Journal article

Pay for performance for specialised care in England: Strengths and weaknesses

Yan Feng, Søren Rud Kristensen, Paula Lorgelly, Rachel Meacock, Marina Rodes Sanchez, Luigi Siciliani, Matt Sutton

Health Policy | Elsevier | Published : 2019


Pay-for-Performance (P4P) schemes have become increasingly common internationally, yet evidence of their effectiveness remains ambiguous. P4P has been widely used in England for over a decade both in primary and secondary care. A prominent P4P programme in secondary care is the Commissioning for Quality and Innovation (CQUIN) framework. The most recent addition to this framework is Prescribed Specialised Services (PSS) CQUIN, introduced into the NHS in England in 2013. This study offers a review and critique of the PSS CQUIN scheme for specialised care. A key feature of PSS CQUIN is that whilst it is centrally developed, performance targets are agreed locally. This means that there is variat..

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Awarded by National Institute for Health Research (NIHR) Policy Research Programme

Funding Acknowledgements

This project is independent research sponsored by NHS England and funded in England by National Institute for Health Research (NIHR) Policy Research Programme (project reference PR-R18-0117-22001). The views expressed in this paper are those of the researchers and not necessarily those of the NIHR, the Department of Health and Social Care or NHS England.Soren Rud Kristensen was supported by the NIHR Imperial Patient Safety Translational Research Centre.