NHS Tariff Engagement

Dear colleague,

I am writing from the NHS England and NHS Improvement pricing team to inform you that this morning (Monday 4 November) we published the tariff engagement document Key areas of work for the 2020 national tariff. This document is the latest part of the engagement work we have been undertaking since the summer on the 2020 national tariff and sets out some of the most notable policy areas we are currently considering, with a particular focus on blended payments. The document also reflects updates to policies that were presented in the tariff engagement workshops and webinars in August and September 2019, primarily changes to the blended payment approaches for maternity and outpatients and moving to pilot an approach for adult critical care, rather than proposing to mandate it. We would very much appreciate your feedback on the proposals set out in the document via this online survey. The deadline for submitting the survey is the end of 18 November 2019. We apologise for the short notice. If you have already provided feedback following the workshops and webinars, please feel free to refer to your previous submissions in your responses. We will consider carefully all feedback, both from the survey and from the workshops, ahead of the statutory consultation on the 2020/21 National Tariff Payment System. We intend to launch the consultation following the 12 December general election. Further information on the tariff engagement process can be found on our website here. If you have any queries regarding the document and consultation please contact us at pricing@improvement.nhs.net.

Getting It Right First Time in the NHS

Is your department aware of the ‘new’ drive for NHS improvement? More details will appear on the IQIPS page of this site. In the meantime, please visit the NHS improvement website.


Applications for CSci Registrations Open

ANS are pleased to announce that registrations are open for The Science Council’s application process. Visit the Careers page for guidance notes and application forms.

CSci Newsletter – August 2019

Tariff Update – Ros Kandler

The draft tariff for 19/20 has finally been published and changes to it are now quite unlikely. The initial Neurophysiology tariff based on Trusts’ reference costs was unfavourable. However following discussion, NHSI and NHSE have accepted that these costs were inaccurate and agreed to maintain our previous prices. The delay in publication of the tariff was caused by stalling for the announcement of the ‘NHS billions’ and as you will see some of this extra funding has slightly improved our tariffs for next year so worth the wait!

There was an opportunity to apply for new OPCS codes this year. These are very hard to obtain but the following requests were made: MSLT, MWT, Actigraphy, Ambulatory EEG, EMG guided procedures (i.e. for Botox) and separate codes for each of the Evoked Potentials. We are still awaiting a final decision on these from the NHS Coding and Classifications Service but it looks as though at least some of the applications have been provisionally approved but this will be confirmed over the coming months.

NHSI and NHSE are keen to include Intracranial telemetry in the national tariff (at present it is excluded). Unfortunately reference costs are wildly out of line with the real cost of the procedures and so we have requested the investigation to remain excluded. I have asked some colleagues around the country to help establish a realistic national tariff by providing information on their locally negotiated prices as this could inform the process rather than relying on poor reference costs. So far no-one has provided me with any information. It is really in everyone’s interest to get this right to avoid the possibility of an unrealistically low tariff being imposed. Please could anyone performing this procedure get in touch with even the roughest of estimates (Rosalind.kandler@sth.nhs.uk).

There is no further movement on the possible unbundling of physiological measurement procedures.

  • Ros Kandler
    Chair, Expert Working Group Neurosciences Chapter
    National Casemix Office
    NHS Digital

Close Menu