Consultation outcome

NHS reference costs collection: draft guidance

This was published under the 2010 to 2015 Conservative and Liberal Democrat coalition government

This consultation has concluded

Detail of outcome

The majority of the 46 responses supported the proposals about:

  • community services
  • intermediate care services
  • services excluded from reference costs
  • the revisions to non-mandatory validations

Proposals not supported:

  • to include orthotic and prosthetic services, as there would be considerable variation in appliance costs
  • to exclude research and development costs, rather than net off income; trusts wished to defer this proposal for a year to give priority to the costing of education and training

Read the final guidance for the collection of 2013 to 2014 reference costs.

Original consultation


Seeks views on draft guidance for collection of reference costs from the NHS in July 2014.

This consultation ran from

Consultation description

We are seeking views on draft guidance for the collection of 2013 to 2014 reference costs, in July 2014, from NHS trusts and foundation trusts.

Proposed changes to the reference costs collection are designed to:

  • support the development of price setting
  • support the development of the scope and design of currencies (ie the units of healthcare to which prices are attached)
  • ensure high quality and relevant data are collected
  • minimise the burden of national cost collections on NHS providers.

Final guidance is expected to be published in early 2014 as part of Monitor’s approved costing guidance.

Reference costs are the unit costs to the NHS of providing defined services in a given financial year to the NHS patients in England. They are collected and published annually.


Published 22 November 2013
Last updated 7 February 2014 + show all updates
  1. Final consultation outcome published.
  2. First published.