Psychiatric Bulletin (2008) 32: 361-363. doi: 10.1192/pb.bp.108.020370
© 2008 The Royal College of Psychiatrists
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Editorial

Payment by results and mental health services

John Jacques, Specialist Registrar in Forensic Psychiatry

West London Mental Health NHS Trust, Broadmoor Hospital, Crowthorne, Berkshire RG45 7EG, email: johnjacques{at}nhs.net

Abstract

Payment by results is likely to be applicable to mental health services, with the exception of specialist services, next year. Its introduction will completely change the way mental health services are funded. It has three main components: national tariffs for treatments, codings or currencies for treatments according to resource use, and diagnosis and activity-based funding. This article describes payment by results, how ‘currencies’ are being developed for mental health, and outlines some of the problems and advantages of introducing this new system.




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