PbR elsewhere in public services

This page offers resources about payment by results across public services – beyond housing support – first an overview and then looking at where PbR is being used.


» Take five (June 2012)

The Audit Commission sets out five key principles to plan and deliver payment by results, reports Sitra’s Adam Knight-Markiegi.
We can all remember five things, right? When I was revising for my A-levels, my English teacher told me to summarise my notes (such as on Shakespeare’s Hamlet) and keep on reducing them until the points fitted onto a postage stamp.

» The rules of the game (July/August 2011)

Phil Saunders looks at outcomes monitoring and payment by results. For some time now, the trend in national and local government has been to evaluate the success or failure of a policy initiative by monitoring outcomes. The intention has been to move away from looking at processes (what activities are carried out by providers), inputs (how much work is done or how much money is spent) and outputs (how many people are helped or places filled). In theory at least, we’ve moved on from the days when government ministers merely announced how much spending there would be on, say, the NHS or how many social housing units would be produced from that year’s budget. Instead, the emphasis nowadays is on whether the NHS is working, or whether any new social housing is of good quality, or in the right place

Piloting PbR across public services

» Better joint working needed ( March/April 2012)

A new paper that discusses payment by results and personalisation in mental health sees the biggest risk as the lack of real joint working between agencies, especially health and social care, writes Sitra’s Adam Knight-Markiegi.The National Development Team for Inclusion published the short discussion paper1 in January 2012. It outlines how clusters are being used to kickstart payment by results and how the recovery model is a good starting place for personalised services in mental health.

» Reoffending: Ministry of Justice (Mar 2012): Perhaps one of the simplest PbR indicators – does somebody reoffend – underplays the huge amount of analysis behind the scenes.

» Does crime pay?  (Oct/Nov 2012)

Sitra’s Adam Knight-Markiegi looks at a new report that is critical of using payment by results to stop re-offending. Campaign group Make Justice Work has published a report, Just results: Community sentencing in the balance, on the government’s plans to use payment by results in community sentences. This follows an event it organised with thirty leading experts to question PbR.

» Rough sleeping: Greater London Authority (Dec 2012): The GLA is using a particular type of PbR, social impact bonds, to target entrenched rough sleepers in London.

» Substance misuse: National Treatment Agency (May 2012): The NTA, part of the Department of Health, is testing PbR for substance misuse.

» The trouble with families (September 2012)

What lessons does the payment by results programme for troubled families offer housing support? Sitra’s Adam Knight-Markiegi finds out. Payment by results is creeping into many public services. This new way of rewarding the most effective services is already being tested in housing support services. It’s now also being used to pay for intensive work with troubled families. But what advice can this give to housing support?