National tariff payment system 2015/16: a consultation notice

NHS England and Monitor have published proposals for the 2015/16 national tariff payment system. The consultation notice sets out the proposed prices and payment rules for 2015/16 that are designed to support commissioners and providers improve the quality and efficiency of care for patients.

NHS England and Monitor previously consulted on plans for 2015/16, and listened to feedback.

The national tariff proposals for 2015/16 include:

  • Revising the Marginal Rate Rule, so that providers and commissioners share equal responsibility for managing increases in the number of emergency admissions
  • Providing a strong financial incentive for NHS providers to find new and improved ways to deliver care more cost effectively, with an efficiency requirement in 2015/16 of 3.8 per cent
  • Introducing a new mechanism for sharing between providers and commissioners the risks associated with an increase in spending on acute prescribed specialised services
  • Introducing a new best practice tariff designed to promote better care for patients admitted in an emergency with heart failure
  • Supporting parity of esteem for physical and mental health under the payment system, with £40m committed for early intervention in psychosis, equivalent to an increase in funding of 15% nationally for these services.

Feedback on the tariff proposals is invited from anyone interested in the NHS payment system. However, the Health and Social Care Act 2012 provides for a specific process under which clinical commissioning groups and ‘relevant providers’ may object to the method for determining national prices.

The consultation documents, and details on how to provide feedback, can be found on the Monitor website. The deadline for responses is 12.00am on 25 December 2014.

NHS England has also published a note setting out plans for investment in mental health services in 201516.

Alongside the tariff publication, NHS England has announced its intention to establish a reference group to provide the opportunity for strategic level discussions about the development of specialised services in the context of NHS Five Year Forward View and the challenges ahead.

NHS England Publications Gateway Reference 02457 and 02622