Drug and Alcohol Recovery PbR Pilots Colin Bradbury PbR Provider Event 27 th April 2011

2/29 Recap 1.December: invitation to participate 2.March: Pilots areas announced Bracknell Forest, Oxfordshire, Kent, Stockport, Lincolnshire, Wigan, Enfield and Wakefield 3.April – Sep: co-design phase 4.May: Independent Evaluation ITT scheduled to be issued 5.October: Pilots start 6.October 2013: Pilots end

3/29 Outcome domains A recovery programme, not a treatment programme Different from other PbR schemes 4 outcomes identified: Leaving treatment free from drug(s) of dependency Re/Offending Employment Health & Wellbeing (interim only) Aim to publish draft definitions in May Payment values to be set locally

4/29 Opportunities and challenges Moving away from process/ front end targets Giving providers freedom and flexibility to innovate and sub-contract what they need Letting the market show what works Encouraging new providers to enter the market Developing a single point of contact model

5/29 Challenges A need to avoid perverse incentives Complexity vs simplicity Minimising bureaucracy Delivering more outcomes with the same money Cash flow Ensuring small/ new providers are able to compete Involving providers in the co-design process

6/29 In summary Alive to the risks Asked to think radically Want to work with providers to deliver improved recovery outcomes