@article{9b51c8169f4f41be92084266bc702e45,
title = "Measuring the Activity of Mental Health Services in England: Variation in Categorising Activity for Payment Purposes",
abstract = "In the context of international interest in reforming mental health payment systems, national policy in England has sought to move towards an episodic funding approach. Patients are categorised into care clusters, and providers will be paid for episodes of care for patients within each cluster. For the payment system to work, clusters need to be appropriately homogenous in terms of financial resource use. We examine variation in costs and activity within clusters and across health care providers. We find that the large variation between providers with respect to costs within clusters mean that a cluster-based episodic payment system would have substantially different financial impacts across providers.",
keywords = "Costs, Episodic payment, Mental health funding, Provider payment, Variation",
author = "Rowena Jacobs and Martin Chalkley and B{\"o}hnke, {Jan R.} and Michael Clark and Valerie Moran and Arag{\'o}n, {M. J.}",
note = "Funding Information: This work was part-funded by the Wellcome Trust [ref: 105624] through the Centre for Chronic Diseases and Disorders (C2D2) at the University of York. We thank two anonymous referees for their constructive comments on earlier versions of this paper. We would like to thank Phil Moore, lead for the NHS CC Mental Health Commissioners Network and participants at the workshop we ran for commissioners for their helpful views and comments. We would like to thank David Yeomans from Leeds and York Partnership NHS Foundation Trust and Simon Gilbody from Department of Health Sciences, University of York for providing a clinical view to our findings. Our thanks go to Jon Painter, Northumberland Tyne and Wear NHS Foundation Trust, and Carole Green, former lead of the Care Pathways and Packages Project (CPPP), for helping us with queries on specific Trusts and services. We would also like to thank policymakers at NHS England and Monitor/NHS Improvement for useful discussions around our research and mental health funding more generally. The views expressed in this paper are the authors? and not the funder and any errors or omissions that remain are our responsibility. MHMDS Copyright ? 2012?15, re-used with the permission of NHS Digital. All rights reserved. Publisher Copyright: {\textcopyright} 2019, The Author(s).",
year = "2019",
month = nov,
day = "1",
doi = "10.1007/s10488-019-00958-7",
language = "English",
volume = "46",
pages = "847--857",
journal = "Administration and Policy in Mental Health and Mental Health Services Research",
issn = "0894-587X",
publisher = "Springer New York",
number = "6",
}