Health written question – answered at on 1 September 2008.
To ask the Secretary of State for Health whether moving away from block grant funding, as referred to in paragraph 24, page 64 of High Quality Care for All, Cm 7432, will entail the creation of a payment-by-results system for community services; and if he will make a statement.
To ensure services are commissioned and provided on a high quality, cost-effective basis, the national health service is moving increasingly to a contractual structure where the level of funding is linked to the actual performance of providers.
To support the commissioning of community services on a more effective basis, we are working with the NHS to develop effective currencies (units of payment) for these services. Only when these currencies are developed, will we be able to evaluate their robustness and suitability to underpin any national tariff for community services. This staged approach is in line with our proposals in the consultation on the "Options for the Future of PbR 2008-09 to 2010-11", which has been placed in the Library.
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