Specialised Service Tariff and Payments
The adoption of the new Tariff and Top up payments in 2017 represents a significant change to the revenue flows associated with specialised care, more accurately reimbursing complexity.
Following the adoption of HRG4+ and the associated revisions to specialist top ups, services will be eligible for top ups when the treatment provided attracts a top up and the provider is contracted to deliver it, unless otherwise stated. Substantial improvements in data quality are needed to drive the reforms set out in NHS England Commissioning Intentions to driving compliance with national standards.
Prescribed Specialised Services 2023/24 Operational Tool
The National Casemix Office (NCO) will be publishing an update to the Prescribed Specialised Services Identification Tool for use in the financial year 2023/24. This is a workbook which is a guide to understanding the details of the code sets and associated logic used in the derivation of the PS flags as generated by the product.
PSO 2023/24 Tool Prescribed Services Guide to Identification Rules
NHS Commissioning Board have produced Identification rules for prescribed specialised services: guide for trust information managers.
For enquiries regarding the Identification Rule derivation then please contact NHS England on: england.boffice_speccom@nhs.net
Also in this section
Market Forces Factor and its use in the NHS Payment Scheme
High Cost Drugs
Transition from SUS to SUS+
Payment Scheme for Dermatology and Coding Standards
