Payment reform

Moving beyond Payment by Results
Date: 
Venue: 
The King's Fund

About this event

This conference acted as a platform to discuss the findings of our report, Payment by Results: how can payment systems help deliver better care?, and to consider how the NHS can design tariffs and payment models that put patients’ needs first and make it easier for clinical commissioning groups and other health partners to design more integrated pathways.

You can download the speakers' presentations from the 'presentations' tab above.

Highlights from this event

James Robinson: payment reform – lessons from the US

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James Robinson

James Robinson, Director of the Berkeley Center for Health Technology, uses US examples to discuss how payment reform can be used to promote integration and raise the quality of patient care.

Watch James's presentation

Chris Ham: capitated budgets – a flexible way to enable new models of care

Patrick Hall

Chris Ham, Chief Executive at The King’s Fund, looks at how high performing integrated systems are using capitated budgets and shares examples of eight PCTs who are commissioning integrated care in an innovative way.

Watch Chris's presentation

Matt Sutton: reduced mortality with hospital Pay for Performance in England

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Matt Sutton
Matt Sutton, Professor of Health Economics at the University of Manchester, explains what the Pay for Performance scheme is and how it has led to a reduction in mortality in the North West of England.

Watch Matt's presentation

John Holden and Jason Mann: how to deliver payment reform

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Monitor and NHS Commissioning Board logos
John Holden and Jason Mann give an overview of the role of the NHS Commissioning Board and Monitor in delivering payment reform.

Watch their presentation

About this event

The challenges our health system faces – rising demands, particularly from chronic diseases, limited resources and patients’ expectations of an improving service – mean we must look at how our payment system can better deal with these challenges.  There are signs too that Payment by Results (PbR) is not always incentivising the right behaviours and the current system fails to promote joined-up care for patients, particularly for those with long-term conditions, because it prices individual treatments rather than a package-of-care based around the patient’s needs.

Programme

Session one: Payment reform – why now?

Welcome and introduction
Professor Chris Ham, Chief Executive, The King's Fund

  • Payment by Results: how can payment systems help deliver better care? – findings from The King’s Fund Report
    Professor John Appleby, Chief Economist, The King’s Fund
  • Keynote address: using payment reform to promote integration and raise the quality of patient care: lessons from the US
    James Robinson, Leonard D Schaeffer Professor of Health Economics and Director of the Berkeley Center for Health Technology
  • Questions and discussion

Session two: What are the alternatives to Payment by Results?

Welcome back
Dr Anna Dixon, Director of Policy, The King's Fund

  • Year of Care capitation payments for long-term conditions
    Sir John Oldham, National Clinical QIPP Lead, Department of Health
  • Capitated budgets: a flexible way to enable new models of care 
    Professor Chris Ham, Chief Executive, The King’s Fund
  • Prime contractor model: supporting real innovation and collaboration
    Dr Steve Laitner, GP and Associate Medical Director, NHS East of England
  • Introducing COBIC for mental health
    Dr Emma Stanton, Director, Beacon UK
  • Questions and discussion

Session three: How to deliver payment reform

Welcome back

  • Using payment to enhance coordination: experiences from Europe
    Ellen Nolte, Director, Health and Healthcare, RAND Europe
  • Reduced mortality with Hospital Pay for Performance in England
    Matt Sutton, Professor of Health Economics, University of Manchester
  • Pricing architecture: the role of the NHS Commissioning Board and Monitor in delivering payment reform
    John Holden, Director of System Policy, NHS Commissioning Board
    Jason Mann, Head of Pricing, Monitor
  • Panel discussion: why payment reform is only part of the agenda?
    John Holden, Director of System Policy, NHS Commissioning Board
    Matt Sutton, Professor of Health Economics, University of Manchester
    Ellen Nolte, Director, Health and Healthcare, RAND Europe
    Jason Mann, Head of Pricing Strategy, Monitor