Pricing architecture: the role of the NHSCB and Monitor in delivering ...
Pricing architecture: the role of the NHSCB and Monitor in delivering ...
Pricing architecture: the role of the NHSCB and Monitor in delivering ...
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We recognise <strong>the</strong> challenges fac<strong>in</strong>g <strong>the</strong> NHS…<br />
• The NHS will be fac<strong>in</strong>g unprecedented challenges <strong>in</strong> <strong>the</strong> upcom<strong>in</strong>g years:<br />
f<strong>in</strong>ancial, demographic <strong>and</strong> epidemiological<br />
• We know we need a system that can respond to <strong>the</strong> new dem<strong>and</strong>s <strong>of</strong><br />
multi-morbidity, chronic conditions <strong>and</strong> better patient experiences<br />
• S<strong>in</strong>ce its <strong>in</strong>troduction <strong>in</strong> 2004, <strong>the</strong> tariff has been <strong>the</strong> subject <strong>of</strong> much<br />
debate <strong>and</strong> <strong>the</strong> objectives it was designed to achieve have evolved <strong>in</strong> <strong>the</strong><br />
past 8 years<br />
• It is a tool that has faced both criticism <strong>and</strong> admiration, <strong>and</strong> has become<br />
(perhaps overly) focused upon as a solution to a wide-range <strong>of</strong> issues,<br />
from wait<strong>in</strong>g times to choice, system re-design <strong>and</strong> f<strong>in</strong>ancial viability<br />
• The NHS CB <strong>and</strong> <strong>Monitor</strong> have a unique opportunity as new<br />
organisations with jo<strong>in</strong>t-responsibility for tariff, to undertake some strategic<br />
th<strong>in</strong>k<strong>in</strong>g on this fundamental national lever<br />
5
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