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Building Recovery: 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

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Building Recovery: The role of Payment by Results

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  1. Building Recovery: The role of Payment by Results Marcus Roberts Director of Policy and Membership, DrugScope

  2. 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

  3. 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

  4. 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

  5. ‘Building recovery’ PLUS ‘A radical programme of public service Reform’ EQUALS Drug recovery PBR Pilots

  6. 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)

  7. 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?

  8. 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

  9. Our website: www.drugscope.org.uk Contact Details E-mail: info@drugscope.org.uk Tel: 0207 940 7520 E-mail: marcusr@drugscope.org.uk Tel: 07793 090 826

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