Currencies & Tariffs (2015/16)

Details
Parent Category: Sexual Health
Category: Grouper Updates

Version 9.00 Released: 1 Nov 2014

Version 9.00 was open for consultation until 14 Nov 2014.

These prices will be implemented on 1 Apr 2015.

The latest release is based on an update of prices for consumables, staff costs and drugs from the previous Version 8 (2012).

Tariff prices are raw prices without the Providers' Market Forces Factor

The Primary tariff is used for the most expensive currency in a patient episode, the Additional tariff is used for all the others.  The Additional tariff represents the charge for the marginal activity or extra unique activity if the care pathway is delivered alongside another.

The Currency prices are derived from blending the cost of the Pathways within a Currency group according to how frequently the Pathways are delivered (using a weighted average).

An overall 1.5% cost saving has been applied to all the currency prices in line with NHS Operating Framework guidance (2012).

For a description of the clinical activity codes that trigger each Currency and the associated Pathways click a Currency title below:

  2015 Tariff             2012 Tariff

Currency

 Primary  Additional    Primary Additional
STI Intervention C  £281.15  £267.13   £279.38  £264.77
SRH Complex  £213.76  £187.16   £211.95 £185.20
Medical Gynaecology  £148.00  £131.92   £127.99 £111.60
LARC Procedure £139.91 £120.55   £137.91 £118.35
Psycho Sex / Counselling £126.45 £116.19   £129.95 £119.67
STI Intervention B £113.09 £81.78   £114.82 £86.40
T5 HSV Test £83.40 £76.30   £82.85 £75.82
T4 Full Screen £81.79 £56.31   £80.58 £56.11
TT 3 Site Chlamydia & Gonorrhoea Test £70.12 £70.12   £70.24 £70.24
T6 Hepatitis Test £67.48 £60.61   £67.90 £61.01
T3 Chlamydia, Gonorrhoea & Syphilis Tests  £60.58 £42.51   £58.80 £42.37
SRH Standard £58.08 £31.11   £57.22 £31.03
T7 HIV Test £53.11 £28.36   £51.85 £28.14
T2 Chlamydia & Gonorrhoea Test £48.57 £30.51   £47.11 £30.67
STI Intervention A £27.98 £20.31   £28.25 £20.73
Ultrasound £29.05 £29.05   £29.14 £29.14
TS Microscopy £14.48 £14.48   £14.93 £14.93

- Initial analysis indicates the new tariff prices represent an average increase of 0.4% on 2012 figures when applied to a representative integrated service.

Revision History

Version 8.00 Released 12 Jul 2012 - major release - price refresh
Version 7.01 Released 4 Oct 2011 - minor release - update to Med Gyae and SRH Complex
Version 7.00 Released 7 Sep 2011 - major release

New feature: Code Search

Comments   

# Monte Fields 2014-11-06 14:53
Query Re. Psycho Sex/Counselling tariff: Ongoing Counselling and Generic Psychology (new & ongoing). Could one of these include sexual risk-reduction counselling (e.g. motivational interviewing or other mode of psychotherapeut ic intervention) delivered by a qualified practitioner who is not a psychologist (e.g. Health Advisers band 6, 7, 8)? If not, where could risk reduction counselling fall in the inegrated tariff?
# Pathway Analytics 2014-11-06 16:47
Hi Monte

Please review the full currency description for Psycho Sex / Counselling at www.pathwayanalytics.com/sexual-health/currency-tariffs/21-psycho-sex-counselling
This currency is priced on the range of pathways shown on the link above.

The currency is only triggered when SRH Care Activity = 12 | Psychosexual therapy. Please review the behavioural guidance for using this code available here:
www.hscic.gov.uk/media/12654/SRHAD-Behavioural-guidance-v5/pdf/SRHAD_Behavioural_Guidance_October_2011_FINAL.pdf we are not able to provide any guidance on the use of the SRHAD codes.

Rgds, The PWA Team
+2 # Siju Raphael 2014-11-12 15:02
All the NHS tariffs for this year are based on 4 year old reference costs - to this, year on year, an efficiency requirement and cost uplift are added – which drives a net deflator every year of around 1.2 to 1.7 %. Hence to the agreed 12/13 tariff we would have had a total of around 4 % net deflator impact in 15/16 but the new pathway tariff calculation works to an increase in cost to the commissioners in 2015/16 . If in NHS , across the board there is reduction in tariff for all other health commissioners how can we (PH commissioners) justify this increase in cost only for the services we commission from NHS.
# Monte Fields 2014-11-13 12:26
NICE guidance PH3 2007 (http://www.nice.org.uk/guidance/ph3/chapter/appendix-a-recommendations-for-policy-and-practice-and-supporting-evidence-statements) recommends and gives supporting evidence (including cost-effectiven ess) for structured one to one interventions based on behaviour change theory to reduce sexual risk taking in key groups at risk of STIs (recommendation s 1 and 2) in addition to partner notification interventions. Completely take on board concern about justifying increase, where would these structured risk reduction interventions fall in the new tariff structure if not under 'Psycho Sex/Counselling '? Would it simply be provided under STI Intervention or SRH Standard? Would make sense for PH commissioners to include evidence-based structured risk reduction work in KPIs under contract.

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