Commissioning

Alcohol Treatment Payment by Results

Payment by Results (PbR) was first introduced in the NHS in 2003/04.

This was a move away from sweeping block contracts that supported NHS hospitals up to that time and a move towards payment for the activity they delivered.

Mental Health PbR development began in 2005 and is now being implemented in all NHS Mental Health Trusts. Alcohol Treatment PbR is seen as a natural progression in the continuing development of Mental Health PbR as some specialist alcohol treatment is often delivered through NHS Mental Health Trust contracts.

Click the link below to learn more about Alcohol Treatment PbR and to view some of the tools being used in the pilots

• Alcohol Treatment Payment by Results

See our Resources for Commissioners for useful weblinks

Guidance for services to meet local alcohol-related need.

• Signs for improvement - commissioning interventions to reduce alcohol-related harm. DH July 2009

Outcome Monitoring

A brief look at the measures available and the issues for service providers and commissioners of alcohol services. The DH and Baker report's below are accompanying documents and should be read together.

• Outcome Tools for Alcohol Treatment - Department of Health's view.
• Scoping of available outcome monitoring tools used in services for people with alcohol related problems.

Social Care Guidance

Putting People First provides commissioning resources for Social Care including 'Think Local, Act Personal - Next Steps for Transforming Adult Social Care' which, "sets out how councils, health bodies, providers and other community organisations will work more closely so individuals, their families and carers have greater choice and control over their care and support."

SCIE (Social care Institute for Guidance) is a large online resource for Social Care and hosts e-learning, good practice frameworks and a variety of online tools.

Tools

Amongst others these include:

• The Alcohol Systems Model. A computer simulation tool that enables commissioners / service planners to envisage the likely impact of making changes in service configuration. The model represents a geographical area equivalent to a PCT or Local Authority, with an adult population of 250k (and rising). It is capable of scaling to cover a different local, regional or national picture if required

• Data tools for Commissioners (Ready Reckoner, Rush, Purple etc)
• NATMS
• Alcohol Profiles and Hospital admissions etc
• GP Computer System Templates

more useful information

• QIPP
• BME
• IBA Training and e-learning