Payment by Results working groups

The delivery of Payment by Results policy and stakeholder engagement is managed through a number of advisory groups.

External Advisory Group

The External Advisory Group provides strategic advice to the NHS Chief Executive on the development and implementation of PbR policy.

External Advisory Group membership:

  • John McIvor, Chair (Lincolnshire PCT)
  • Alan Maynard (University of York)
  • Alan Betts (Dorset PCT)
  • Jane Hazelgrave (Bradford and Airedale PCT)
  • Phil Heywood (North West Specialist Commissioning Group)
  • Peter Huskinson (EMPACT Commissioning Support)
  • Paula Monteith (NHS Information Centre)
  • Tom Fellows (Nuffield Health)
  • Russell Favager (Wirral University Teaching Hospital NHS Foundation Trust)
  • Andy Hardy (University Hospitals Coventry and Warwickshire NHS Trust)
  • Lee Rowlands (Central Manchester University Hospitals NHS Foundation Trust)
  • Paul Betts (Foundation Trust Network
  • Leela Barham (Royal College of Nursing
  • Tom Kane (BMA)
  • Peter Saunders (Audit Commission
  • Jonathan Storey (North of England SHA
  • Ivy Wong (NHS Commissioning Board)
  • Kelly Lin (Monitor)
  • David Jones (Monitor)

External Advisory Group minutes:

11 July 2012: minutes (PDF, 132KB, 14 pages)

9 May 2012: minutes (PDF, 125KB, 14 pages)

For previous minutes go the the National Archives website.

Terms of Reference:

  • to provide strategic advice to the NHS Chief Executive on the development and implementation of Payment by Results (PbR) policy
  • to maintain an overview of the relationship between the developing and implemented policy and the stated policy objectives
  • to monitor the tariff setting process ensuring that its construction is fair, transparent and objective
  • to provide reports to the programme board on issues considered and advice given

Clinical Advisory Panel

The Clinical Advisory Panel provides strategic clinical advice to the NHS Chief Executive on the development and implementation of PbR policy.

Clinical Advisory Group membership:

  • Dr Ian Rutter, Chair (DH)
  • Dr Mike Henley (BMA)
  • Dr Amit Arora (British Geriatrics Society)
  • Dr Bill Aylward (Expert Working Groups)
  • Professor Jonathan Brown (Gloucestershire Hospitals NHS Foundation Trust)
  • Dr Patrick Cadigan (Royal College of Physicians)
  • Dr Sian Rees (NICE)
  • Professor Ursula Gallagher (Royal College of Nursing)
  • Dr Clare Gerada (Royal College of General Practitioners)
  • Dr Ian Higginson (College of Emergency Medicine)
  • Adrian Davis (DH)
  • Lisa Hughes (DH)
  • Virginia Jordan (NHS Information Centre for Health and Social Care)
  • Professor Ian Lewis (Alder Hey Children’s NHS Foundation Trust)
  • Helen Marlow (NHS London)
  • Dr Chaand Nagpaul (BMA)
  • Dr Donal O’Donoghue (DH)
  • Professor David Oliver (DH)
  • Mr Dermot O’Riordan (Royal College of Surgeons)
  • Dr Tim Richardson (National Association of Primary Care)
  • Dr Bohdan Solomka (Royal College of Psychiatrists)
  • Professor Lynne Turner-Stokes (Kings College London)
  • Dr Graham Venables (Consultant Neurologist)
  • Professor Keith Willett (NHS Commissioning Board)
  • Andy Taylor (Association of British Healthcare Industries)
  • George Batchelor (Monitor)

Clinical Advisory Group Minutes

6 November 2012: minutes (PDF, 109KB, 12 pages)

Terms of Reference

  • To provide strategic clinical advice to the NHS Chief Executive on the development and implementation of Payment by Results (PbR) policy
  • To provide advice on policy and pricing to ensure that PbR does not inappropriately affect clinical practice *To provide strategic direction to the expert working groups (EWGs) developing healthcare resource groups (HRGs).
  • To provide reports to the Programme Board on issues considered and advice given.

Children’s sub-group

Children’s sub-group members:

  • Sheila Shirbman, Chair (DH)
  • Amit Bhargava (NHS Alliance Clinical Commissioning Federation)
  • Andrew Hall (NHS Information Centre)
  • Anne Spence (DH)
  • Bob Butcher (Northampton General Hospital NHS Trust)
  • Christine Humphrey (DH)
  • Claire Newton (Great Ormond Street Hospital for Children NHS Foundation Trust)
  • David Field (University Hospitals of Leicester NHS Trust)
  • David Shortland (Royal College of Paediatrics and Child Health)
  • Edward Baker (Oxford Radcliffe Hospitals NHS Trust)
  • Francis Smethurst (DH)
  • Gabby Whittingum (Hampshire Hospitals NHS Foundation Trust)
  • Ian Lewis (Alder Hey Children’s NHS Foundation Trust)
  • James Kingsland (National Association of Primary Care)
  • Karen Turner (DH)
  • Karen Gowler (DH)
  • Laurence Murphy (Alder Hey Children’s NHS Foundation Trust)
  • Lee Rowlands (Central Manchester University Hospitals NHS Foundation Trust)
  • Louise Shepherd (Alder Hey Children’s NHS Foundation Trust)
  • Mark Rosenthal (Expert Working Group and Royal Brompton and Harefield NHS Foundation Trust)
  • Max Davie (Royal College of Paediatrics and Child Health)
  • Milos Ognjanovic (Newcastle Upon Tyne Hospitals NHS Foundation Trust)
  • Nick Griffin (Expert Working Group)
  • Phillipa Galloway (Central Manchester University Hospitals NHS Foundation Trust)
  • Rick Turnock (Alder Hey Children’s NHS Foundation Trust)
  • Roly Squire (Leeds Teaching Hospitals NHS Trust)
  • Sean Fenelon (NHS Primary Care Commissioning)
  • Sue Lorimer (Alder Hey Children’s NHS Foundation Trust)

Children’s sub-group minutes:

26 June 2012: minutes (PDF, 90.8KB, 13 pages)

Terms of Reference

The Clinical Advisory panel also has a children’s sub-group.

Technical Working Group

The Technical Working Group provides technical and operational advice to the DH PbR team on implementation of PbR policy.

Technical Working Group members:

  • Jane Hazelgrave, Chair (Bradford and Airedale PCT)
  • Richard Oldham (NHS Connecting for Health)
  • Paula Monteith (NHS Information Centre)
  • Julie Speller (NHS Information Centre)
  • Tina Lovelock (NHS Information Centre)
  • John Shepherd (Ramsay Health)
  • Nick Molle (Cambridge University Hospitals NHS Foundation Trust)
  • Edward Smith (Cambridge University Hospitals NHS Foundation Trust)
  • Lorraine Battle (York and District Hospitals NHS Foundation Trust)
  • Petra Scantlebury (Royal Free and Hampstead NHS Trust)
  • Steve Bloomer (The Royal Orthopaedic Hospital NHS Foundation Trust)
  • Kevin Brett (Gloucestershire PCT)
  • Andrew Eames (Sheffield PCT)
  • Mark Chidgey (Stockport PCT)
  • James Barker (West Midlands Healthcare Commissioning Services)
  • Howard Davis (Audit Commission)
  • Jonathan Storey (North of England SHA)
  • Alex Wilson (NHS Kirklees)
  • Helen Maguire (Royal Brompton and Harefield NHS Foundation Trust)

Technical Working Group minutes:

28 March 2012: minutes (PDF, 57.9KB, 8 pages)

8 June 2012: minutes (PDF, 52.1KB, 7 pages)

For previous minutes go to the National Archives website.

Terms of Reference

  • to provide technical and operational advice to the Department of Health (DH) Payment by Results (PbR) team on the implementation of PbR policy
  • to facilitate a shared understanding between the NHS and the DH of technical and operational issues relating to PbR and its impact on the NHS

Reference Costs Advisory Group

The Reference Costs Advisory Group provides technical and practical advice on proposed changes and supports improvements to the annual reference costs collection guidance.

Reference Costs Advisory Group members:

  • Carolyn Wood,Chair (North West SHA)
  • Ivy Wong (NHS Commissioning Board)
  • George Batchelor (Monitor)
  • Alex Bartholomew (Monitor)
  • Bryn Shorney (Programme Budgeting)
  • Dave Allen (Information Centre)
  • Paula Monteith (Information Centre)
  • Cath Chilcott (NHS Connecting for Health)
  • Howard Davis (Capita Health)
  • Karen King (Burton Hospitals NHS Foundation Trust)
  • Lee Webb (Derby Hospitals NHS Foundation Trust)
  • David Cooper (Sheffield Teaching Hospitals NHS Foundation Trust)
  • Simon Gregory (South Tees Hospital NHS Foundation Trust)
  • Deborah Farrel (South Tees Hospital NHS Foundation Trust)
  • Laurence Murphy (Alder Hey Children’s NHS Foundation Trust)
  • Jason Dean (Alder Hey Children’s NHS Foundation Trust)
  • Sheelagh Carr (Greater Manchester West Mental Health NHS Foundation Trust)
  • Nicola Hollins (Nottingham University Hospitals NHS Trust)
  • Sarah Green (Birmingham Community Healthcare NHS Trust)
  • Sandip Kandola (Birmingham Community Healthcare NHS Trust)
  • David Almond (Blackpool Teaching Hospitals Foundation Trust)
  • Stuart Burney (North Tees & Hartlepool NHS Foundation Trust)
  • Sharon Ainley (Harrogate and District NHS Foundation Trust)
  • Andrew Belcher (Leeds Teaching Hospitals)

Reference Costs Advisory Group minutes:

5 December 2012: minutes (PDF, 61.8KB, 5 pages)

19 October 2012: minutes (PDF, 86.7KB, 7 pages)

For previous minutes go to the National Archives website.

Terms of Reference

The purpose of the Reference Costs Advisory Group (RCAG) is to provide technical and practical advice on proposed changes / improvements to the annual reference costs collection guidance.

The group will focus on:

  • establishing an agreed process for introducing any changes to the existing guidance.
  • improving areas of the guidance identified as requiring further consideration and/or re-work.
  • introducing greater consistency to the guidance by reducing the perceived ambiguities. *advising how the collection process could be improved including producing supplementary guidance on best practice and key validation requirements that will help improve the quality of submissions
  • to provide reports to the PbR Programme Board on issues considered and advice given

Underpinning principles of group:

  • The group will ensure that local or specific interests are not represented at the expense of providing objective and balanced advice.