Protecting the public purse

Best practice tariffs and their impact

This briefing sets out our assessment of how best practice tariffs (BPTs) impact at a local level and how implementation can be improved. We look at their influence on day case surgery, fragility hip fractures and acute stroke.

We also report our findings from a review of the quality of the data underpinning BPTs payment as part of the Payment by Results assurance framework.

BPTs have variable impact because, although they help focus attention on particular aspects of clinical practice, they can be difficult to understand and complex to implement.

Their adoption can be hindered by poor local interpretation of the financial incentive models and understanding of national guidance. Few providers appeared to have the level of financial information necessary to make informed decisions about changing services to respond to BPTs.

After examining the local impact of BPTs, we are offering recommendations to both national tariff setters and the local bodies they aim to incentivise.

To support this briefing, a data pack to accompany ‘Best practice tariffs and their impact’ is available here to download. The data pack provides for each trust with:

  • a summary report showing clinical and financial performance against the BPT targets;
  • quarterly time series charts for BPT attainment;
  • charts highlighting the trust’s position compared with other trusts for percentage BPT attainment and the potential income if the target was achieved; and
  • the facility to model changes in BPT performance according to increased spells meeting BPT or increase in income.

Further details are contained within the data pack.


Best practice tariffs and their impact
Best practice tariffs – data pack