Payment by results for learning disability services: a model for the future?
نویسندگان
چکیده
The Department of Health first outlined its plan for the implementation of activity-based funding in 2002 (Department of Health 2002). This was a radical move from previous ‘block contract’ arrangements where hospitals were given fixed amounts of money irrespective of their level of activity. Some of the advantages and disadvantages of the two systems are high lighted in Table 1. Payment by results (PbR) is part of the National Health Service (NHS) modernisation in England. It is a new way of paying both hospitaland community-based health services, with payments based on the amount of work done in line with a national tariff. To gain a better understanding of PbR, it is useful to discuss its three components (Sainsbury Centre for Mental Health 2004).
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