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

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