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Making sense of payment by results

The purpose of the new interactive tool is to help commissioners, investors and providers consider whether it might be appropriate to use PbR for a particular service. The tool asks key questions on both the rationale for using PbR and key elements of the contract such as defining and validating outcomes and guarding against common PbR problems such as “creaming and parking” and unintended consequences.

The future prison

New RSA project “the Future Prison” seeks to develop a blueprint for a new prison system which has rehabilitation at its heart.

The true horrors of using NPS in prison

A report by User Voice for the NHS confirms that synthetic cannabinoid Spice is the most popular drug in prison and causes serious health & security problems. Its popularity is attributed to its “bird killing” properties.

The unexpected consequences of payment by results

The issue of providers “gaming” PbR contracts is a hot issue in the literature. Commentators take different views with some stating that it is only rational and efficient for providers to focus on the outcomes incentivised by PbR payments to the best of their ability while others describe similar behaviour as “gaming.”

Drug-related deaths continue to rise

The number of men whose death was officially caused by drug misuse is approximately the same now as it was 15 years ago, although the last two years have seen a sharp increase. The number of women whose death was officially caused by drug misuse has doubled over the same period.

Heroin users stuck in the treatment system

Less than one quarter (24%) of the 273,898 opiate clients who have been in contact with treatment services since 2005/6 had completed treatment and not returned by 31 March 2015.

What do recovery and desistance have in common?

Understanding the whole person The Revolving Doors Agency has just (26 November 2015) published the first in a series of literature reviews on severe and multiple disadvantage. Entitled: Understanding the whole person, it asks the key question: What are the common concepts for recovery and desistance across the fields of mental health, substance misuse, and criminology? Written […]

Peterborough Prison PbR pilot results improving, but still below target

However, if the offender population in Peterborough is typical of local prisons, these results are promising although they do not reach the 10% target figure which would release the full PbR payment (the number of reconviction events would need to be 148 per 100 offenders rather than the current 155).

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