In the context of international interest in reforming mental health payment systems, national
policy in England has sought to move towards an episodic funding approach. Patients are …

The primary method of funding NHS mental health services in England has been block
contracts between commissioners and providers, with negotiations based on historical …

Background. Activity-based funding mechanisms are widely used in acute care. In England,
payment by results is being extended to mental health care, but its financial viability is …

Against the backdrop of a tight financial climate, a new method of funding mental health
services is being rolled out in England's National Health Service. Called payment by results …

Funding for mental health services in England faces many challenges, including operating
under financial constraints where it is not easy to demonstrate the link between activity and …

Despite limited resources in mental health care, there is little research exploring variations in
cost performance across mental health care providers. In England, a prospective payment …

In their piece on mental health Payment by Results, 1 Macdonald & Elphick note 'a lack of
reassurance that costs per case within a cluster will be similar enough to support a viable …

Mental health payment by results (PbR) is a disruptive new prospective payment system
intended to replace National Health Service block contracts in England and provide a …

MacDonald & Elphick1 have lucidly described the proposed introduction of Payment by
Results into mental health. They mention, however, that 'concerns include the validity and …

Background Within a single mental health care system, different ways of organising health
services are likely to have different costs. Costs can vary because of the types of services …