Costing mandation project


From 1 April 2018 it will be mandatory for designated acute NHS foundation trusts and NHS trusts to record and report the costs of acute activity at a patient level.

Mandation of patient-level costs for acute activity

On 25 January 2018, NHS Improvement’s Board approved the proposal that from 2018/19 onwards, it will be mandatory for designated NHS trusts and NHS foundation trusts to record and report costs at a patient level for acute activity, in line with the Healthcare costing standards for England.

This followed a consultation in late 2017.

Feedback from consultation on mandating patient-level costing PDF, 224.3 KB

This document summarises the feedback we received from the consultation and our response to it.

Help and support

If you have any queries on this project or costing in general please email


Mandating patient-level costing in acute providers

We ran a webinar to set out the process for mandating patient-level costs, along with a description of the proposals and how you can feed back to us. 

You can access a recording of the webinar here

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