‘Like paying 80% for a meal’: Doctors criticise patient satisfaction-led payments system

21 January 2026

Tero Vesalainen/Getty Images

By Daniel Pye

Plans to base how much health providers receive based on patient satisfaction could create “perverse incentives”, according to the government’s own analysis.

Patient Power Payments (PPPs) were outlined in the 10-Year Health Plan (10YHP) as an “innovative new funding flow” in which patients are contacted after care and given a say on whether the full payment for the costs of their care should be released to their provider.







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