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.

HIV outpatient pathway updated guidance available

Further guidance is being published to support the implementation of the mandatory adult HIV outpatient and Payment by Results currency. This documentation replaces the previously published guidance. HIV outpatients – … Read more → – HIV outpatient pathway updated guidance available

Best Practice Tariffs and their impact

The Audit Commission has published a report entitled ‘Best practice tariffs and their impact’, which sets out their assessment of how Best Practice Tariffs impact at a local level and … Read more → – Best Practice Tariffs and their impact

Introduction of Best Practice Tariffs: qualitative and quantitative evaluation

An evaluation of the introduction of best practice tariffs (BPT) has been published. The evaluation was commissioned by the Department of Health and the research, carried out by health policy … Read more → – Introduction of Best Practice Tariffs: qualitative and quantitative evaluation

Next steps for mental health Payment by Results in 2013-14

A letter from David Flory outlines next steps in the implementation of the PbR approach for adult mental health services. These include mandating the rebasing of current contracts on the … Read more → – Next steps for mental health Payment by Results in 2013-14

Payment by Results update eleven – January 2013

The Department today published the eleventh Payment by Results (PbR) update. The purpose of these updates is to keep colleagues in the NHS and other interested parties informed throughout the … Read more → – Payment by Results update eleven – January 2013

Reference cost guidance

Reference costs are the unit costs to the NHS of providing healthcare to NHS patients. The Department of Health has collected reference costs from NHS providers for every financial year … Read more → – Reference cost guidance

Maternity pathway payment system in 2012-13 updated

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 updated