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NHS: Payment by Results

Volume 684: debated on Tuesday 25 July 2006

asked Her Majesty’s Government:

How many primary care trusts have adopted payment by results in 2006-07; how many primary care trusts they expect to (a) continue adopting payment by results, and (b) begin to adopt payment by results in 2007-08; and what monitoring they will conduct to ensure that the objectives of payment by results are achieved. [HL7155]

Payment by results is a national policy, and there is a mandatory tariff, which applies across the whole of the National Health Service. The NHS in England: The operating framework for 2006/07, published in January 2006, set out the ability for strategic health authorities to agree specific local additional rules for a fixed period of time under special circumstances. Discussions on where these might be are ongoing with the NHS.

We have a range of formal and informal evaluation tools to assist the analysis of payment by results. For example, we announced on 18 July 2006 the findings of the South Yorkshire laboratory, which tracked the progress of a health economy in which payment by results has been implemented to a faster timescale than elsewhere.

We provide a range of guidance and work with all NHS organisations and Monitor (the regulator of NHS foundation trusts) to progress the implementation of payment by results. Detailed guidance on payment by results and full copies of evaluation material are available on the department’s website www.dh.gov.uk/pbr.