Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


3.  SYSTEM REFORM

3.1.5  What are the estimated values of financial coverage of Payment by Results in each year from 2004-05? (Q24)

Answer

  1.  Table 24 presents the estimate of financial coverage of payment by results (PbR) in each year from 2004-05 to 2009-10.

2.  Estimates of the financial coverage of PbR up until 2008-09 are based on activity in the appropriate year. For 2009-10, the estimate is based on impact analysis of the tariff using historical national activity data. There were limited changes in the scope of PbR between 2008-09 and 2009-10, therefore changes in financial coverage will be due to price inflation and activity.

Table 24

ESTIMATES OF THE FINANCIAL COVERAGE OF PAYMENT BY RESULTS


  
£ billion

Year
Estimated value of activity covered by PbR (1) (2)

2004-05 (3)
2.0
2005-06 (4)
9.5
2006-07 (5)
23.0
2007-08 (6)
24.0
2008-09 (7)
25.0
2009-10 (8)
26.0

Source:
Payment by Results Operations, DH (Hospital Episode Statistics, national tariff, payment by results MFF adjustment exercise).

Footnotes:
  
1.  All figures include market forces factor (MFF) paid to reflect local unavoidable costs.
2.  Figures not directly comparable because of different scope of PbR in different years. In 2004-05, only early implementers of PbR were operating at full scope (elective, non-elective, outpatients and A&E). In 2005-06, non-early implementers operated at national tariff for elective activity only, moving to full scope in 2006-07. No significant scope changes since 2006-07.
3.  Based on 2004-05 national tariff and 2004-05 activity.
4.  Based on 2005-06 national tariff and 2005-06 activity.
5.  Based on 2006-07 figures from PbR MFF adjustment actual outturn exercise (Stage 4).
6.  Based on 2007-08 figures from PbR MFF adjustment actual outturn exercise (Stage 4).
7. Based on 2008-09 figures from PbR MFF adjustment draft accounts exercise (Stage 3).
8.  Estimated figure based on DH impact modelling of 2009-10 tariff.





 
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