Learning key lessons on Payments by Results

Long, and successful, experience of working with Payment by Results (PbR) contracts has taught Community Links several key lessons. These form the basis of a new 9 page policy briefing available (in pdf 243KB) via http://www.community-links.org/linksuk/?p=4697.

They highlight three main issues which need to be addressed for such contracts to work well:

  • Contract financing needs to be carefully addressed.
  • The size and structure of PbR contracts can determine the role that different organisations play.
  • PbR contracts risk forcing providers to focus on a narrow range of outcomes rather than working holistically.