Cuts to A&E per capita payments mean A&E departments can’t meet costs

The Foundation Trust Network Chief Executive, Chris Hopson, recently blogged that cuts to the A&E tariff for patient admissions above the 2008/9 baseline have made it impossible for A&E departments to treat “skyrocketing admissions.”

Calderdale A&E must be running at a loss, because admissions have gone up since 2008/9, but under NHS payment rules drawn up by Monitor and NHS England, Calderdale Clinical Commissioning Group is only allowed to pay Calderdale and Huddersfield NHS Foundation Trust 30% of the tariff for any A&E admissions over 2008/9 baseline.

Matt Walsh, Chief Officer of Calderdale Clinical Commissioning Group (CCCG), told a CCG Governing Body meeting last year that this restriction lay behind CCCG’s request to Calderdale and Huddersfield Foundation Trust (CHFT) to commission the National Clinical Advisory Team (NCAT) to review urgent care and to report on recommendations for the CHFT to consider. Continue reading