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Drug and Alcohol Recovery PbR Pilots

Drug and Alcohol Recovery PbR Pilots. Colin Bradbury PbR Provider Event 27 th April 2011. Recap. December: invitation to participate

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Drug and Alcohol Recovery PbR Pilots

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  1. Drug and Alcohol Recovery PbR Pilots Colin Bradbury PbR Provider Event 27th April 2011

  2. Recap • December: invitation to participate • March: Pilots areas announced Bracknell Forest, Oxfordshire, Kent, Stockport, Lincolnshire, Wigan, Enfield and Wakefield • April – Sep: co-design phase • May: Independent Evaluation ITT scheduled to be issued • October: Pilots start • October 2013: Pilots end

  3. Outcome domains • A recovery programme, not a treatment programme • Different from other PbR schemes • 4 outcomes identified: • 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

  4. 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

  5. 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

  6. In summary • Alive to the risks • Asked to think radically • Want to work with providers to deliver improved recovery outcomes

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