Editorial commentary: Progress with extending payment by results (PbR) into CAMHS



Payment by Results (PbR) is a healthcare payment system in England only, already in place for elective secondary care, which has started in Adult Mental Health and is being developed for CAMHS. The approach taken for Mental Health PbR is to allocate service users to groups which are similar in resource usage, called clusters. A choice of care packages and a mechanism for reviews linked with outcome measures all aim to facilitate innovative, efficient and effective management of mental health needs linked to a transparent payment system.