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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.”

Alcohol/Drugs/Gambling
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.

Criminal Justice
Mental health and criminal justice

Important new report from the Centre for Mental Health found primary mental health care remains the weakest element of mental health support within
prisons.

Payment by Results
Getting payment by results contracts right

Designing PbR contracts can be a tricky business with plenty of examples in the literature of commissioners and providers wishing they had never signed on the dotted line. In addition to getting the outcomes and payment incentives right, two issues are particularly critical: the overall length of the contract and the he delay until, and interval between, incentive payments.

Alcohol/Drugs/Gambling
Using apps to buy and sell drugs

While there are an increasing number of apps designed to help drug and alcohol users in recovery, drug dealers are also taking advantage of apps to increase their customer base.

Policing
The changing face of people smuggling

A recent briefing from the National Crime Agency stated that due to the increasing security measures at ports, people smugglers have started to turn to new and more expensive methods of getting asylum seekers and illegal immigrants onto UK soil.

Alcohol/Drugs/Gambling
Can LSD help with mental health issues?

We have already seen some people use “designer drugs” such as to aid mental performance, now we may see a wave of medical research activity examining how LSD and other substances can help tackle some of the most common mental health problems including drug addiction itself.

Prison
Damning Wormwood Scrubs inspection report

Most prisoners still had less than two hours a day out of their cells and we found more than half the population locked behind their doors during the working day.

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