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.
15th April 2016
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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.
The PbR model appears to be incentivising delivery as intended and there is no evidence of perverse incentives. The ethos of the provider organisations means that they are both committed to continuing support for those who remain on the streets.
This is just the latest piece of research that reinforces the need to develop a more integrated system of social care. Although few argue against a more co-ordinated approach, we seem to have made very little progress towards constructing it with joined-up commissioning apparently as difficult to achieve as ever.
Overall the evaluation concluded that the SIB/PbR process had stimulated providers to bring together different elements of best and effective practice in an innovative manner using a “navigator” approach where a single role: “supports a client along the entire pathway from the street/point of first contact and blends direct support with wider provision brokered and coordinated to sustain long term outcomes”
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.
