Jacobs, Rowena orcid.org/0000-0001-5225-6321, Chalkley, Martin John orcid.org/0000-0002-1091-8259, Aragon Aragon, Maria Jose Monserratt orcid.org/0000-0002-3787-6220 et al. (4 more authors) (2016) Funding of mental health services::Do available data support episodic payment? Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
The primary method of funding NHS mental health services in England has been block contracts between commissioners and providers, with negotiations based on historical expenditure. There has been an intention to change the funding method to make it similar to that used in acute hospitals (called the National Tariff Payment System or NTPS, formerly known as Payment by Results (PbR)) where fixed prices are paid for each completed treatment episode. Within the mental health context this funding approach is known as episodic payment. Patients are categorised into groups with similar levels of need, called clusters. The mental health clustering tool (MHCT) provides a guide for assignment of patients to clusters. Fixed prices could then be set for each cluster and providers would be paid for the services they deliver within each cluster based on these fixed prices, although the emphasis to date has been on local pricing. For this episodic payment system to work, the MHCT needs to assign patients to clusters, such that they are homogenous in terms of 1) patient need, and 2) resource use.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | Health of the Nation Outcome Scale (HoNOS),Mental Health,Payment System,National Tariff Payment System (NTPS),episodic payment,Mental Health Clustering Tool (MHCT),Mental Health Services Dataset (MHSDS) |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 12 Sep 2018 09:10 |
Last Modified: | 10 Mar 2025 00:03 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135418 |
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