Proposals to reform top-up payments for specialised services.
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Monitor is considering changing the mechanism for reimbursing planned specialised care, so that it achieves better value for patients and the NHS.
Revising specialised services top-ups
This document explains the reasons why we have reviewed the policy on specialised top-ups and gives options for how we may implement them.
We have worked closely with the Specialised and Complex Care Advisory Group over the last 2 years during the development of our proposals.
The main reasons for our review include:
- the shift to HRG4+ currency design
- introduction of Prescribed Specialised Services following the Health and Social Care Act 2012
- an independent review of specialised care by the University of York
Monitor and NHS England originally proposed that these reforms would be included in the 2016/17 national tariff consultation. We now propose to consult on these reforms for implementation in 2017/18.
This document is for information, but if you have comments on the proposals in this document please email email@example.com.
Published: 17 November 2015
Updated: 28 January 2016
- We originally proposed that these reforms would be included in the 2016/17 national tariff consultation. We now propose to consult on these reforms for implementation in 2017/18.
- Added a 'watch again' link to Monitor and NHS England's webinar on specialised services.
- First published.