Adding value? Reflections on payment by results for people with multiple and complex needs

Document type
Corporate author(s)
Revolving Doors Agency (Charity)
Revolving Doors Agency
Date of publication
4 February 2015
Social Work, Social Care and Social Services, Offenders, Mental health services, Criminal Justice Services, Housing and Homelessness, Poverty Alleviation Welfare Benefits and Financial Inclusion, Substance Misuse
Social welfare
Material type

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The use of payment by results (PbR) models for service provision has been growing across the public sector. Many potential clients of current PbR schemes face multiple and complex needs – a combination of interrelated problems including poor mental health, substance misuse, homelessness, repeat offending, and poverty.This briefing paper raises a number of challenges in applying PbR to services for people facing multiple and complex needs, and reflects on the experience of existing schemes to identify 18 key considerations for commissioners and policymakers seeking a more outcome-based approach.

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