To ask the Scottish Executive what progress has been made on the implementation of an NHS national tariff.
The Scottish Executive beganimplementation of a Scottish National Tariff in 2005-06. The tariff is based onestimated national average HRG (Healthcare Resource Groups) costs, derived fromthe Scottish Health Service Costs (Costs Book).
It is intended that the introductionof tariffs will create an incentive to increase efficiency by encouraging benchmarkingbetween hospitals and boards and to improve the accuracy of financial data by ensuringbetter recording of both cost and activity data. The Tariff is being phased in overthree years for cross boundary flows i.e. patients resident in one NHS board whoare treated within another NHS board. In 2005-06 it was applied to two specialties(Cardiac Surgery and Orthopaedics).
In 2006-07 the tariff will beapplied to the following eight specialties; Orthopaedics and Cardiac Surgery (firstimplemented in 2005-06), cardiology, ear, nose and throat, neurology,neurosurgery, plastic surgery and urology.
In 2007-08 the Scottish NationalTariff will be applied to all tariff-based cross boundary flow activity and thereforeprovide benchmarking data across all relevant costs.
A Tariff Reference Group, withrepresentation from NHS boards, is reviewing the development of an updated tarifffor 2006-07. This update is expected in late summer 2006.