This article regarding Payment by Results (PBR) and its impact on the voluntary sector makes for some interesting reading. http://www.supplymanagement.com/news/2013/payment-by-results-seriously-flawed-says-charity-sector/ Two quotes in particular stand out for me: "Implementing PBR effectively requires intelligent thought and carefully crafted incentives, but many PBR contracts fall well short of this. Crudely designed targets and contracts risk pushing expert voluntary sector providers out of public service provision" and "As PBR proliferates as a payment mechanism, it’s crucial that commissioners seek input from providers and service users on realistic targets and contractual terms at the very start of the process." I recognise that the quotes in the original article could very well be taken out of context but the first quote reinforces the need for the purchasing organisation (who is making the commitment!) to be sure that the offering and the terms a...
