Funding of mental health services:: Do available data support episodic payment?

Rowena Jacobs; Martin John Chalkley; Maria Jose Monserratt Aragon Aragon; Jan Rasmus Boehnke; Mike Clark; Valerie Moran; Simon Martin Gilbody

Funding of mental health services: Do available data support episodic payment?

Rowena Jacobs, Martin John Chalkley, Maria Jose Monserratt Aragon Aragon, Jan Rasmus Boehnke, Mike Clark, Valerie Moran, Simon Martin Gilbody

Research output: Working paper › Discussion paper

Abstract

The primary method of funding NHS mental health services in England has been block contracts between commissioners and providers, with negotiations based on historical expenditure. There has been an intention to change the funding method to make it similar to that used in acute hospitals (called the National Tariff Payment System or NTPS, formerly known as Payment by Results (PbR)) where fixed prices are paid for each completed treatment episode. Within the mental health context this funding approach is known as episodic payment. Patients are categorised into groups with similar levels of need, called clusters. The mental health clustering tool (MHCT) provides a guide for assignment of patients to clusters. Fixed prices could then be set for each cluster and providers would be paid for the services they deliver within each cluster based on these fixed prices, although the emphasis to date has been on local pricing. For this episodic payment system to work, the MHCT needs to assign patients to clusters, such that they are homogenous in terms of 1) patient need, and 2) resource use.

Original language	English
Place of Publication	York, UK
Publisher	Centre for Health Economics, University of York
Pages	1-82
Number of pages	82
Publication status	Published - Oct 2016

Publication series

Name	CHE Research Paper
Publisher	Centre for Health Economics, University of York
No.	137

Keywords

Health of the Nation Outcome Scale (HoNOS)
Mental Health
Payment System
National Tariff Payment System (NTPS)
episodic payment
Mental Health Clustering Tool (MHCT)
Mental Health Services Dataset (MHSDS)

Access to Document

CHERP137_mental_health_data_episodic_paymentFinal published version, 2.97 MB

http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP137_mental_health_data_episodic_payment.pdf

C2D2 research 4a - A feasibility study to examine the suitability of the new funding approach, Payment by Results (PbR), to improve mental health services in England
Jacobs, R., Boehnke, J. R., Aragon Aragon, M. J. M., Gilbody, S. & Chalkley, M. J.
7/01/15 → …
Project: Other project › Other internal award

Cite this

Jacobs, R., Chalkley, M. J., Aragon Aragon, M. J. M., Boehnke, J. R., Clark, M., Moran, V., & Gilbody, S. M. (2016). Funding of mental health services: Do available data support episodic payment? (pp. 1-82). (CHE Research Paper; No. 137). Centre for Health Economics, University of York. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP137_mental_health_data_episodic_payment.pdf

@techreport{a5d605cce0414a49aa2af8244a958ee7,

title = "Funding of mental health services:: Do available data support episodic payment?",

abstract = "The primary method of funding NHS mental health services in England has been block contracts between commissioners and providers, with negotiations based on historical expenditure. There has been an intention to change the funding method to make it similar to that used in acute hospitals (called the National Tariff Payment System or NTPS, formerly known as Payment by Results (PbR)) where fixed prices are paid for each completed treatment episode. Within the mental health context this funding approach is known as episodic payment. Patients are categorised into groups with similar levels of need, called clusters. The mental health clustering tool (MHCT) provides a guide for assignment of patients to clusters. Fixed prices could then be set for each cluster and providers would be paid for the services they deliver within each cluster based on these fixed prices, although the emphasis to date has been on local pricing. For this episodic payment system to work, the MHCT needs to assign patients to clusters, such that they are homogenous in terms of 1) patient need, and 2) resource use.",

keywords = "Health of the Nation Outcome Scale (HoNOS), Mental Health, Payment System, National Tariff Payment System (NTPS), episodic payment, Mental Health Clustering Tool (MHCT), Mental Health Services Dataset (MHSDS)",

author = "Rowena Jacobs and Chalkley, {Martin John} and {Aragon Aragon}, {Maria Jose Monserratt} and Boehnke, {Jan Rasmus} and Mike Clark and Valerie Moran and Gilbody, {Simon Martin}",

year = "2016",

month = oct,

language = "English",

series = "CHE Research Paper",

publisher = "Centre for Health Economics, University of York",

number = "137",

pages = "1--82",

type = "WorkingPaper",

institution = "Centre for Health Economics, University of York",

}

Jacobs, R , Chalkley, MJ , Aragon Aragon, MJM , Boehnke, JR, Clark, M, Moran, V & Gilbody, SM 2016 'Funding of mental health services: Do available data support episodic payment?' CHE Research Paper, no. 137, Centre for Health Economics, University of York, York, UK, pp. 1-82. <http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP137_mental_health_data_episodic_payment.pdf>

TY - UNPB

T1 - Funding of mental health services:

T2 - Do available data support episodic payment?

AU - Jacobs, Rowena

AU - Chalkley, Martin John

AU - Aragon Aragon, Maria Jose Monserratt

AU - Boehnke, Jan Rasmus

AU - Clark, Mike

AU - Moran, Valerie

AU - Gilbody, Simon Martin

PY - 2016/10

Y1 - 2016/10

N2 - The primary method of funding NHS mental health services in England has been block contracts between commissioners and providers, with negotiations based on historical expenditure. There has been an intention to change the funding method to make it similar to that used in acute hospitals (called the National Tariff Payment System or NTPS, formerly known as Payment by Results (PbR)) where fixed prices are paid for each completed treatment episode. Within the mental health context this funding approach is known as episodic payment. Patients are categorised into groups with similar levels of need, called clusters. The mental health clustering tool (MHCT) provides a guide for assignment of patients to clusters. Fixed prices could then be set for each cluster and providers would be paid for the services they deliver within each cluster based on these fixed prices, although the emphasis to date has been on local pricing. For this episodic payment system to work, the MHCT needs to assign patients to clusters, such that they are homogenous in terms of 1) patient need, and 2) resource use.

AB - The primary method of funding NHS mental health services in England has been block contracts between commissioners and providers, with negotiations based on historical expenditure. There has been an intention to change the funding method to make it similar to that used in acute hospitals (called the National Tariff Payment System or NTPS, formerly known as Payment by Results (PbR)) where fixed prices are paid for each completed treatment episode. Within the mental health context this funding approach is known as episodic payment. Patients are categorised into groups with similar levels of need, called clusters. The mental health clustering tool (MHCT) provides a guide for assignment of patients to clusters. Fixed prices could then be set for each cluster and providers would be paid for the services they deliver within each cluster based on these fixed prices, although the emphasis to date has been on local pricing. For this episodic payment system to work, the MHCT needs to assign patients to clusters, such that they are homogenous in terms of 1) patient need, and 2) resource use.

KW - Health of the Nation Outcome Scale (HoNOS)

KW - Mental Health

KW - Payment System

KW - National Tariff Payment System (NTPS)

KW - episodic payment

KW - Mental Health Clustering Tool (MHCT)

KW - Mental Health Services Dataset (MHSDS)

M3 - Discussion paper

T3 - CHE Research Paper

SP - 1

EP - 82

BT - Funding of mental health services:

PB - Centre for Health Economics, University of York

CY - York, UK

ER -