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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.”
A child in England and Wales is not only more likely to acquire a criminal record, but this record will affect them for longer, and more profoundly, than in any of the countries reviewed.
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.