Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current ...
Why should the new payment systems being developed to support integrated care be any more successful than previous ones? This report calls for urgent reform of the system for paying and contracting services in the NHS.