Payment by results: opportunity or threat for mental health commissioners?

Parsonage argues that payment by results represents both an opportunity and a threat for mental health commissioners. On the positive side, it offers PCTs the chance to exert more leverage in the system, for example in the planning and design of services and, where supply conditions permit, in promoting choice and contestability. On the downside, it requires them to manage more risks, particularly financial risks.

Primary Care Mental Health, 2005, vol. 3, no. 4, p. 271-273 (available via your local NHS Library)