NHS England and Monitor has launched a public consultation on 2016/2017 NHS National Tariff Payment System
22 Feb 2016

NHS England and Monitor has launched a public consultation on 2016/2017 NHS National Tariff Payment System until March 11 2016. In this consultation notice, feedback is sought on tariff proposals for 2016/17, including the proposed method for determining national prices.
Among other changes proposals include:

  • roll-over of the prices included in last year’s (2015/2016) Enhanced Tariff Option (ETO)
    delay of introduction of HRG4+ to 2017/2018
  • changes to the High Cost Device List
    • add two devices to the High Cost Device List (lengthening nails, new category of rib fixation frames)
    • remove 5 device categories from the High Cost Device List (3 dimensional mapping and linear ablation catheters used for complex cardiac ablation procedures, consumables for robotic surgery, ICDs, ICD with CRT capability, peripheral vascular stents)
    • partially remove one category from the High Cost Device List (Radiofrequency, cryotherapy and microwave ablation probes and catheters – for cardiac indications only)
  • introduce changes to Best Practice Tariff:
    • addition of two new tariffs (emergency admissions for heart failure and non-ST elevated myocardial infarction (NSTEMI));
    • changes to the day case procedures, endoscopy procedures, stroke, primary hip and knee replacements, outpatient procedures BPTs;
    • remove the BPT for interventional radiology;
    • proposals for heart failure, primary hip and knee replacement and outpatient procedure BPTs are unchanged from those made in 2015/16.
  • proposal to introduce national prices for 7 new HRGs and outpatient attendances:
    • CA41Z: Cochlear Implants, with the cost of the device excluded from national prices and reimbursed on the basis of locally agreed prices
    • EA58Z and EA59Z: Transcatheter aortic valve implantation (TAVI), with the cost of the device excluded from national prices and reimbursed on the basis of locally agreed prices
    • FZ89Z: Complex therapeutic endoscopic upper or lower gastrointestinal Tract Procedures
    • LE01A and LE02A: Dialysis for acute kidney injury for adults
    • RA69Z: Complex computerised tomography scan

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