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Will payment system changes encourage better NHS care?


28 November 2014

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Commissioning leaders have raised a number of concerns with the 2015/16 National Tariff Payment System proposals.

A consultation into the tariff outlines plans to incentivise the efficient provision of high quality care and to put into practice the commitments of the Five Year Forward View to change patterns of care to meet local needs.

 

Commissioning leaders have raised a number of concerns with the 2015/16 National Tariff Payment System proposals.

A consultation into the tariff outlines plans to incentivise the efficient provision of high quality care and to put into practice the commitments of the Five Year Forward View to change patterns of care to meet local needs.

Proposals in the report include revising the marginal rater rule  -a baseline value for income from emergency admissions for each provider – to 50:50. This will give acute providers an estimated £70 million extra to invest in patient care and provide a strong financial incentive for NHS trusts and foundation trusts to find new and improved ways to deliver care more cost effectively.

While Simon Stevens, chief executive of NHS England, believes that these changes  “represent four important steps towards the Five Year Forward View” the NHS Clinical Commissioners’ (NHSCC) director Julie Wood fears that its impact will be “limited”

She said: “We share the whole system view with the NHS Confederation andthe Foundation Trust Network that lower prices will continue to drive savings for the NHS next year, but our members are concerned.

“There is a limit to how much of the same can be done for less and [members] are keen to stress a better balance between this and transforming care by doing things differently.”

NHSCC believes that proposals contained in the consultation document may have a detrimental impact on healthcare professional’s financial sustainability and their ability to commission high quality care, particularly the revision of the marginal rule from 30:70 to 50:50. 

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