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Vol. 1 No. 1 (2020): Clinical Finance Journal

Issue Published : Oct 22, 2020
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Payments Systems in the NHS

https://doi.org/10.47113/fffcfj.v1i1.13
Paul Jenkins
Akeeban Maheswaran

Corresponding Author(s) : Akeeban Maheswaran

admin@clinicalfinancejournal.co.uk

FFF Clinical Finance Journal, Vol. 1 No. 1 (2020): Clinical Finance Journal
Article Published : Oct 22, 2020

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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

Finance Clinical Payment Systems NHS Tariff Blended Contract National Tariff Capitation Payment By Results HRG Block Contract
Jenkins, P., & Maheswaran, A. (2020). Payments Systems in the NHS. FFF Clinical Finance Journal, 1(1), 25-33. https://doi.org/10.47113/fffcfj.v1i1.13
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References
  1. 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
  2. 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
  3. https://www.england.nhs.uk/integratedcare/stps/viewstps/
  4. 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
  5. Lafond S, Charlesworth A, Roberts A. A Year of Plenty? An analysis of NHS finances and consultant productivity.
  6. Health Foundation; 2017. Available from: www.health.org.uk/sites/health/files/YearOfPlenty.pdf
  7. National tariff payment system | NHS Improvement www.Improvement.nhs.uk. 2020 [cited 29 July 2020]. Available from: https://improvement.nhs.uk/resources/national-tariff/
  8. Improvement.nhs.uk. 2020 [cited 18 July 2020]. Available from: https://improvement.nhs.uk/documents/216/Annex_A_National_Tariff_workbook_1.xlsx
  9. Jamie G. UK - QOF Database [Internet]. Gpcontract.co.uk. 2020 [cited 29 July 2020]. Available from: https://www.
  10. gpcontract.co.uk/
  11. 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
  12. 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
  13. 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
  14. /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/
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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/

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