Transforming patient-level costing in the NHS


Our costing transformation programme will improve the quality of costing information in the NHS, with patient-level costing (PLICS) and a single annual cost collection. This will support providers to deliver better, more efficient outcomes.

We're working with providers to implement patient-level costing across the NHS. Resources, outputs and tools from cost collections – both PLICS and reference costs – to support you to use cost data are available in Using costing information to support better outcomes

Latest news from the programme

Autumn 2019 Costing Regional Forums

This autumn's Costing Regional Forums took place from Monday 23 to Friday 27 September. The five events, at venues across the country, brought together the NHS costing community to share good practice and explore how costing data is used in wider contexts to support strategic decision making. Slides from all of the presentations at the events can be found below.

If you have any queries regarding the Forums, please email

Costing Regional Forums Presentations September 2019 ZIP, 43.4 MB

Slides from the presentations at the Costing Regional Forums, 23-27 September 2019.

2019 Approved Costing Guidance published

We are pleased to announce the publication of the 2019 Approved Costing Guidance. This includes updated standards and national cost collections guidance.

Mandating patient-level costs for mental health activity

On 12 February 2019, following consultation with the sector, we have mandated the proposal to collect patient-level costs for mental health activity from 2019/20 financial year. This is part of the costing mandation project.


Previous webinars

Our aim

By 2020, we'll deliver cost information that more accurately reflects a patient's treatment and is produced consistently across all licensed healthcare providers. Understanding the cost of patient care will help providers to improve the efficiency of their services.

About the programme

To support the sustainable delivery of high quality patient care as outlined in the Five Year Forward View, providers need to fully understand their current models of care and what the impact would be of moving to a new way of delivering services.

Cost is an important factor in evaluating how effectively and efficiently you're delivering care to patients. Having accurate, consistent, patient-level cost information will help you to:

  • make the best possible use of resources
  • evaluate clinical practice
  • compare different ways of working

We previously consulted on our proposals to improve the costing of NHS services. The response was supportive of the move to patient-level costing with a single cost collections across all care settings.

Keep in touch

Costing newsletter

Keep up to date with costing news by signing up to receive our costing newsletter. You can also find out where we’ll be speaking in the events section of the newsletter. Email to be added to our distribution list.

Follow us on Twitter

The costing team has a non-official twitter account where you can find all our latest news and updates: follow us at @NHSCosting. In addition, you can use the hashtag #ImprovingCosting to find the latest messages from members of our costing team and other costing professionals.

Contact us

Please email any questions, feedback or suggestions to

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