The NHS payment system: evolving policy and emerging evidence

"But the payment system for NHS-funded services is in need of reform to support a health system that meets the needs of an ageing population, with growing prevalence of multiple chronic diseases, in the context of tightly constrained resources."

The NHS payment system: evolving policy and emerging evidence
L Marshall, A Charlesworth, J Hurst
Nuffield Trust
February 2014

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NHS payment reform: lessons from the past and directions for the future

"To ensure that the long-term reforms to the payment system support the NHS to deliver efficient, high-quality care, Monitor and NHS England need to develop an approach that is comprehensive, focused, aligned with wider system changes, transparent and evidence-based, predictable and credible."

NHS payment reform: lessons from the past and directions for the future
A Charlesworth, L Hawkins, L Marshall
Nuffield Trust
February 2014

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Towards an NHS payment system that does more for patients

"If commissioners pay providers of NHS services too little, they won’t be able to afford to give the high standards of care that patients need and have the right to expect. If commissioners pay providers too much, they may lose focus on keeping their costs under control. We also won’t get as much care as we could for the amount of taxpayers’ money that is being spent."

Towards an NHS payment system that does more for patients
Monitor, NHS England
October 2013

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How can the NHS payment system do more for patients?

"Part One of this document gives the context for this discussion and Part Two describes the development of the NHS payment system to date. Some early ideas on how to design a payment system for the longer term are set out in Part Three for discussion with the sector, with a view to publishing a long-term strategy incorporating stakeholders’ contributions by the end of the year."

How can the NHS payment system do more for patients? A discussion paper
Monitor, NHS England
May 2013

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The response form for this discussion paper is available here.

A simple guide to Payment by Results

The aim of this guide is to provide a simple introduction to Payment by Results (PbR), the tariff based payment system that has transformed the way funding flows around the NHS in England.

A simple guide to Payment by Results
Department of Health
July 2011

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