Policy paper

2016/17 national tariff: top-up payments for specialised services

Proposals to reform top-up payments for specialised services.

Documents

Proposed reforms to top-up payments for specialised services

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Watch again: webinar on specialised services

Details

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

Next steps

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 pricing@monitor.gov.uk.

Published 17 November 2015
Last updated 28 January 2016 + show all updates
  1. 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.
  2. Added a 'watch again' link to Monitor and NHS England's webinar on specialised services.
  3. First published.