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Payment by results in forensic mental health

  • Luke Gibbons (a1) and Lucy McCarthy (a1)
Summary

Forensic mental health services are low-volume, high-cost services. Payment by results (PbR) is the UK s latest attempt to improve efficiency and controls pending behaviours within the secure services. This article discusses the utility of the PbR mechanic in forensic mental health. It explores PbR implementation in non-forensic mental health settings, similar funding processes internationally, and early PbR implementation work in the UK's secure services. Finally, the article discusses the challenges faced when implementing PbR in forensic mental health services and puts forward possible next steps in determining the utility of PbR in forensic mental health.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Luke Gibbons (luke.gibbons@nottshc.nhs.uk)
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Declaration of interest

None.

Footnotes
References
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1 Mason, A, Goddard, M, Myers, L, Verzulli, R. Navigating uncharted waters? How international experience can inform the funding of mental health care in England. J Ment Health 2011; 20: 234–48.
2 Department of Health Payment by Results Team. A Simple Guide to Payment by Results. Department of Health, 2012.
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8 International Council of Nurses. Nursing Matters Factsheet: Diagnosis Related Groups. ICN, 2009.
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15 Self, R, Painter, J. Study: To Improve and Demonstrate the Structural Properties of the Care Clusters that Form the Basis of the PbR Currency Development Programme (Care Pathways and Packages Project). CPPP, 2009.
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17 Sugarman, PA, Walker, L. HoNOS-Secure Version 2. Royal College of Psychiatrists, 2004.
18 Care Pathways and Packages Project. Mental Health Clustering Booklet (Forensic) April 2012. CPPP, 2012.
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20 Jacobs, R. Payment by results for mental health services: economic considerations of case-mix funding. Adv Psychiatr Treat 2014; 20: 155–64.
21 Clarke, M, Duggan, C, Hollin, CR, Huband, N, McCarthy, L, Davies, S. Readmission after discharge from a medium secure unit. Psychiatrist 2013; 37: 124–9.
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23 Royal College of Psychiatrists. Royal College of Psychiatrists' Statement on Mental Health Payment Systems (formerly Payment by Results). Royal College of Psychiatrists, 2014.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Payment by results in forensic mental health

  • Luke Gibbons (a1) and Lucy McCarthy (a1)
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