Alliance responds to tariff proposals for 2015/16

The SHCA is alarmed by NHS England and Monitor’s current proposals to introduce marginal pricing of 50% for specialised services above historic baseline levels. In particular, we are concerned that this will effectively ration access to treatment, especially for the most complex and prospectively expensive patients. This effect seems likely to be exacerbated by the matching payment for activity below historic levels. Paying trusts for doing nothing also contradicts the 5 Year Forward View’s commitment to concentrate patient volumes at specialised providers with the best outcomes.

The Alliance has requested a copy of NHS England’s impact assessment as part of its response, which can be read in full here: SHCA Response to Tariff Consultation – Dec 2014