Approved Costing Guidance: standards

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The Healthcare costing standards for England describe the costing approach we ask you to adopt. There are different versions of the standards for acute, ambulance, mental health and community services.

This is part of the Approved Costing Guidance.

Introduction to the standards

Julia Gray, Costing Lead – Standards at NHS Improvement, introduces this year’s standards.

Healthcare costing standards for England

Quick start guide for the healthcare costing standards 2018 PDF, 177.6 KB

An overview of the costing process and how to start implementing the standards.

The Healthcare costing standards describe the costing approach we ask you to adopt. They include a timetable for implementing the standards. 

For each sector, there are up to four different types of standard: 

  • information requirements: describe the information you need to collect for costing
  • costing processes: describe the costing process you should follow
  • costing methods: focus on high volume and high-value services or departments
  • costing approaches: focus on high volume or high-value procedures and procedures that can be difficult to cost well

Information requirements and costing processes form the main costing process. You must implement these in numerical order (information requirements then costing processes) before working on the costing methods and then costing approaches that apply to your organisation. All standards are supported by an Excel-based technical document.

The new standards do not currently cover independent providers but we encourage all providers to adopt the costing principles and the costing process.

Acute

Healthcare costing standards - acute: information requirements and costing processes PDF, 1.6 MB

Standards for the main costing process for acute providers.

Healthcare costing standards - acute: costing methods PDF, 1.4 MB

Standards for high volume or value services or departments. To be implemented after information requirements and costing processes.

Healthcare costing standards - acute: costing approaches PDF, 1.2 MB

Standards for high volume or value procedures. To be implemented after costing methods.

Healthcare costing standards - acute: technical document XLSB, 1.3 MB

Supports the implementation of the standards by providing required information that is best presented in Excel format

Ambulance

Healthcare costing standards - ambulance: information requirements and costing process PDF, 1.2 MB

Standards for the main costing process for ambulance providers.

Healthcare costing standards – ambulance: costing methods PDF, 917.9 KB

Standards for high volume or value services or departments. To be implemented after information requirements and costing processes.

Healthcare costing standards - ambulance: technical document XLSB, 1.3 MB

Supports the implementation of the standards by providing required information that is best presented in Excel format

Mental health and community

These tools will be published in the spring of 2018. Please contact costing@improvement.nhs.uk if you have any questions.

Education and training

We are not collecting education and training costs this year. However, it remains important for providers to understand the costs of education and training. Therefore we will produce education and training costing standards in spring 2018 for use in a pilot collection.

We have also produced a transitional education and training method.

Transitional education and training method PDF, 711.1 KB

To be used by acute early implementers when producing their reference costs and PLICS submission.

Tools and templates to help implementing the standards

Evidence pro forma XLSX, 63.3 KB

Developed to gather feedback from costing, informatics and clinical professionals to improve the healthcare costing standards.

Acute

Costing standards gap analysis - acute XLSX, 115.9 KB

Template to identify gaps that may make it difficult to implement the acute healthcare costing standards.

Information gap analysis - acute XLSX, 114.3 KB

Template to assess the gaps between the information collected by your organisation and the information required by the costing standards at the individual field level.

We will publish updated versions of the acute costing assessment tool (CAT) and PLICS self-assessment checklist in the spring of 2018. Please contact costing@improvement.nhs.uk for more details.

Ambulance

Costing standards gap analysis - ambulance XLSX, 86.8 KB

Template to identify gaps that may make it difficult to implement the ambulance healthcare costing standards.

Information gap analysis - ambulance XLSX, 47.2 KB

Template to assess the gaps between the information collected by the organisation and the information required by the draft costing standards at the individual field level.

Mental health and community

These tools will be published in spring 2018. Please contact costing@improvement.nhs.uk if you have any questions.

Minimum software requirements

The minimum software requirements outline what a patient-level costing system needs. They have been updated to align with the 2018 standards.

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