Some hospitals face financial upheaval under new NHS payment system

Some hospitals will face sizeable changes to their incomes under a new NHS payment system, say researchers at Dr Foster in this week's BMJ.

The "payment by results" system is essentially a way of paying health care providers a fixed price for each individual case treated. Under the new system, providers are paid for the actual activity that they undertake, instead of being commissioned through block contracts.

Previously, payments have been based on finished consultant episodes of care (the time spent under the care of one consultant), but from 2005-6, the new system across the NHS will be based on spells of care (a continuous period of time spent within one trust), which may include more than one episode.

Using hospital records, the research team compared spell based activity and episode based activity to examine the impact of using different criteria for determining numbers of heart attacks over time.

They found considerably more episodes of heart attack than there were spells. Measuring hospital activity by episode could therefore result in overestimates of up to 50% for heart attack. This carries obvious implications for estimating the incidence of disease and assessing healthcare outcomes, say the authors.

The new "payment by results" system should provide a more accurate method of calculating payments than using finished consultant episodes and will get around the problem of episode inflation, they write. However, the new system will give rise to considerable upheaval for some acute providers who risk sizeable changes to their financial incomes.

The move from episodes to spells, although potentially fairer, could exacerbate these problems, they conclude.


Contact: Emma Dickinson
BMJ-British Medical Journal

Page: 1

Related medicine news :

1. British hospitals need clinical ethicists
2. Stroke patients receive better care when hospitals get with the guidelines
3. Study naming hospitals in top 5% for clinical quality released by HealthGrades
4. New findings on patient safety at childrens hospitals
5. Fair decisions more important when hospitals face crisis like SARS
6. Urban hospitals bear the brunt of motorcycle injuries
7. Pioneering Welsh surgery delivered to hospitals
8. Some antibiotic resistance threat in hospitals could yield to hand washing
9. Improving child survival in Kenya: Strengthening of district hospitals essential
10. Study questions safety of heart procedures at hospitals without cardiac surgery programs
11. One-third of all physician assistants work in hospitals

Post Your Comments:

(Date:8/31/2020)... ... August 31, 2020 , ... ... solution for chiropractors, announced today the launch of its integrated, HIPAA compliant, telehealth ... running their virtual practice in under 90 seconds. , According to the ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... A Cure for Covid-19 “PTS” with Mediation ... on the planet are in a state of panic, experiencing deep anxiety, immense stress, and ... now, a solution is timely when most people on the planet are experiencing a great ...
(Date:8/29/2020)... ... August 29, 2020 , ... When professor and author Randy ... ease than most people would. Rather than become melancholic, however, he put together a ... achieving one’s dreams. Randy Pausch took a negative situation and turned it into something ...
(Date:8/28/2020)... ... August 28, 2020 , ... With in-person ... out to continue helping the specialty-diet community connect with great, gluten-free brands. At ... coupons, enter giveaways, chat with brands & watch over 50 educational classes... all ...
(Date:8/27/2020)... (PRWEB) , ... August 27, 2020 , ... ... has joined the Walk-in Dermatology team in its Greenvale, New York location. ... Nail and Skin Care Institute. She is certified in chemical peels, microdermabrasion, Hydrafacial ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... While coronavirus cases continue to increase across the ... community organizations remain closed. Because about 80% of blood donations are made at drives ... donors and blood drive hosts to ensure blood products are readily available for patients. ...
(Date:9/1/2020)... DETROIT (PRWEB) , ... September 01, 2020 , ... September ... among women, accounting for more deaths than any other cancer of the female reproductive ... be diagnosed with ovarian cancer and about 14,000 women will die from this disease. ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... If you live in New York City ... real estate part makes sense, it’s the law of supply and demand, but are plastic ... has a significant percentage of their patients that make the four-hour trip to have ...
Breaking Medicine Technology:
Cached News: