Measuring the activity of mental health services in England: Variation in categorising activity for payment purposes

Rowena Jacobs, Martin Chalkley, Jan Böhnke, Michael Clark, Valerie Moran, María José Aragón (Lead / Corresponding author)

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    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.
    Original languageEnglish
    Pages (from-to)847-857
    Number of pages11
    JournalAdministration and Policy in Mental Health and Mental Health Services Research
    Issue number6
    Early online date27 Jul 2019
    Publication statusPublished - Nov 2019



    • Mnetal health funding
    • provider payment
    • episodic payment
    • variation
    • costs
    • Mental health funding
    • Costs
    • Provider payment
    • Variation
    • Episodic payment

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