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Guidance

NHS injury costs recovery scheme

Guidance for NHS trusts on the application of the NHS injury costs recovery (ICR) scheme for 2026 to 2027.

Updates to this page

From:
Department of Health and Social Care
Published:
2 November 2016
Last updated:
8 October 2026
Show all updates

  1. Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2025 to 2026' with 'Guidance on the application of the NHS injury costs recovery scheme for 2026 to 2027'. The updated guidance includes the charges and tariff for the 2026 to 2027 financial year.

  2. Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2024 to 2025' with 'Guidance on the application of the NHS injury costs recovery scheme for 2025 to 2026'. The updated guidance includes the charges and tariff for the 2025 to 2026 financial year.

  3. Updated 'Accruing the income' section to include the latest 'bad debt' figures for 2023 to 2024.

  4. Added data for 1 April 2024 to 'NHS treatment and ambulance journey charges' table, which was mistakenly removed in the latest release.

  5. Updated to reflect the NHS injury cost recovery tariff increase from 1 October 2024.

  6. Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2023 to 2024' with 'Guidance on the application of the NHS injury costs recovery scheme for 2024 to 2025'. The updated guidance includes the charges and tariff for the 2024 to 2025 financial year.

  7. Updated to reflect the introduction of a mid-year tariff increase from 2 October 2023 and to update the percentage of claims that were withdrawn (bad debt figure).

  8. Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2022 to 2023' with 'Guidance on the application of the NHS injury costs recovery scheme for 2023 to 2024'. The updated guidance includes the charges and tariff for the 2023 to 2024 financial year and new contact details.

  9. Updated the page by removing the HTML guidance document covering 2021 to 2022 and adding a new document covering the period 2022 to 2023.

  10. Updated the percentage of claims that are withdrawn (bad debt figure) in the section titled ’Accruing the income’. Changed the Compensation Recovery Unit contact name and removed the fax number.

  11. Updated charges and tariff for the 2021 to 2022 financial year and changed the DHSC contact.

  12. Changed the 'bad debt' figure in the section titled 'Accruing the income'.

  13. Replaced document with guidance for the 2020 to 2021 financial year.

  14. Replaced document with guidance for the 2019 to 2020 financial year.

  15. Update to percentage of claims that have been withdrawn (bad debt figure) in paragraphs 1.13 and 1.14.

  16. Updated DHSC contact email address in document.

  17. Replaced document with guidance for the 2018 to 2019 financial year.

  18. Replaced document with guidance for the 2017 to 2018 financial year.

  19. First published.

Documents

Guidance on the application of the NHS injury costs recovery scheme for 2026 to 2027

HTML

Details

This document is for NHS trusts and NHS foundation trusts who provide treatment for injuries where costs are recoverable under the NHS ICR scheme.

It sets out the circumstances and processes for recovering costs. It gives guidance on how ICR payments should be recorded in annual accounts.

The idea behind the scheme is that those responsible for causing injury to others should meet the cost of NHS treatment. NHS costs are recovered only where personal injury compensation is paid - for example, after a road traffic accident. Funds recovered come primarily from a third-party compensator or insurer.

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