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Are specialist psychiatric services losing the PbR race?: commentary on… clustering in mental health payment by results

  • Vishwa Radhakrishnan
Summary

Payment by results (PbR) is a payment platform for healthcare services. Introduced to acute physical healthcare services in England in 2003–2004, the system has continued to expand and is currently being implemented in acute mental health services. Owing to the variations and complexities of the patients who access specialist psychiatric services, existing clusters do not always accurately capture their needs. The development of PbR tools specific to psychiatric subspecialties is ongoing, but might not be available in the short term. The funding of acute mental health services through PbR might have funding implications for specialist services such as psychiatry of intellectual disability.

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Copyright
Corresponding author
Dr Vishwa Radhakrishnan, Enfield Integrated Learning Disabilities Service, 1-4 River Front, Enfield EN1 3SY, UK. Email: v.radhakrishnan@nhs.net
Footnotes
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See pp. 227–234, this issue.

Declaration of Interest

None.

Footnotes
References
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British Medical Association (2012) Payment-by-results concerns persist. BMA News, 16 Nov. BMA.
Jacobs, R (2014) Payment by results for mental health services: economic considerations of case-mix funding. Advances in Psychiatric Treatment, 20: 155–64.
Lintern, S (2013) Updated: Monitor questions payment by results for mental health. Health Services Journal, 17 Sept.
Radhakrishnan, V, Smith, K, O'Hara, J (2012) The Mental Health Clustering Tool for people with severe intellectual disability. Psychiatrist, 36: 454–8.
Yeomans, D (2014) Clustering in mental health payment by results: a critical summary for the clinician. Advances in Psychiatric Treatment, 20: 227–34.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
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Are specialist psychiatric services losing the PbR race?: commentary on… clustering in mental health payment by results

  • Vishwa Radhakrishnan
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