New non-mandatory currencies 1. Existing policy 2. Proposed change We would make non-mandatory currencies available for We propose to introduce non-mandatory currencies for services where we would like to test the currency design Wheelchair services () before implementing mandatory currencies. Palliative care () Where we do this, we will seek feedback and evidence Prosthetics from the service on whether the currencies are Cleft lip and palate appropriate. Paediatric critical care We may pilot a set of currencies with a small group of Bone marrow transplant. providers before making these available to the wider In addition, we will investigate the possibility of service. developing an outcome-based non-mandatory In 2015 we ran pilots of wheelchair service currencies and currency for IVF services which could be made palliative care currencies. available for use locally. 3. Rationale 4. What does this mean? Non-mandatory currencies are not subject to the We consider it appropriate to introduce non-mandatory national tariff. Providers and commissioners would still currencies in this way for the service to test. need to agree a price locally, in line with the rules for The feedback we receive will determine the future of local pricing in section 6 of the national tariff. currency design for these services. We will seek feedback from providers and commissioners over the course of the year regarding the appropriateness of these currencies. If we adopt a two year national tariff, the introduction of a new mandatory currency in these areas would not take place until 2019/20. In the interim, we may consider changes to the non-mandatory currency for 2018/19 in response to feedback.
New non-mandatory currencies 1. Existing policy We would make non-mandatory currencies available for services where we would like to test the currency design before implementing mandatory currencies. Where we do this, we will seek feedback and evidence from the service on whether the currencies are appropriate. We may pilot a set of currencies with a small group of providers before making these available to the wider service. In 2015 we ran pilots of wheelchair service currencies and palliative care currencies. 2. Proposed change We propose to introduce non-mandatory currencies for Wheelchair services () Palliative care () Prosthetics Cleft lip and palate Paediatric critical care Bone marrow transplant. In addition, we will investigate the possibility of developing an outcome-based non-mandatory currency for IVF services which could be made available for use locally. 3. Rationale We consider it appropriate to introduce non-mandatory currencies in this way for the service to test. The feedback we receive will determine the future of currency design for these services. 4. What does this mean? Non-mandatory currencies are not subject to the national tariff. Providers and commissioners would still need to agree a price locally, in line with the rules for local pricing in section 6 of the national tariff. We will seek feedback from providers and commissioners over the course of the year regarding the appropriateness of these currencies. If we adopt a two year national tariff, the introduction of a new mandatory currency in these areas would not take place until 2019/20. In the interim, we may consider changes to the non-mandatory currency for 2018/19 in response to feedback.
Final_tariff_engagement_document_with_cover_word_version_3.docx