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A critical insight into practitioners’ lived experience of payment by results in the alcohol and drug treatment sector

Gosling, HJ (2017) A critical insight into practitioners’ lived experience of payment by results in the alcohol and drug treatment sector. Critical Social Policy, 37 (3). pp. 1-18. ISSN 0261-0183

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Abstract

Since former Chancellor George Osborne described reducing public spending as ‘the great national challenge of our generation’ (Her Majesty’s Treasury, 2010: 12) the UK Government have demonstrated a profound interest in Payment by Results (PbR) as a mechanism to improve service quality, value for money and innovation (Audit Commission, 2012). Although PbR is not a new initiative, it has been rebranded and sold as a vehicle that can steer ongoing strategies for reform, particularly in the field of criminal justice and drug/alcohol treatment (Her Majesty’s Government, 2010; Ministry of Justice 2013). Despite such assertions, the initiative has become synonymous with budget cuts (Community Links, 2015), the privatisation of public services (Policy Exchange, 2013) and controversy. Drawing upon the findings of a focus group with staff who work in a Therapeutic Community, this article highlights the lived experience of practitioners as PbR takes hold of the alcohol and drug treatment sector. The findings suggest that outcome-orientated incentives, such as PbR, hold the potential to transform welfare-orientated sectors into a financial, market-focused milieu.

Item Type: Article
Uncontrolled Keywords: 1605 Policy And Administration, 1606 Political Science, 1607 Social Work
Subjects: J Political Science > JN Political institutions (Europe)
J Political Science > JN Political institutions (Europe) > JN101 Great Britain
K Law > K Law (General)
K Law > KD England and Wales
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: School of Law
Publisher: Sage
Date Deposited: 26 May 2017 09:28
Last Modified: 09 Sep 2017 15:43
DOI or Identification number: 10.1177/0261018317695492
URI: http://researchonline.ljmu.ac.uk/id/eprint/6590

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