Health written question – answered at on 12 February 2013.
To ask the Secretary of State for Health
(1) what payments will be made to NHS bodies which provide emergency services per (a) treatment provided and (b) emergency admission in 2013-14;
(2) what payment arrangements are made to acute trusts which provide (a) emergency department, (b) accident and emergency services and (c) minor injury facilities for each service (i) on a per patient basis and (ii) if there is a cap on payments to those emergency services;
(3) what the per patient payment-by-results payment was for each patient attendance at an emergency department in each of the last five years for which records are available.
NHS bodies which provide emergency services will receive a tariff payment for the attendance at accident and emergency (A&E) and, where appropriate, a further payment for non-elective activity if the patient is then admitted. Payments for emergency services will depend on the level of activity, the national tariff which applies to that activity plus the market forces factor (MFF) payment which is unique to that organisation. There are also a number of rules within the Payment by Results (PbR) system which will influence payments to providers such as the marginal rate emergency tariff, non-payment for some emergency readmissions, the short stay emergency adjustment and long stay payments.
The Department does not collect information on the payments made to providers for each patient attendance at an emergency department. While the Department publishes the national tariff, the rules and the MFF, it does not collect information on the actual payments to trusts.
The tariffs which were set for A&E attendances between 2008-09 and 2012-13, and the proposed tariff for A&E attendances in 2013-14, are shown in the tables.
Between 2011-12 and 2013-14, non-24 hour A&E units and minor injury units (MIUs) are eligible for the lowest tariff only.
Tariffs for non-elective admissions and the rules around payment are published annually on the Department's website(1).
(1) Tariff prices are set out in the tariff information spreadsheet:
www.dh.gov.uk/health/2012/02/confirmation-pbr-arrangements/ and the rules are explained in the PbR Guidance for 2012-13:
www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132654
National Tariff—Accident and Emergency Tariff (2011-12 to 2013-14) | |||||
Healthcare resource group code | Healthcare resource group name | Band (used in 2012-13 and 2011-12) | 2013-14(1) (£) | 2012-13 (£) | 2011-12 (£) |
VB01Z | Any investigation with category 5 treatment | 1 | 237 | 235 | 183 |
VB02Z | Category 3 investigation with category 4 treatment | 1 | 210 | 235 | 183 |
VB03Z | Category 3 investigation with category 1-3 treatment | 2 | 164 | 151 | 133 |
VB04Z | Category 2 investigation with category 4 treatment | 2 | 139 | 151 | 133 |
VB05Z | Category 2 investigation with category 3 treatment | 2 | 130 | 151 | 133 |
VB06Z | Category 1 investigation with category 3-4 treatment | 3 | 102 | 81 | 78 |
VB07Z | Category 2 investigation with category 2 treatment | 4 | 119 | 112 | 110 |
VB08Z | Category 2 investigation with category 1 treatment | 4 | 110 | 112 | 110 |
VB09Z | Category 1 investigation with category 1-2 treatment | 3 | 78 | 81 | 78 |
VB10Z | Dental Care | 5 | 59 | 54 | 52 |
VB11Z(2) | No investigation with no significant treatment | 5 | 58 | 54 | 52 |
(1) Banding is not applied in 2013-14. (2) It is expected that ail activity taking place within non-24 hour departments and MIUs attract price forVB11Z. |
National Tariff—Accident and Emergency Tariff (2008-09 to 2010-11) | |||||
Healthcare resource group code | Healthcare resource group name | A&E tariff name/ band | 2010-11 (£) | 2009-10 (£) | 2008-09 (£) |
U06 | Attendance disposal Invalid for grouping | No Payment | 0 | 0 | 0 |
DOA | Dead on Arrival | Standard | 87 | 80 | 75 |
V01 | High cost imaging (Died/ Admitted) | High | 117 | 109 | 102 |
V02 | High cost imaging (Referred / Discharged) | High | 117 | 109 | 102 |
V03 | Other high cost investigation (Died / Admitted) | High | 117 | 109 | 102 |
V04 | Other high cost investigation (Referred / Discharged) | High | 117 | 109 | 102 |
V05 | Low cost investigation (Died / Admitted) | Standard | 87 | 80 | 75 |
V06 | Low cost investigation (Referred / Discharged) | Standard | 87 | 80 | 75 |
V07 | No investigation (Died / Admitted) | Minor | 59 | 59 | 56 |
V08 | No investigation (Referred / Discharged) | Minor | 59 | 59 | 56 |
V100MC | Non-24 hour A&E Department / Casualty Department | Minor | 59 | 59 | 56 |
V100MI(1) | Discrete Minor Injuries Unit | Minor | 59 | 59 | 56 |
(1) It is expected that all activity taking place within non-24 hour departments and MIUs attract price for V100MI. |
Yes3 people think so
No1 person thinks not
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