Who Pays? Determining responsibility for NHS payments to providers

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This revised Who Pays? guidance sets out a framework, for the NHS in England, for establishing which NHS organisation has responsibility for commissioning an individual’s care and which has responsibility for paying for that care. It is published for implementation by commissioners from 1 September 2020.





This guidance includes three appendices. The first of these provides advice on the dispute resolution process, the second focuses on defining “usually resident” and the third is a reference guide to the revised Who Pays? guidance.



Appendix 4 has been published as a separate document and contains Word templates for submissions under the dispute resolution process.