Payment system and COVID-19
Following the 17 March letter to the sector from Sir Simon Stevens and Amanda Pitchard on the NHS response to COVID-19, all NHS trusts and foundation trusts will move to block contract payments ‘on account’ for an initial period of 1 April to 31 July 2020. The usual national tariff payment architecture and associated administrative/transactional processes will be suspended during this time.
Guidance on contracting and payment to support this has been published. This includes a template statement that can be used to record the departure from current payment arrangements required by the move to a block contract.
The publication of the 2020/21 national tariff has also been delayed.
2020/21 HRG4+ local payment grouper published
The HRG4+ 2020/21 local payment grouper and associated documentation is now available from the NHS Digital National Casemix Office.
The grouper has been updated to accommodate the OPCS-4.9 release, which comes into effect from 1 April 2020. In addition an update to ICD10 5th in relation to the naming and mapping of certain “emergency use” codes has also been accommodated within the design, including that for ICD code U07.1 (Emergency use of U07.1, 2019-nCoV acute respiratory disease).
Spinal surgery BPT reports available
We have published spinal surgery BPT reports for Q1 and Q2 2019/20. We will continue to publish the reports when they are available.
Statutory consultation on proposed 2020/21 tariff closed
The statutory consultation on proposals for the 2020/21 national tariff closed at midnight on 22 January 2020.
Many thanks to all those who have responded. The objection threshold was not reached and we are carefully considering the feedback received. We will make final decisions on publication of the 2020/21 national tariff as soon as possible.
The information collected should provide a comprehensive picture of how local areas are agreeing reimbursement for their services.
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Current payment system, guidance and support
Access to past national tariffs
The national tariff payment system replaced the previous Payment by Results system from 2014/15. Below you can download all formal documents and policies from each previous tariff year. All consultation and other supporting documents are also available, please contact firstname.lastname@example.org if you wish to access any of these.
National tariff 2017/19: documents and policies
National tariff 2016/17: documents and policies
National tariff 2015/16: documents and policies
National tariff 2014/15: documents and policies
If you have any questions on any aspect of the tariff please email email@example.com.