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. 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.
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 166 71 249 107 101 Urology 145 55 217 83 103 Breast Surgery 178 71 267 107 104 Colorectal Surgery 146 65 219 98 105 Hepatobiliary & Pancreatic Surgery 252 107 377 160 106 Upper Gastrointestinal Surgery 145 63 217 95 107 Vascular Surgery 184 79 277 119 108 Spinal Surgery Service 202 74 303 112 110 Trauma & Orthopaedics 154 60 231 90 120 ENT 122 52 183 78 130 Ophthalmology 142 54 212 81 140 Oral Surgery 131 60 197 90 143 Orthodontics 159 70 238 105 144 Maxillo-Facial Surgery 129 60 194 90 160 Plastic Surgery 130 49 196 73 170 Cardiothoracic Surgery 378 148 567 222 171 Paediatric Surgery 167 112 251 168 172 Cardiac Surgery 302 116 452 174 173 Thoracic Surgery 277 109 416 164 190 Anaesthetics 159 52 238 78 191 Pain Management 203 72 304 108 211 Paediatric Urology 145 96 217 144 214 Paediatric Trauma and Orthopaedics 154 88 231 131 215 Paediatric Ear Nose and Throat 122 62 183 93 216 Paediatric Ophthalmology 142 64 212 96 217 Paediatric Maxillo-Facial Surgery 144 143 215 214 219 Paediatric Plastic Surgery 131 104 197 156 223 Paediatric Epilepsy 249 195 373 292 251 Paediatric Gastroenterology 227 143 341 214 252 Paediatric Endocrinology 298 148 448 222 253 Paediatric Clinical Haematology 441 207 662 310 257 Paediatric Dermatology 135 88 203 131 258 Paediatric Respiratory Medicine 254 141 380 211 263 Paediatric Diabetic Medicine 198 173 296 260 300 General Medicine 194 97 290 145 301 Gastroenterology 192 73 287 110 302 Endocrinology 226 95 339 142 303 Clinical Haematology 249 111 373 167 306 Hepatology 333 137 500 205 307 Diabetic Medicine 198 83 296 124 320 Cardiology 160 80 240 121 321 Paediatric Cardiology 199 122 298 183 329 Transient Ischaemic Attack 298 448 330 Dermatology 135 57 203 86 340 Respiratory Medicine 212 96 318 144 341 Respiratory Physiology 151 122 226 183 350 Infectious Diseases 341 146 512 219 361 Nephrology 253 117 379 176 370 Medical Oncology 218 107 327 160 410 Rheumatology 251 113 376 170 420 Paediatrics 211 133 316 200 430 Geriatric Medicine 270 132 405 199 502 Gynaecology 162 69 243 104 503 Gynaecological Oncology 132 81 199 122 800 Clinical Oncology (previously Radiotherapy) 218 107 327 160 812 Diagnostic Imaging Out-patient procedure rate 145 145 218 218
Inpatient attendance prices 2017/18 Types of stay EEA NON-EEA Standard inpatient stay 578 867 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
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 116.13 174.20 RD01B Magnetic Resonance Imaging Scan of One Area, without Contrast, between 6 and 18 years 122.24 183.37 RD01C Magnetic Resonance Imaging Scan of One Area, without Contrast, 5 years and under 134.47 201.70 RD02A Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, 19 years and over 166.05 249.07 RD02B Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, between 6 and 18 years 173.18 259.77 RD02C Magnetic Resonance Imaging Scan of One Area, with Post-Contrast Only, 5 years and under 187.44 281.16 RD03Z Magnetic Resonance Imaging Scan of One Area, with Pre- and Post-Contrast 166.05 249.07 RD04Z Magnetic Resonance Imaging Scan of Two or Three Areas, without Contrast 139.56 209.34 RD05Z Magnetic Resonance Imaging Scan of Two or Three Areas, with Contrast 166.05 249.07 RD06Z Magnetic Resonance Imaging Scan of more than Three Areas 189.48 284.22 RD07Z Magnetic Resonance Imaging Scan Requiring Extensive Patient Repositioning 226.15 339.23 RD08Z Cardiac Magnetic Resonance Imaging Scan without Contrast 308.67 463.00 RD09Z Cardiac Magnetic Resonance Imaging Scan with Post-Contrast Only 401.37 602.05 RD10Z Cardiac Magnetic Resonance Imaging Scan with Pre- and Post-Contrast 433.97 650.95 RD20A Computerised Tomography Scan of One Area, without Contrast, 19 years and over 72.33 108.49 RD20B Computerised Tomography Scan of One Area, without Contrast, between 6 and 18 years 75.38 113.08 RD20C Computerised Tomography Scan of One Area, without Contrast, 5 years and under 82.51 123.77 RD21A Computerised Tomography Scan of One Area, with Post-Contrast Only, 19 years and over 86.59 129.88 RD21B Computerised Tomography Scan of One Area, with Post-Contrast Only, between 6 and 18 years 90.66 136.00 RD21C Computerised Tomography Scan of One Area, with Post-Contrast Only, 5 years and under 97.80 146.69 RD22Z Computerised Tomography Scan of One Area, with Pre- and Post-Contrast 101.87 152.81 RD23Z Computerised Tomography Scan of Two Areas, without Contrast 78.44 117.66 RD24Z Computerised Tomography Scan of Two Areas, with Contrast 93.72 140.58 RD25Z Computerised Tomography Scan of Three Areas, without Contrast 86.59 129.88 RD26Z Computerised Tomography Scan of Three Areas, with Contrast 101.87 152.81 RD27Z Computerised Tomography Scan of more than Three Areas 107.98 161.97 RD28Z Complex Computerised Tomography Scan 199.67 299.50 RD30Z Contrast Fluoroscopy Procedures with duration of less than 20 minutes 79.46 119.19 RD31Z Contrast Fluoroscopy Procedures with duration of 20 to 40 minutes 120.21 180.31 RD32Z Contrast Fluoroscopy Procedures with duration of more than 40 minutes 162.99 244.49 RD40Z Ultrasound Scan with duration of less than 20 minutes, without Contrast 40.75 61.12 RD41Z Ultrasound Scan with duration of less than 20 minutes, with Contrast 48.90 73.35 RD42Z Ultrasound Scan with duration of 20 minutes and over, without Contrast 48.90 73.35 RD43Z Ultrasound Scan with duration of 20 minutes and over, with Contrast 55.01 82.51 RD47Z Vascular Ultrasound Scan 51.95 77.93 RD48Z Ultrasound Elastography 36.67 55.01 RD50Z Dexa Scan 59.08 88.63 RD51A Simple Echocardiogram, 19 years and over 65.20 97.80 RD51B Simple Echocardiogram, between 6 and 18 years 74.37 111.55 RD51C Simple Echocardiogram, 5 years and under 90.66 136.00
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 4,767 9 353.00 EEA Without complications and co-morbidities 1,853 2,780 6 353.00 2 Non-delivery phases 2a Antenatal phase Code Name Tariff ( ) Maternity average visits EEA NON-EEA Trigger* n/a Intermediate 1,659 12 138 207 6 n/a Intensive 2,762 12 230 345 6 2b Postnatal phase Code Name Tariff ( ) Maternity average visits EEA NON- EEA Trigger* n/a Intermediate 319 5 64 96 2 n/a Intensive 858 5 172 257 2 * 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 1 138.00 2 138.00 3 138.00 4 138.00 5 138.00 6 138.00 7 831.00 8 0.00 9 0.00 10 0.00 11 0.00 12 0.00 ON-GOING 0.00 TOTAL 1,659.00