By the same authors

From the same journal

Measuring the activity of mental health services in England: variation in categorising activity for payment purposes

Research output: Contribution to journalArticlepeer-review



Publication details

JournalAdministration and Policy in Mental Health and Mental Health Services Research
DateAccepted/In press - 18 Jun 2019
DateE-pub ahead of print (current) - 27 Jul 2019
Number of pages11
Early online date27/07/19
Original languageEnglish


In the context of international interest in reforming mental health payment systems, national policy in England has sought to move towards an episodic funding approach. Patients are categorised into care clusters, and providers will be paid for episodes of care for patients within each cluster. For the payment system to work, clusters need to be appropriately homogenous in terms of financial resource use. We examine variation in costs and activity within clusters and across health care providers. We find that the large variation between providers with respect to costs within clusters mean that a cluster-based episodic payment system would have substantially different financial impacts across providers.

Bibliographical note

© The Author(s) 2019

    Research areas

  • Mental health funding, Provider payment, Episodic payment, Variation, Costs

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