Will Geriatric Medicine ‘win’ or ‘lose’ under PbR?
As ‘block contracts’ are being replaced by PbR tariffs, leading to all treatments being individually remunerated, it will soon be apparent what the actual cost is of providing a geriatric service within a particular acute hospital Trust. Rehabilitation is also one of the services that has been proposed for ‘unbundling’, and although the initial date of 1st April for this to commence was suspended, rehabilitation along with many other services, will become an individually charged and thus distinct activity financially within a patient’s episode of care. Geriatric rehabilitation must thus prove its efficiency and cost-effectiveness, to maintain its clinical activities. Bringing rehabilitation (and NHS care in general) closer to patients’ homes is one of the government core pledges, and thus rehabilitation provided in secondary care acute hospital Trust wards may be a less attractive option for commissioners of these services. It is not controversial to suggest that geriatric medicine may
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- Will Geriatric Medicine ‘win’ or ‘lose’ under PbR?
