Payment reform

Moving beyond Payment by Results
Date: 
Time:  9am-4pm
Venue:  The King's Fund
Event type:  One-day conference

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 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.

Changes introduced through the Health and Social Care Act 2012, provide an opportunity to reassess what needs to happen and how change should be led. This conference will act as a platform to discuss the findings of our new 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.

Why you should attend

  • Understand how developing new ways using pricing and payment systems can deliver benefits for patients.
  • Hear from Professor Jamie Robinson Kaiser Permanente Distinguished Professor of Health Economics and Director of the Berkeley Center for Health Technology, who will provide lessons from the US on using payment reform to promote integration and raise the quality of patient care.
  • Come together with colleagues to discuss and debate the alternatives to payment by results, including bundled payments and capitated budgets.

Who should attend?

  • Medical and clinical directors
  • NHS chief executives
  • Directors of performance and quality, system design and commissioning
  • GP leads and clinical commissioning group designers
  • Commercial and third sector providers of both health and social care services.

Programme

Programme

9am: Registration, refreshments and networking

Session one: Payment reform – why now?

10am: 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

11.10am: Refreshment break and networking

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

11.35am: 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

1.10pm: Buffet lunch and networking

Session three: How to deliver payment reform

2.10pm: 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

4pm: Close of conference

Speakers

Professor John Appleby

Chief Economist, The King’s Fund 

Professor Chris Ham

Chief Executive, The King’s Fund

John Holden

Director of System Policy, NHS Commissioning Board

John Holden is Director of System Policy in the NHS Commissioning Board Authority. Until October 2011, he was Director of System Regulation at the Department of Health, responsible for policy, legislation and sponsorship of the Care Quality Commission, and for Better Regulation and Simplification. Prior to this John was Deputy Director of NHS Operations, responsible for the Foundation Trust programme.

From 2005 to 2008 John was Head of PbR Strategy, responsible for the alignment of national tariff and wider NHS reforms. He was previously Head of Capital Investment, responsible for NHS PFI and LIFT. John worked for the Department in a variety of other posts including project manager for the NHS bid for resources in the 2002 Spending Review. John was Private Secretary to the last two Health Secretaries of the 1979-97 Conservative administration.

Steve Laitner

GP and Associate Medical Director, NHS East of England

Jason Mann

Head of Pricing Strategy, Monitor

Ellen Nolte

Director, Health and Healthcare, RAND Europe

Dr Ellen Nolte directs the Health and Healthcare Policy programme at RAND Europe. Her background is in public health; she holds a PhD from London University and a master’s degree in public health (MPH). Before joining RAND, Ellen was Senior Lecturer at the London School of Hygiene & Tropical Medicine where she held a prestigious Career Scientist Award by the National Institute for Health Research, England, to undertake a five-year research programme into chronic diseases. Her expertise is in comparative health policy and health systems research including health system performance assessment and international healthcare comparisons on a range of health policy issues, with a particular interest in the development of innovative approaches linking health systems and population health outcomes. She has published widely on health system performance assessment, European health policy and the health implications of political and socio-economic transition in central and eastern Europe.

Jamie Robinson

Kaiser Permanente Distinguished Professor of Health Economics and Director of the Berkeley Center for Health Technology

Sir John Oldham

National Clinical QIPP Lead, Department of Health

Sir John qualified in 1978 and worked in various teaching hospitals, culminating as a GP trainee in inner city Manchester. He joined Manor House Surgery, Glossop in 1983, becoming senior partner in 1988.

In 1992, he gained an MBA with Distinction from Manchester Business School. In 1997 he was invited to join a national project group with the Institute of Healthcare Improvement in Boston, USA, looking at redesigning surgery systems using the collaborative method. He first proposed a primary care collaborative in 1997, the largest improvement programme in the world, and created and headed the National Primary Care Development Team, which launched in 2000. He designed and trained a team to operate a primary care collaborative across Australia and then in Saskatchewan and Alberta in Canada. John Oldham also created the concept of the award-winning Healthy Communities Collaborative.

More recently, he was a member of the National Advisory Group for the NHS Next Steps Review of Primary and Community Care. He is now National Clinical Lead for Quality and Productivity at the Department of Health and a member of the National Quality Board, setting the strategic direction for quality and safety in the NHS. In 2010 he joined the European Commission Steering Group for the Innovation Partnership on Active and Healthy Ageing.

He conducts workshops and presentations internationally, has written books and articles on quality improvement and large system change, and has been a visiting professor at Vanderbilt University, Tennessee.

He also has an interest in education and child nutrition.

In 2000, he received the OBE for services to patients and in 2003 was awarded a knighthood for services to the NHS. Sir John has been a Board member of ISQUA (International Society for Quality and Accreditation) since 2007 and Honorary Treasurer since 2009.

Emma Stanton

Director, Beacon UK

Dr Emma Stanton combines her role as chief executive of Beacon UK - providing mental health commissioning advisory services - with practicing psychiatry at South London and Maudsley NHS Foundation Trust.

From 2010 – 2011, Emma was a Commonwealth Fund Harkness Fellow in Health Care Policy and Practice, and is now a senior associate at the Institute for Strategy and Competitiveness, Harvard Business School, USA, where she researched the value-based approach to health-care delivery.

She is an Honorary Senior Lecturer at University College London, former advisor to England’s chief medical officer, Professor Sir Liam Donaldson, and co-founded Diagnosis, a clinical leadership social enterprise. Emma holds an executive MBA from Imperial College, London, a MRCPsych from the Royal College of Psychiatrists and a BM from Southampton University.

Emma’s publications include Clinical Leadership: Bridging the Divide (Quay Books, 2009) and MBA for Medics (Radcliffe, 2010).

Matt Sutton

Professor of Health Economics, University of Manchester

Prices

Conference fees

  • Voluntary/academic sector: £255 + VAT = £306
  • Public sector: £310 + VAT = £372
  • Commercial sector: £385 + VAT = £462

Bursaries

We offer a limited number of bursary (free) places on our conferences for patients and carers. To apply for a bursary for this conference please email Ben May at b.may@kingsfund.org.uk

Sponsors and exhibitors

Interested in sponsoring or exhibiting at this conference?

We have a variety of sponsorship and exhibition packages available for this conference, plus opportunities to exhibit and place material in the delegate packs.

For more information please download the document below or contact:

Robert Hayman
r.hayman@kingsfund.org.uk
Events Officer, The King's Fund
+44 (0)207 307 2513

Accommodation

Accommodation

To assist you in planning for your visit, The King's Fund has negotiated special rates at a number of hotels within easy reach of the venue. Rates are available at all hotels on request and all rates include VAT.

To book your accommodation please download the form below and follow the instructions: