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NHSenglandOctober 26 2015

Two payment approaches for adult and older people’s mental health care services have been proposed for commissioners and service providers.

Under the Department of Health and Monitor proposals, payment in 2016-17 could be based on either a year of care or episode of treatment or be based on capitation. The consultation, which runs until November 17, will help inform proposals for the local payment rules for the 2016-17 national tariff.

Under a capitated payment approach, the consultation says it will be necessary to specify the population which could be based on GP registration lists or on service users referred to secondary mental health services.

It also says that patient choice must be safeguarded. “This includes ensuring that patients can exercise choice at a meaningful point in the pathway, such as after a mental health assessment rather than only at the point of GP referral. In addition, agreements may be put in place so the capitated budget holder pays if a service user chooses care that is outside of their service offering.”

Links:

DoH / Monitor announcement

Consultation letter

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