Payment by results could destabilise the NHS

BMJ 2005; 331 doi: (Published 13 October 2005) Cite this as: BMJ 2005;331:862
  1. Kathryn Godfrey
  1. London

    Trusts need to prepare carefully for the implementation of the payment by results system to avoid financial instability, warns a report from the Audit Commission.

    Payment by results is a way of paying providers a fixed national price for each case treated, replacing block contracts and locally agreed prices. The system, which is to be introduced across all English trusts from April 2006 for non-elective and elective care, has the aim of increasing productivity, rewarding efficiency, and …

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