The 8th Commandment of Payment by Results: Thou shalt share the fruits of thy labours

By focusing on outcomes, commissioners allow providers to design the service in any which way they choose – safe in the knowledge that they will only have to pay out if that service is successful. This “Black Box” approach has become increasingly contentious since the advent of the Work Programme and the introduction of large private companies into the delivery of public services. One of the key reason underlying the choice of the Work Programme contract areas was the desire to introduce direct competition between providers…