Payment by Results for mental health

Payment by Results (PbR) is a rules-based payment system in England under which commissioners pay healthcare providers for each patient seen or treated, taking into account the complexity of the patient’s healthcare needs.

PbR aims to promote efficiency, patient choice and incentivise best practice models of care.

PbR involves:

  1. Capturing the number of service users treated.
  2. Allocating each patient to a classification system.
  3. Agreeing what should be provided for people in each cluster.
  4. Agreeing a price for each group/cluster in the classification system that means providers can afford to deliver the agreed care.