Local payment example: outcomes-based payment for mental healthcare

A capitated approach to payment with outcomes and risk share components.


Mental healthcare: a capitated approach to payment with outcomes and risk share components

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Oxford Health NHS Foundation Trust outcome based commissioning model for mental health: Updated outcome measures


This document is intended for all organisations involved in commissioning or delivering new care models. It is aimed at providers and commissioners who are interested in more information on outcomes-based payment models and how they could work in practice.

It will be of particular interest to finance, contracting and commissioning staff seeking detailed guidance on developing new financial mechanisms to support service reform.

You can find a shorter introduction in our collection of local payment examples.

Note on use of this document

Local providers and commissioners looking to implement the new payment approaches set out in this document while they are in their current development stage must follow the rules and principles for locally determined prices set out in Section 7.1 of the National Tariff Payment System.

This includes a requirement to send to Monitor and publish any locally agreed payment arrangements that lead to changes to national prices set by Monitor.

Commissioners should also ensure that they follow the framework set out in the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013. See guidance from Monitor on these regulations.

Published 27 July 2015
Last updated 17 September 2015 + show all updates
  1. Added a link to Monitor and NHS England's mental health services data and payments survey.
  2. First published.