Transcript the role of payment by results

Building Recovery: The role of
Payment by Results
Marcus Roberts
Director of Policy and Membership,
DrugScope
A couple of provisional points
• PbR has been around for a while, but we are
now entering uncharted territory
• Paying by results is not necessarily the same
thing as payment by results
• Payment by results does not necessarily
involve paying by results
Building Recovery …
‘We will create a recovery system that
focuses not only on getting people into
treatment and meeting process-driven
targets, but getting them into full
recovery and off drugs and alcohol for
good.’
(‘Medically-assisted recovery can, and does, happen’)
Drug Strategy 2010
Radical public service reform …
‘increasing diversity of provision in public services
through further use of payment by results,
removing barriers to greater independent
provision, and supporting communities, citizens
and volunteers to play a bigger role in shaping
and providing services’
‘the government will pay and tender for more
services by results rather than be a default
provider of services’
Spending Review 2010
‘Building recovery’
PLUS
‘A radical programme of public service
Reform’
EQUALS
Drug recovery PBR Pilots
What is the intended role?
• Role 1: To provide financial incentives to
providers to deliver ‘recovery’
• Role 2: To allow for providers to develop
creative and innovative approaches (the
how), with the Government’s role restricted to
specifying the outcomes (the aim)
• Role 3: To create a more open market to drive
innovation with a greater role for independent
providers (voluntary and community sector
and private sector)
The domains of recovery
 Free of drug/s of dependence (planned exit from
treatment without representation – NDTMS)
 Reduced offending or continued non-offending (for
those without history of offending)
 Employment (sustained employment or full-time
education – rate of people moving off benefits)
 Health and well-being (‘to reflect stakeholder
feedback on the need to ensure harm reduction
gains are maintained and to reflect more holistic
progress towards recovery’ – TOPs?) INTERIM
Housing? Families and carers? Service user’s
outcomes?
Opportunities/challenges going
forward
1: Incentives … without perversity
2: Harnessing the VCS … not harming
3: Local innovation … but ‘universal standards’
4: Investment in recovery … not disinvestment
5: Simple intuitive theory … but complex reality
Our website: www.drugscope.org.uk
Contact Details
E-mail: [email protected]
Tel: 0207 940 7520
E-mail: [email protected]
Tel: 07793 090 826