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Article citation: , (2011) "National Alcohol Treatment Payment by Results Pilots(source: Alcohol Learning Centre web site, 2 August 2011)", Advances in Dual Diagnosis, Vol. 4 Iss: 3, pp. -
Payment by Results (PbR) was first introduced in the NHS in 2003/2004 for elective secondary care procedures (procedures such as hip replacements). This was a move away from sweeping block contracts that supported NHS hospitals up to that time and a move towards payment for the activity they delivered. It was always intended that the scope of PbR would increase, with the 2002 consultation document Reforming NHS Funding Flows: Payment by Results.
Mental Health PbR development began in 2005 and is now being implemented in all NHS Mental Health Trusts. Alcohol Treatment PbR is seen as a natural progression in the continuing development of Mental Health PbR as specialist alcohol treatment is often delivered through NHS Mental Health Trust contracts. Where alcohol misuse is a complicating factor in mental health need (dual diagnosis), it is already included in other areas of Mental Health PbR. The four pilot sites are Wakefield, Rotherham, Nottingham, and Middlesbrough.
PbR will provide a more transparent funding system for specialist alcohol treatment services, with clarity as to what care is being provided, how it is paid for and what outcomes are delivered. It is hoped that Alcohol Treatment PbR will lead to:
The “products” to be tested in this Alcohol Treatment PbR project include:
On the 1 July, the pilot sites met for the first time to explore the products to be tested in their local areas.
Higher risk drinkers and dependent drinkers represent a very high-risk group for alcohol-related hospital admissions. Providing evidenced based, effective treatment as well as increasing treatment opportunities for these groups may offer the most immediate opportunity to reduce alcohol-related harm. NICE has recently published guidelines on the treatment of alcohol problems and the pilot sites will be implementing packages of care based on this guidance.
The aim of the PbR scheme is to provide a more transparent funding system for specialist alcohol services with clarity as to what care is being provided, how it is paid for and what outcomes are delivered.
The pilot phase of the project will run from July 2011 until the end of March 2012 and each pilot site will be involved in the preparation and field testing of nationally developed products, including:
The products are likely to be amended following feedback from the field, particularly in relation to their practical implementation. The primary purpose of the pilot phase is to design an approach to PbR for Specialist Alcohol Treatment Services that is both understood and able to be implemented.
In addition, the pilot phase will include the development of a guidance booklet and training programme covering all products involved with the introduction of an Alcohol Treatment PbR approach.
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