Transcript Slide 1

Drug and Alcohol Recovery PbR
Pilots
Colin Bradbury
PbR Provider Event
27th April 2011
Recap
1. December: invitation to participate
2. March: Pilots areas announced
Bracknell Forest, Oxfordshire, Kent, Stockport, Lincolnshire,
Wigan, Enfield and Wakefield
3. April – Sep: co-design phase
4. May: Independent Evaluation ITT scheduled to be issued
5. October: Pilots start
6. October 2013: Pilots end
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Outcome domains
 A recovery programme, not a treatment programme
 Different from other PbR schemes
 4 outcomes identified:
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Leaving treatment free from drug(s) of dependency
Re/Offending
Employment
Health & Wellbeing (interim only)
 Aim to publish draft definitions in May
 Payment values to be set locally
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Opportunities and challenges
Moving away from process/ front end targets
Giving providers freedom and flexibility to innovate
and sub-contract what they need
Letting the market show “what works”
Encouraging new providers to enter the market
Developing a single point of contact model
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Challenges
A need to avoid perverse incentives
Complexity vs simplicity
Minimising bureaucracy
Delivering more outcomes with the same money
Cash flow
Ensuring small/ new providers are able to compete
Involving providers in the co-design process
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In summary
Alive to the risks
Asked to think radically
Want to work with providers to deliver improved
recovery outcomes
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