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.

Draft reference costs guidance for 2012-13 published

Draft guidance for the collection of 2012-13 reference costs from NHS trusts and NHS foundation trusts in July 2013 has been published today for comment and feedback. The intention is … Read more → – Draft reference costs guidance for 2012-13 published

Payment by Results for acute and mental health services – road test of the 2013-14 package

The Payment by Results (PbR) road test exercise provides an opportunity for the NHS to test out the new tariff, and supports the planning process. The focus of the road … Read more → – Payment by Results for acute and mental health services – road test of the 2013-14 package

Payment by Results 2013-14 road test package

The road test exercise provides an opportunity for the service to test out the new tariff and supports the planning process. As in previous years the main focus of the … Read more → – Payment by Results 2013-14 road test package

Mental health PbR road test package for 2013-14

Provided below are links to the components of the mental health PbR 2013-14 road test package. If you would like to submit feedback on the draft guidance documents, please complete … Read more → – Mental health PbR road test package for 2013-14

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

High cost 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 cost devices

Simple Guide to Payment by Results

This simple guide to Payment by Results (PbR) provides an introduction for newcomers to PbR, from NHS health professionals, managers and administrators, to people engaged in academic study and interested … Read more → – Simple Guide to Payment by Results