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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.”

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Alcohol & Drugs
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.

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Prison, probation, police, substance misuse, commissioning & payment by results.

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