Payment by Results (PBR)

The SHCA is concerned about the potential impact of PBR on the provision and quality of specialised services. In some cases, national tariffs seem inadequately to reflect the extra costs of specialist providers. In others, specialist treatments have been excluded from PBR but may be financially squeezed if expenditure within the scheme overruns. The Alliance is therefore working with the Royal College of Physicians to set up a nationwide monitoring panel of clinicians to act as an early warning system. Aggregated results from the panel will be posted on the website at regular intervals as the year unfolds, commencing in the spring.