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Payment by Results

The 3rd Commandment of Payment by Results: Thy metrics shall be simple

Complexity is almost always the enemy of effective PbR because it inevitably results in unintended consequences. Concern about possible unintended consequences results in worries about gaming the system which, equally inevitably, results in additional measures being taken to address these concerns which involves further complexity which…, well, you get the picture. In this post, I want to make the case for simple, robust measures to assess how effective PbR schemes are in meeting their outcomes.

Payment by Results

Shock, Horror! Payment by results works

Payment by results has been getting a fairly consistent bad press recently with concerns about the funding mechanism’s use in the Work Programme, Drug Recovery pilots and worries about how it will work for the new reducing reoffending contracts.
So it was refreshing for me to see an example of a successful (albeit smallscale) example of PbR at last week’s No Offence (@NoOffenceCiC) conference. West Yorkshire succeeded in driving down their youth custody rate by a third through a PbR approach.

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