This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Payments Systems in the NHS
Corresponding Author(s) : Akeeban Maheswaran
FFF Clinical Finance Journal,
Vol. 1 No. 1 (2020): Clinical Finance Journal
Abstract
Finance within the NHS is poorly understood by clinicians and the limited engagement of clinical leaders in finance decisions is recognised as a common pitfall in recent inquiries such as the Francis report1 and recent King’s Fund report into financial failure2. The complexity and rapidly changing landscape of financing systems in place across the NHS on a background of complex and transient organisational structure makes it challenging for the patient focused clinician to achieve a working knowledge of finance. This article will discuss various payment mechanism and explore their advantages and disadvantages and then discuss how they have been used on their own or in combination to fund healthcare organisations. In order to provide context for clinicians, we will discuss how the payment contracts influence day to day health service practice.
Keywords
Download Citation
Endnote/Zotero/Mendeley (RIS)BibTeX
- Francis R. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office . 2013.[Internet]. Kingsfund.org.uk. 2020 [cited 18 July 2020]. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/financial-failure-in-the-nhs-kingsfund-oct14.pdf
- Audit Commission. Learning the lessons from financial failure in the NHS. London: Audit Commission. 2006. Available at: http://archive.audit-commission.gov.uk/auditcommission/SiteCollectionDocuments/AuditCommissionReports/NationalStudies/financial_failure_nhs.pdf
- https://www.england.nhs.uk/integratedcare/stps/viewstps/
- Kingsfund.org.uk. 2020 [cited 18 July 2020]. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/financial-failurein-the-nhs-kingsfund-oct14.pdf
- Lafond S, Charlesworth A, Roberts A. A Year of Plenty? An analysis of NHS finances and consultant productivity.
- Health Foundation; 2017. Available from: www.health.org.uk/sites/health/files/YearOfPlenty.pdf
- National tariff payment system | NHS Improvement www.Improvement.nhs.uk. 2020 [cited 29 July 2020]. Available from: https://improvement.nhs.uk/resources/national-tariff/
- Improvement.nhs.uk. 2020 [cited 18 July 2020]. Available from: https://improvement.nhs.uk/documents/216/Annex_A_National_Tariff_workbook_1.xlsx
- Jamie G. UK - QOF Database [Internet]. Gpcontract.co.uk. 2020 [cited 29 July 2020]. Available from: https://www.
- gpcontract.co.uk/
- Quality and outcomes framework (QOF) [Internet]. The British Medical Association is the trade union and professional body for doctors in the UK. 2020 [cited 29 July 2020]. Available from: https://www.bma.org.uk/advice-and-support/gp-practices/funding-and-contracts/quality-and-outcomes-framework-qof
- GP funding and contracts explained [Internet]. The King’s Fund. 2020 [cited 29 July 2020]. Available from: https://www.kingsfund.org.uk/publications/gp-funding-andcontracts-explained
- Primary care networks explained [Internet]. The King’s Fund. 2020 [cited 29 July 2020]. Available from: https://www.kingsfund.org.uk/publications/primary-carenetworks-explained
- /20 payment reform proposals | NHS Improvement. Improvement.nhs.uk. 2020 [cited 18 July 2020]. Available from: https://improvement.nhs.uk/resources/201920-payment-reform-proposals/
References
Francis R. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office . 2013.[Internet]. Kingsfund.org.uk. 2020 [cited 18 July 2020]. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/financial-failure-in-the-nhs-kingsfund-oct14.pdf
Audit Commission. Learning the lessons from financial failure in the NHS. London: Audit Commission. 2006. Available at: http://archive.audit-commission.gov.uk/auditcommission/SiteCollectionDocuments/AuditCommissionReports/NationalStudies/financial_failure_nhs.pdf
https://www.england.nhs.uk/integratedcare/stps/viewstps/
Kingsfund.org.uk. 2020 [cited 18 July 2020]. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/financial-failurein-the-nhs-kingsfund-oct14.pdf
Lafond S, Charlesworth A, Roberts A. A Year of Plenty? An analysis of NHS finances and consultant productivity.
Health Foundation; 2017. Available from: www.health.org.uk/sites/health/files/YearOfPlenty.pdf
National tariff payment system | NHS Improvement www.Improvement.nhs.uk. 2020 [cited 29 July 2020]. Available from: https://improvement.nhs.uk/resources/national-tariff/
Improvement.nhs.uk. 2020 [cited 18 July 2020]. Available from: https://improvement.nhs.uk/documents/216/Annex_A_National_Tariff_workbook_1.xlsx
Jamie G. UK - QOF Database [Internet]. Gpcontract.co.uk. 2020 [cited 29 July 2020]. Available from: https://www.
gpcontract.co.uk/
Quality and outcomes framework (QOF) [Internet]. The British Medical Association is the trade union and professional body for doctors in the UK. 2020 [cited 29 July 2020]. Available from: https://www.bma.org.uk/advice-and-support/gp-practices/funding-and-contracts/quality-and-outcomes-framework-qof
GP funding and contracts explained [Internet]. The King’s Fund. 2020 [cited 29 July 2020]. Available from: https://www.kingsfund.org.uk/publications/gp-funding-andcontracts-explained
Primary care networks explained [Internet]. The King’s Fund. 2020 [cited 29 July 2020]. Available from: https://www.kingsfund.org.uk/publications/primary-carenetworks-explained
/20 payment reform proposals | NHS Improvement. Improvement.nhs.uk. 2020 [cited 18 July 2020]. Available from: https://improvement.nhs.uk/resources/201920-payment-reform-proposals/