Costing mandation project

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It is mandatory for designated acute trusts to record and report the costs of acute activity at a patient level from 2018/19. This project is working to mandate patient-level costs for other services in future years.

Proposed mandation timetable

The proposed mandation timetable supports individual trusts to plan for the proposed implementation of patient-level costing across all sectors.

We have used the 2016/17 reference cost submission to identify each trust’s main service and, as a result, when we expect they will be required to submit patient-level costs for each type of service (acute, mental health, community or ambulance). This will be subject to impact assessment and consultation of service-specific mandation proposals, and approval by NHS Improvement’s Board.

Patient-level costing is already mandated for designated acute trusts from 2018/19. We are currently working to mandate collections for ambulance and mental health trusts in 2019/20 and community trusts in 2020/21.

Proposed patient-level cost mandation timetable XLSX, 30.3 KB

The timetable identifies when we expect each trust to be mandated to submit patient-level costs, by service type. This will be especially of interest to integrated trusts (those providing two or more types of service).

As the proposed timetable shows, a trust whose main service is mental health, but also provided some acute and community services, would be expected to start submitting patient-level cost data as follows:

  • Mental health services – 2019/20 (subject to mandation approval)
  • Acute services – 2019/20
  • Community services – 2020/21 (subject to mandation approval)

A trust whose main service is community health, but also has some mental health and acute services, would be expected to start submitting patient-level cost data as follows:

  • Community services – 2020/21 (subject to mandation approval)
  • Mental health services – 2020/21 (subject to mandation approval)
  • Acute services – 2020/21

If you have any queries about the proposed timetable, please email costing@improvement.nhs.net with ‘PLICS mandation timetable query’ in the subject line.

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 costing@improvement.nhs.uk.

Webinar

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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