Payment By Results – The Provider Perspective
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Recovery in our Communities Payment By Results – The Provider Perspective Karen Biggs Chief Executive Phoenix Futures
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Payment By Results – The Provider Perspective . Karen Biggs Chief Executive Phoenix Futures . Cat is out of the bag! . Clear Government ideology - PowerPoint PPT Presentation
Transcript of Payment By Results – The Provider Perspective
Recovery in our Communities
Payment By Results – The Provider Perspective
Karen Biggs Chief Executive Phoenix Futures
Recovery in our Communities
Cat is out of the bag!
• Clear Government ideology
we believe the underlying principles fit well with the increased levels of pooled funding, that will take place from April 2011, and that offer greater opportunities for local areas to take advantage of joint commissioning and reduced duplication of systems.
Drug Strategy 2010
• Implementing under localism
‘’government commitment to enabling other areas of the country to have the opportunity to become early adopters of innovative and successful models and techniques as the pilots progress.’’
Payment by
Results
Recovery in our Communities
Testing the market
• Early Adopters of PbR – Stoke, Suffolk, Milton Keynes, Worcester. Lewisham
• Most current tenders have a PbR element
• System redesign and retender – Applied from the 1st year ( Hull – 20%)– Applied from year 2 ( Coventry and Warwickshire 20%) – Incremental ( Sandwell Yr1- 10%, Yr2 20%, Yr3 – 30%)
• Contract review– review of service spec, VFM and Needs of Area (Birmingham 4%)
• MoJ services – Visitor centres London prisons (20% PbR)
Recovery in our Communities
Impact on the Market
• LOCALISM – Plurality of PbR approaches across the country has implications
for systems, monitoring and measuring outcomes
• Drive improved recovery outcomes ?
• Drive down costs?
Opening the market up ? (Opportunity for ‘new providers’ )Or Closing the market down? (Pushing good smaller providers out)
Recovery in our Communities
Impact on the Sector
• Force providers to face localism
• Increased competition in the market
• Mergers and alliances
• Reduce Cost
• Plurality of models has implications for cost
• Already a very busy market
• No room for good small providers
• Increase price
Recovery in our Communities
Are we ready?
• Inevitably no possibly presents the biggest risk • Challenges for Commissioners and providers
Recovery in our Communities
Ultimate test – Does it improve the implementation of the strategy
Impact
High
HighLow
PbR Reduced public funding
Public Health England
Likelihood
Risk Map for the Strategy
Recovery in our Communities
Karen Biggs Chief Executive Phoenix Futures
