, Health and Social Care Act (2012), Health and Social Care Configuration, Health and Social Care Reform, Health Care Purchased by PCTs (2012/13), Health Reform, Healthcare Resource Groups (HRGs), Hospital Activity, Hospital and Community Health Services (HCHS), Hospital and Community Health Services (HCHS) Needs Index, Hospital Reconfiguration, Inappropriate Care Settings, Incentive Payments, Increasing Efficiency, Institutional Boundaries, Integrated Services, Integrated Whole System Services for People With Dementia, Intrinsic Motivation, Leakage (Efficiency), Length of Stay (LoS), Linking Payment to Quality, Loss of Motivation, Market Forces Factor (MFF), Mental Health and Community Services, Mental Health Services, Modelled Prices, Monitor, Monitoring, National Prices Methodology Discussion Paper, National Tariff Payment System Consultation, NHS Budget, NHS Efficiency Savings, NHS Health and Social Care Act (2012), NHS Hospital and Community Health Service (HCHS) Workforce, NHS National Prices Methodology Discussion Paper: 2015/16, NHS National Tariff Payment System (The Tariff), NHS Payment Reform, NHS Payment System, NHS Payments System, NHS Productivity, NHS Reform, NHS Service Reconfiguration, Openness and Transparency, Organisational Boundaries, Oxfordshire CCG, Patient-Level Information and Costing System (PLICS), Pay-For-Performance Schemes, Pay-For-Performance Schemes in NHS Hospitals, Paying Lower (or Zero) Prices for Activity Above a Specified Level, Payment by Results, Payment by Results (PbR), Payment for Outcomes Not Outputs, Payment Mechanisms, Payment Reform, Payment System for Hospital Activity, Payments to Incentivise Service Transformation, Policy Objectives for DRG Payments, Potential NHS Provider Productivity improvements, Practice by Rote, Price-Setting Principles, Primary and Secondary Care, Primary Care Trusts and Weighted Capitation Formula, Priority Setting (Commissioning), Productivity, Productivity Improvements, Public Service Reform, Quality and Outcomes Framework (QOF) Payment, Quality Payments in the NHS, Reconfiguration of Emergency Care System, Recovery Rehabilitation and Reablement (RRR), Redesigning Services, Reduced Gaming of the System, Reference Costs, Reform, Seamless Care Between Settings, Secondary Care, Service Development Costs, Service Transformation, Setting Objectives, Short Stay Emergency (SSEM) Bandings, SSEM Bandings, Supplier-Induced Demand, Transparency, Transparency and Accountability, Treatment Function Codes (TFCs), Unintended Consequences, Working Across Boundaries, Working the System and Unintended Consequences | Leave a comment

Seven-Day Services Across the NHS (NHS England / HFMA / BBC News)

Posted on December 20, 2013 by Dementia and Elderly Care News

Summary NHS England’s National Medical Director, Sir Bruce Keogh, has made available more information about plans for seven day services across the NHS (based on findings from the Forum on NHS Services, Seven Days a Week) to be introduced over … Continue reading →

Frequently Asked Questions on Integrated Care (Monitor)

Posted on September 16, 2013 by Dementia and Elderly Care News

Summary Monitor has produced a collection of online FAQs to help commissioners, service providers and health and wellbeing boards to understand and meet their obligations relating to integrated care. “Person-centred coordinated care and support is essential to improving outcomes for … Continue reading →

Posted in Commissioning, Community Care, For Nurses and Therapists (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Assessment, Barriers to Integration, Caldicott Report into Information Governance, CCGs, Choice, Choice and Competition, Collaboration, Commissioning, Competition, Competition Commission, Health and Social Care Act (2012), Information Sharing, Information Strategy, Integrated Care Condition, Integrated Commissioning, Integrated Services, Licensed Providers, Local Authorities, Local Authorities (LAs), Local Bodies, Local Markets, Local Service Providers, Local Tariff Modifications, Monitor, National Tariff, New Provider Licence, NHS Health and Social Care Act (2012), Office of Fair Trading (OFT), Organisational and Cultural Barriers, Payment by Results (PbR), Payment System, Pricing Conditions, Principles of Integration, Provider Regulation, Service Integration, Structural Integration, Think Local, Unlicensed Providers | Leave a comment

Data Linkage and Extract Service: Hospital Episode Statistics and the Diagnostic Imaging Dataset (HSCIC)

Posted on September 9, 2013 by Dementia and Elderly Care News

Summary Hospital Episode Statistics (HES) contains roughly 1 billion records on patients attending accident and emergency units, whether admitted for treatment or attending outpatient clinics. The Diagnostic Imaging Dataset (DID) is a collection of data from NHS-funded diagnostic imaging tests … Continue reading →

Posted in Acute Hospitals, For Doctors (mostly), For Researchers (mostly), National, NHS, Quick Insights, UK, Universal Interest | Tagged Administrative Data Sets, Admitted Patient Care Commissioning Data Sets, Aggregate Data, Anonymised Patient Medical Records, Applied Radiology, Bespoke Data Linkages, Bespoke Record-Level Extracts, Brain Imaging, Cancer Data from the Office for National Statistics, Central Return Data Sets, Clinical Data Sets, Clinical Data Standards Network (CDSN), Clinical Data Standards Network Group, Clinical Practice Research Datalink (CPRD), Commissioning Data Sets, Data Linkage and Extract Service, Data Quality, Data Standards, De-Identified Data, Derivation of Patient Classification Code, Diagnostic Imaging, Diagnostic Imaging Dataset (DID), DID, Electronic Database of NHS Patient Demographics, English NHS Observational Data and Interventional Research Service, Functional Brain Imaging, General Practice Extraction Service (GPES), Health and Social Care Information Centre, Health and Social Care Information Centre (HSCIC), HES, Hospital Episode Statistics, Hospital Episode Statistics (HES), Hospital Episode Statistics Linked to Mental Health Minimum Data Set, Hospital Episode Statistics Linked to Mortality Data from the Office for National Statistics, Hospital Episode Statistics Linked to Patient Reported Outcome Measures, Hospital Episode Statistics Linked to the Diagnostic Imaging Dataset, Infostandards.org Website (HSCIC), Linkage of HES to DID, Linked Data Sets, Magnetic Resonance Imaging (MRI), Medication Messages (UK SNOMED CT), Mental Health Minimum Data Set (MHMDS), Mortality Data from the Office for National Statistics, MRI, MRI Scans, Neuroimaging, NHS Data Model and Dictionary, NHS Data Model and Dictionary Service (NHS DMDS), NHS Dictionary of Medicines and Devices (dm+d), NHS Health and Social Care Information Centre, NHS Registration Data from the Personal Demographics Service, ONS Mortality Data, Open Data, Patient Classification Code, Patient Reported Outcome Measures (PROMs), Patient Status and Tracking Data, Payment by Results (PbR), Personal Confidential Data, Personal Demographics Service (PDS), Primary Care Data, Professional Records Standards in Health and Social Care, PROMS, Pseudonymisation, Pseudonymised Data, Radiological Information Systems, Records Standards in Health and Social Care, Secondary Uses Service (SUS PbR), Secondary Uses Service Payment by Results, SUS Payment by Results (PbR), Transparency and Open Data | Leave a comment

Payment by Results: Payment Systems in the NHS (HFMA / Kings Fund)

Posted on September 2, 2013 by Dementia and Elderly Care News

Summary The King’s Fund, Healthcare Financial Management Association (HFMA), and Monitor held a workshop for finance leaders to debate the NHS payments system. While the benefits of payment by results (PBR) are acknowledged, the system governing payments is said to … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, National, NHS, Quick Insights, UK | Tagged Affordability, Ageing Population, Avoidable Admissions, Avoidable Rehospitalisations, Best Practice Tariffs, Capitation, Chief Finance Officers (CFOs), Emergency Admissions, Financial Fragmentation in the NHS, Financial Incentives, Financial Issues, Financial Management, Fragmentation of Services and Commissioning, From Penalties Towards Collaboration, Funding and Admissions, Health Funding, Health: Financing, Healthcare Financial Management Association, Healthcare Financial Management Association (HFMA), HFMA: Healthcare Financial Management Association, Incentives and Investment, Local Discretion and Experimentation, Local Discretion and Innovation, Long-Term Conditions, Marginal Rate Emergency Tariff, Monitor, National Tariff, NHS Finances, NHS Financial Leadership, NHS Funding, NHS Payments System, NHS Tariffs, Outcomes-Based Contracts, Partial Coverage, Payment by Results (PbR), Payment for Outcomes Not Outputs, Payments to Incentivise Service Transformation, Preventable Hospital Admissions, Preventative Care, Prevention, Preventive Care, Public Health Funding, Readmissions, Rules-Based Systems, Service Transformation, Tariff Income, Variations in Quality of Care, Whole-System Approaches | Leave a comment

Ten Priorities “Prescription” for Urgent and Emergency Care (RCP / House of Commons Health Select Committee / Department of Health / BBC News)

Posted on July 20, 2013 by Dementia and Elderly Care News

Summary Challenges faced by urgent and emergency care services include: Rising demand and an ageing population. Lack of comprehensive, effective alternatives to hospital admission seven-days a week. Complex discharge issues. Handover and patient flow. Recruitment into emergency and acute medicine. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, NHS, NHS Confederation, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Royal College of Physicians, Standards, UK | Tagged Access to Medical Records, Acute Hospital Care, Admissions, Ageing Population, Alternatives to Hospital Admission, Ambulatory Care-Sensitive Conditions (ACSCs), Avoidable Admissions, BBC Health News, Care Seven Days a Week, Challenges of Urgent and Emergency Care, Collaboration, Collaborative Care, Collaborative Working, College of Emergency Medicine, College of Emergency Medicine (CEM), Consultant Input, Culture Change, Development of Urgent Care Board Plans, Discharge Coordination, Discharge Planning, Discharge Support, Electronic Medical Records, Emergency Admissions, Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Departments, Emergency Readmissions, Emergency Services, Foundation Trust Network, Funding of Urgent Care Board Plans, Health Select Committee, Hospital Beds, Hospital Discharge, Hospital Emergency Departments, House of Commons Health Select Committee, House of Commons Health Select Committee Report into Urgent and Emergency Services, Imperial College London, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration, Integration of Primary Secondary and Community Care, Leadership, Leadership Development, Local Urgent Care Boards, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary Working, NHS England Area Teams, Partnership and Collaboration, Patient Discharge, Patient Flows, Payment by Results (PbR), Post-Discharge Support, Preventable Hospital Admissions, Preventative Care, Prevention, Prevention Programmes, Preventive Care, Problem Prevention, RCP, Royal College of Physicians (RCP), Society for Acute Medicine, Staff Flu Vaccinations, Step Down, Tri-Partite NHS Plan, Tripartite Plan: Improving A&E Performance, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care, Urgent and Emergency Care Services in England, Urgent Care Boards, Whole System Patient Flows | Leave a comment

Updates to the NHS Payment System (Monitor)

Posted on July 7, 2013 by Dementia and Elderly Care News

Summary Monitor and NHS England are re-designing the NHS Payment System so that it can do more to benefit patients, promote integrated care and eliminate perverse incentives. “The way that hospitals and other healthcare providers are paid for the care they provide is known as … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospitals, CQUIN Incentive Payments, General Hospitals, Hospital Reconfiguration, Incentive Payments, Monitor, NHS Payment System, NHS Reform, Payment by Results (PbR), Perverse Incentives, Redesigning Services, Service Redesign | Leave a comment

Documentation for the National Dementia Prevalence Calculator (NHS England / Dementia Partnerships)

Posted on May 22, 2013 by Dementia and Elderly Care News

Summary NHS England has created a set of tools to enable GPs, practices and CCGs to monitor and improve dementia diagnosis rates and the follow-up care and support for people with dementia. Effective use of these tools requires some explanation. … Continue reading →

Posted in Commissioning, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accelerating Dementia Diagnosis 2012 Action Plan, Alzheimer’s Disease: Prevalence, Ambition Map: Diagnosis Rates, Assessment and Diagnosis, Audit of Antipsychotic Therapy in Dementia Patients in Hampshire, Audit Tool: GP Prescribing of Antipsychotics to People with Dementia, Awareness, Awareness Raising, Barriers to the Diagnosis and Management of Patients with Dementia in Primary Care, Benchmarking, Berkshire Healthcare NHS Foundation Trust, Bournemouth Dementia CQUIN Methodology, Bristol Nurse-Led Dementia Management Model, Case Finding, Case Finding for Patients with Dementia, CCGs, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Commissioning Support, Commissioning Support Tools, Culturally Sensitive Dementia Liaison in Gloucestershire, Dementia and Neurological Conditions South West, Dementia Awareness, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Diagnosis, Dementia Friendly Communities in Hampshire, Dementia Map, Dementia Partnerships, Dementia Partnerships: Knowledge Portal, Dementia Prevalence Ambition Map, Dementia Prevalence Calculator, Dementia Prevalence Calculator (v2), Dementia Prevalence Calculator: User Documentation, Diagnosis, Diagnosis and Assessment, Diagnosis of Alzheimer's Disease, Diagnosis of Dementia, Diagnosis Rates (Regional UK), Diagnosis Rates Ambition Map (UK), Early Diagnosis, Early Identification of People with Dementia in Torbay, Education to Improve Recognition Assessment and Diagnosis, Enhanced Services from GPs, Epidemiology, Epidemiology and Statistics, Former Health Secretary Jeremy Hunt, General Practice, Gloucestershire Dementia Strategy, Gnosall Model for Dementia, GP Contract, GPs, Guidance on Dementia Coding, Health and Wellbeing Boards, Heart of Birmingham Teaching PCT, Improving Coding, Inappropriate Use of Antipsychotics in Dementia, Integrated Commissioning Support, Integrated Dementia Care in Dudley, Involving People Living with Dementia, Involving People Living with Dementia: What Works Resource Pack, Knowledge Portal (Dementia Partnerships), Local Health and Wellbeing Strategy, London Dementia Needs Assessment, Lostwithiel General Practice in Cornwall, Mapping the Dementia Gap, Medicines Management, National Dementia CQUIN, National Dementia Prevalence, National Dementia Prevalence: Calculator, NHS Bristol Practice Incentive Scheme, NHS Cornwall and Isles of Scilly, NHS Cornwall and the Isles of Scilly, NHS England (Formerly the NHS Commissioning Board), NHS Health Check, NHS Health Checks in Southwark, North Somerset Dementia Pathway, North Staffordshire Combined Healthcare NHS Trust, Payment by Results (PbR), Post-Diagnosis Support, Prescribing Guidelines: Acetyl Cholinesterase Inhibitors, Prescribing Review: Acetyl Cholinesterase Inhibitors, Prevalence of Dementia, Prime Minister’s Challenge on Dementia: Annual Report (2013), Psychotropic Medicine Management for People in Care Homes with Dementia, Public Health Agenda, QOF Indicators, Recognition Assessment and Diagnosis, Reducing Antipsychotic Medication in Care Homes, Reducing Inappropriate Use of Antipsychotics in Dementia, Right Prescription Online Community, Social Epidemiology, South West Dementia Partnership, STAR (Stop Think Assess Review), STAR (Stop Think Assess Review) Methodology, Star Toolkit, Stockport Local Enhanced Scheme 2012-13, Strategic Clinical Networks for Mental Health: Dementia and Neurological Conditions South West, Targeted Screening, Timely Diagnosis, University Hospitals Bristol NHS Foundation Trust, What Works Resource Pack: Involving People Living with Dementia | Leave a comment

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