Payment by results

Payment by Results (PbR) is the transparent rules-based payment system in England under which commissioners pay healthcare providers for each patient seen or treated, taking into account the complexity of the patient’s healthcare needs. PbR promotes efficiency, supports patient choice and increasingly incentivises best practice models of care.

PbR currently covers the majority of acute healthcare in hospitals, with national tariffs for admitted patient care, outpatient attendances, accident and emergency (A&E), and some outpatient procedures. The Government is committed to expanding PbR by introducing currencies and tariffs for mental health, community and other services.

Developing Payment by Results for Sexual Health

A range of documents published develops Payment by Results (PbR) for sexual health services, which fall into two development projects: Integrated sexual health The PbR development team will be establishing … Read more → – Developing Payment by Results for Sexual Health

Published: 3 April, 2012

High costs devices

There are a number of high cost devices that are excluded from the Payment by Results (PbR) tariff. Excluded high cost devices are typically specialist, and their use concentrated in … Read more → – High costs devices

Published: 16 March, 2012

High cost drugs

There are a number of high cost drugs that are excluded from the Payment by Results (PbR) tariff. They are typically specialist, and their use is concentrated in a relatively … Read more → – High cost drugs

Published: 7 March, 2012

Maternity pathway payment system in 2012-13

The background information on how and why the PbR maternity pathway system has been developed is published. It includes the structure of the system, how prices have been produced, data … Read more → – Maternity pathway payment system in 2012-13

Published: 16 February, 2012

Confirmation of Payment by Results arrangements for 2012-13

Confirmation of the arrangements for Payment by Results (PbR) in 2012-13 is available. The road test of the draft 2012-13 PbR Guidance concluded on 20 January 2012 and a number … Read more → – Confirmation of Payment by Results arrangements for 2012-13

Published: 16 February, 2012

Reference costs guidance and NHS costing manual published

Guidance for the collection of 2011-12 reference costs from NHS trusts and NHS foundation trusts in July 2012 and a revised NHS Costing Manual published today sets out mandatory and … Read more → – Reference costs guidance and NHS costing manual published

Published: 26 January, 2012

PbR update – January 2012

The Department today published the eighth  Payment by Results update. The purpose of these updates is to keep colleagues in the NHS and other interested parties informed throughout the year … Read more → – PbR update – January 2012

Published: 19 January, 2012