outcome payments

Drug recovery Payment by Results pilots fail in first year

The researchers come to the very fair conclusion that PbR is not a straightforward guarantee of improving performance in drug and alcohol recovery. Although previous studies have shown that PbR can drive some limited improvements in quality, this study unambiguously found that: “the introduction of payment for outcomes had a significant, negative impact on successful treatment completion.”

Payment by Results not value for money?

PbR schemes now account for at least £15 billion of public spending in the UK including the Work Programme, the new private probation contracts and numerous homelessness and substance misuse schemes. Despite extensive negative media coverage, neither the Cabinet Office nor the Treasury currently monitors how PbR is operating across government.

The Latest on Justice Reinvestment

A proper assessment will have to wait until we have more details but these figures do suggest that Payment by Results may be a more successful approach when savings are shared between government and providers with an explicit understanding that providers will reinvest their success payments rather than merely pass them on to shareholders.

Latest on Transforming Rehabilitation Payment Mechanism

The Ministry of Justice responds to criticisms of its proposed payment mechanism for the new Transforming rehabilitation contracts and appears to be willing to make substantial changes. However, there will be no details until the “Invitation to Negotiate” stage of the procurement process…

Who is going to lead the rehabilitation revolution?

I just got back from an interesting roundtable discussion on payment by results and re-offending convened by IPPR. I cam away with two main thoughts. Is there really no alternative to the MoJ’s cumbersome cohort approach to calculating PbR? And who is going to provide on the ground leadership for the rehabilitation revolution in a centrally commissioned model with a much reduced probation service?

PbR Principles – getting your reward structure right

00000This is the third in a series of posts about the five principles of PbR commissioning set out in a recent Audit Commission report. Principle 3: A well-designed payment and reward structure The Audit Commission helpfully encourages commissioners to consider a wide range of PbR reward structures with an emphasis on schemes where only some of the funding is dependent on results. It points out that many small providers are unlikely to be to carry the …

PbR Principles – getting your reward structure rightRead More »

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