Overseas Vistiors upfront charging tariff 2017/18. James Paget University Hospitals NHS Foundation Trust

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Buddy Brooks
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1 Overseas Vistiors upfront charging tariff 2017/18 James Paget University Hospitals NHS Foundation Trust

From 6 April 2015 relevant NHS bodies should only be using the risk-share agreement with commissioners in the case of treatment deemed by clinicians to be immediately necessary or urgent.

In these circumstances, the risk of non-payment is removed and therefore sharing this with commissioners is no longer necessary.

2 From 6 April 2015 relevant NHS bodies should only be using the risk-share agreement with commissioners in the case of treatment deemed by clinicians to be immediately necessary or urgent. If the care required is non-urgent, relevant NHS bodies must seek the full estimated costs upfront from the patient and not begin treatment until this is received. In these circumstances, the risk of non-payment is removed and therefore sharing this with commissioners is no longer necessary. Relevant NHS bodies and their commissioners should review their invoicing and payment flows for Charging category D and F patients to reflect the new legal obligation. As it is not always possible to know these fees at the time of treatment payments can be sought in advance for non-urgent treatments. This tariff is presented showing both a standard rate and the Non-EEA rate of 150%. As of the 23rd of October 2017 where treatment is non-urgent or elective, this means that the relevant NHS body must obtain full payment or collect a deposit equivalent to the full estimated cost of care in advance of providing treatment. Although relevant NHS bodies are reminded that, regardless of the lack of advance payment, they must not withhold treatment that is medically considered immediately necessary or urgent in that it cannot wait until the patient can reasonably be expected to return home.

3 Outpatient attendance prices 2017/18 Treatment function code Treatment function description EEA First Attendance EEA Follow Up Attendance NON- EEA First Attendance NON-EEA Follow Up Attendance 100 General Surgery Urology Breast Surgery Colorectal Surgery Hepatobiliary & Pancreatic Surgery Upper Gastrointestinal Surgery Vascular Surgery Spinal Surgery Service Trauma & Orthopaedics ENT Ophthalmology Oral Surgery Orthodontics Maxillo-Facial Surgery Plastic Surgery Cardiothoracic Surgery Paediatric Surgery Cardiac Surgery Thoracic Surgery Anaesthetics Pain Management Paediatric Urology Paediatric Trauma and Orthopaedics Paediatric Ear Nose and Throat Paediatric Ophthalmology Paediatric Maxillo-Facial Surgery Paediatric Plastic Surgery Paediatric Epilepsy Paediatric Gastroenterology Paediatric Endocrinology Paediatric Clinical Haematology Paediatric Dermatology Paediatric Respiratory Medicine Paediatric Diabetic Medicine General Medicine Gastroenterology Endocrinology Clinical Haematology Hepatology Diabetic Medicine Cardiology Paediatric Cardiology Transient Ischaemic Attack Dermatology Respiratory Medicine Respiratory Physiology Infectious Diseases Nephrology Medical Oncology Rheumatology Paediatrics Geriatric Medicine Gynaecology Gynaecological Oncology Clinical Oncology (previously Radiotherapy) Diagnostic Imaging Out-patient procedure rate

4 Inpatient attendance prices 2017/18 Types of stay EEA NON-EEA Standard inpatient stay Day Case 1,600 2,400 ACU Stay 954 1,431 Adult Critical Care - 5 Organs Supported 2,327 3,491 Adult Critical Care - 4 Organs Supported 2,067 3,100 Adult Critical Care - 3 Organs Supported 1,945 2,917 Adult Critical Care - 2 Organs Supported 1,512 2,268 Adult Critical Care - 1 Organs Supported 1,177 1,766 Adult Critical Care - 0 Organs Supported 1,140 1,710

5 Radiology attendance prices 2017/18 HRG code HRG name EEA NON-EEA RD01A Magnetic Resonance Imaging Scan of One Area, without Contrast, 19 years and over RD01B Magnetic Resonance Imaging Scan of One Area, without Contrast, between 6 and 18 years RD01C Magnetic Resonance Imaging Scan of One Area, without Contrast, 5 years and under RD02A Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, 19 years and over RD02B Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, between 6 and 18 years RD02C Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, 5 years and under RD03Z Magnetic Resonance Imaging Scan of One Area, with Pre- and Post-Contrast RD04Z Magnetic Resonance Imaging Scan of Two or Three Areas, without Contrast RD05Z Magnetic Resonance Imaging Scan of Two or Three Areas, with Contrast RD06Z Magnetic Resonance Imaging Scan of more than Three Areas RD07Z Magnetic Resonance Imaging Scan Requiring Extensive Patient Repositioning RD08Z Cardiac Magnetic Resonance Imaging Scan without Contrast RD09Z Cardiac Magnetic Resonance Imaging Scan with Post-Contrast Only RD10Z Cardiac Magnetic Resonance Imaging Scan with Pre- and Post-Contrast RD20A Computerised Tomography Scan of One Area, without Contrast, 19 years and over RD20B Computerised Tomography Scan of One Area, without Contrast, between 6 and 18 years RD20C Computerised Tomography Scan of One Area, without Contrast, 5 years and under RD21A Computerised Tomography Scan of One Area, with Post-Contrast Only, 19 years and over RD21B Computerised Tomography Scan of One Area, with Post-Contrast Only, between 6 and 18 years RD21C Computerised Tomography Scan of One Area, with Post-Contrast Only, 5 years and under RD22Z Computerised Tomography Scan of One Area, with Pre- and Post-Contrast RD23Z Computerised Tomography Scan of Two Areas, without Contrast RD24Z Computerised Tomography Scan of Two Areas, with Contrast RD25Z Computerised Tomography Scan of Three Areas, without Contrast RD26Z Computerised Tomography Scan of Three Areas, with Contrast RD27Z Computerised Tomography Scan of more than Three Areas RD28Z Complex Computerised Tomography Scan RD30Z Contrast Fluoroscopy Procedures with duration of less than 20 minutes RD31Z Contrast Fluoroscopy Procedures with duration of 20 to 40 minutes RD32Z Contrast Fluoroscopy Procedures with duration of more than 40 minutes RD40Z Ultrasound Scan with duration of less than 20 minutes, without Contrast RD41Z Ultrasound Scan with duration of less than 20 minutes, with Contrast RD42Z Ultrasound Scan with duration of 20 minutes and over, without Contrast RD43Z Ultrasound Scan with duration of 20 minutes and over, with Contrast RD47Z Vascular Ultrasound Scan RD48Z Ultrasound Elastography RD50Z Dexa Scan RD51A Simple Echocardiogram, 19 years and over RD51B Simple Echocardiogram, between 6 and 18 years RD51C Simple Echocardiogram, 5 years and under

6 Maternity pathway prices 2017/18 1 Delivery phase Code Name EEA NON-EEA Long stay trim point (days) Per day long stay payment (for days exceeding trim point) ( ) Name With complications and co-morbidities 3,178 4, EEA Without complications and co-morbidities 1,853 2, Non-delivery phases 2a Antenatal phase Code Name Tariff ( ) Maternity average visits EEA NON-EEA Trigger* n/a Intermediate 1, n/a Intensive 2, b Postnatal phase Code Name Tariff ( ) Maternity average visits EEA NON- EEA Trigger* n/a Intermediate n/a Intensive * Once the number of instances of activity have exceeded the trigger number the full oustanding N.B. Example Antenatal - 6 Postnatal - 2 Appointment Ante natal appointments Appointments Value ON-GOING 0.00 TOTAL 1,659.00

Long-stay patients methodology Published by NHS England and NHS Improvement

Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared