There is an ongoing debate about how best to organize a funding model for mental health care, as is the case for other health care providers. Mental health has lagged behind physical health care because it has not implemented an episodic payment system. It is now caught between systems (global subsidies, an emerging but underdeveloped episodic system, and an ambitious and ill-defined capitation system). With all this, there is a risk of confusion and failure to develop a robust payment system that combines fair payments with high-quality care and good outcomes for service users. A payment system is needed to be used to support improved services and better patient outcomes. Regardless of the system used, some form of classification of service users according to their conditions and needs is essential. If we abolish the current system of clusters of care, we will have to start all over again, and it is not clear how we were going to move on or how long it would take. Clusters of care are imperfect as we have shown above, but knowing the gaps and a reasonable empirical basis for understanding their use gives us the opportunity to improve the clinical and financial foundations of clusters and bring mental health care to a firmer and more equitable approach to funding. DRG/HRGs are not used in the NHS in Scotland, Northern Ireland or Wales, where block contracts remain the dominant payment system. Block contracts are widely used throughout the UK and remain the main payment system for hospitals in Scotland, Wales and Northern Ireland.
Most importantly, data quality needs to be significantly improved in terms of costs and activities. A program to implement the new payment models must be supported to ensure that all clinicians and services collect reliable data on classifications, quality of care and outcomes. Significant investments in information technology are needed and improving data quality must be a priority for mental health services. The NSS Material Safety Data Sheet is not yet adapted as an information tool to accurately count the activities that would be at the heart of its use as a platform for the payment system. To facilitate this, all contracting entities and suppliers should systematically use only the material safety data sheet in their procurement and monitoring processes. This will facilitate a consistent and consistent use of data across all commissioners with a particular supplier and prevent suppliers from wasting resources to meet different file requirements for different members. It will also encourage a rapid improvement in the quality of MSDS data, as it can be used by all Commissioners and suppliers to compare activities. Currently, NHS mental health services in England are mainly funded by global contracts agreed between commissioners and care providers. A block contract is a payment made to a provider to provide a broadly defined service, e.B. a hospital could be awarded a comprehensive contract to provide mental health services in a specific geographic area.
In the case of block contracts, an agreed lump sum is paid regardless of the number of patients treated. One of the perceived problems with this method of financing is that it does not encourage a hospital to control costs or increase production (activity level) (Mason et al., 2011). Some commissioners are driving change through new contract templates and commissioning tools used by local authorities and NHS commissioners to foster transformative and sustainable integration of services. Others bring together all of the system`s leading providers and customers to share experiences, learn and work together to develop and implement better care for individuals. NHS Providers is working with NHS England and Monitor on developments in these two areas to ensure that our members are properly paid for the care they provide to patients, but are also supported locally to develop the most appropriate payment and contract mechanism for their local situation True integrated care is radically shifting the attention of commissioners from the traditional approach, engage separate providers for episodic activities. on the path of a path that leads to results for the individual. In the traditional contractual model, each provider is responsible for the episodic care they provide. .