The Department does not hold centrally information on how many patient attendance episodes received no payment reward or lower than tariff payment

award nor does the Department hold centrally information on the actual tariff payments made to providers for each procedure for which a tariff is applicable.

A document showing the market forces factor (MFF) for NHS trusts, foundation trusts and primary care trusts has been placed in the Library. For non-NHS providers, the MFF used is that of the NHS trust or foundation trust nearest to the location where the care was delivered.

The Department does not hold centrally information on how many patient attendance episodes received no payment reward or lower than tariff payment

award nor does the Department hold centrally information on the actual tariff payments made to providers for each procedure for which a tariff is applicable.

A document showing the market forces factor (MFF) for NHS trusts, foundation trusts and primary care trusts has been placed in the Library. For non-NHS providers, the MFF used is that of the NHS trust or foundation trust nearest to the location where the care was delivered.

NHS bodies which provide emergency services will receive a tariff payment for the attendance at accident and emergency (A&E) and, where appropriate, a further payment for non-elective activity if the patient

is then admitted. Payments for emergency services will depend on the level of activity, the national tariff which applies to that activity plus the market forces factor (MFF) payment which is unique to that organisation. There are also a number of rules within the Payment by Results (PbR) system which will influence payments to providers such as the marginal rate emergency tariff, non-payment for some emergency readmissions, the short stay emergency adjustment and long stay payments.

The Department does not collect information on the payments made to providers for each patient attendance at an emergency department. While the Department publishes the national tariff, the rules and the MFF, it does not collect information on the actual payments to trusts.

The tariffs which were set for A&E attendances between 2008-09 and 2012-13, and the proposed tariff for A&E attendances in 2013-14, are shown in the tables.

Between 2011-12 and 2013-14, non-24 hour A&E units and minor injury units (MIUs) are eligible for the lowest tariff only.

Tariffs for non-elective admissions and the rules around payment are published annually on the Department's website¹.¹ Tariff prices are set out in the tariff information spreadsheet:

www.dh.gov.uk/health/2012/02/confirmation-pbr-arrangements/

and the rules are explained in the PbR Guidance for 2012-13:

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132654

NHS bodies which provide emergency services will receive a tariff payment for the attendance at accident and emergency (A&E) and, where appropriate, a further payment for non-elective activity if the patient

is then admitted. Payments for emergency services will depend on the level of activity, the national tariff which applies to that activity plus the market forces factor (MFF) payment which is unique to that organisation. There are also a number of rules within the Payment by Results (PbR) system which will influence payments to providers such as the marginal rate emergency tariff, non-payment for some emergency readmissions, the short stay emergency adjustment and long stay payments.

The Department does not collect information on the payments made to providers for each patient attendance at an emergency department. While the Department publishes the national tariff, the rules and the MFF, it does not collect information on the actual payments to trusts.

The tariffs which were set for A&E attendances between 2008-09 and 2012-13, and the proposed tariff for A&E attendances in 2013-14, are shown in the tables.

Between 2011-12 and 2013-14, non-24 hour A&E units and minor injury units (MIUs) are eligible for the lowest tariff only.

Tariffs for non-elective admissions and the rules around payment are published annually on the Department's website¹.¹ Tariff prices are set out in the tariff information spreadsheet:

www.dh.gov.uk/health/2012/02/confirmation-pbr-arrangements/

and the rules are explained in the PbR Guidance for 2012-13:

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132654

NHS bodies which provide emergency services will receive a tariff payment for the attendance at accident and emergency (A&E) and, where appropriate, a further payment for non-elective activity if the patient

is then admitted. Payments for emergency services will depend on the level of activity, the national tariff which applies to that activity plus the market forces factor (MFF) payment which is unique to that organisation. There are also a number of rules within the Payment by Results (PbR) system which will influence payments to providers such as the marginal rate emergency tariff, non-payment for some emergency readmissions, the short stay emergency adjustment and long stay payments.

The Department does not collect information on the payments made to providers for each patient attendance at an emergency department. While the Department publishes the national tariff, the rules and the MFF, it does not collect information on the actual payments to trusts.

The tariffs which were set for A&E attendances between 2008-09 and 2012-13, and the proposed tariff for A&E attendances in 2013-14, are shown in the tables.

Between 2011-12 and 2013-14, non-24 hour A&E units and minor injury units (MIUs) are eligible for the lowest tariff only.

Tariffs for non-elective admissions and the rules around payment are published annually on the Department's website¹.¹ Tariff prices are set out in the tariff information spreadsheet:

www.dh.gov.uk/health/2012/02/confirmation-pbr-arrangements/

and the rules are explained in the PbR Guidance for 2012-13:

www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132654

The Quality and Outcomes Framework (QOF) was introduced as part of the new general practitioner contract arrangements in 2004-05. This provides additional rewards to practices based on performance against a range of quality measures.

The proportion of total funding to practices from the QOF for each year is shown as follows.

The remaining percentage of funding relates to the other contractual funding streams.

We are currently consulting with representatives of general practice on fairer, more equitable core, funding arrangements for general practitioner practices. These will ensure resources are allocated on the basis of the number of patients on practice lists, with appropriate weightings for factors such as age and deprivation that are related to health needs. This would end the current inequitable funding of practices based

on historic income, with changes to practice funding phased over seven years, starting in 2014.

Global sum payments were introduced in 2004-05 as part of the new General Medical Services contract and are calculated by the NHS Applications and Infrastructure Service (NHAIS).

The information requested, based on NHAIS data, is set out as follows:

Directed enhanced services were introduced in April 2004 as part of the current arrangements for the provision of primary medical services. The table shows those directed enhanced services which were available to primary medical services contractors in each year since 2004.

Payments for participating in the schemes are set out in the Statement of Financial Entitlements (SFE). A copy has been placed in the Library—along with copies of subsequent amendments.

As the process for calculation of payments due under each scheme can vary, it is not possible to reproduce an individual unit price for each scheme.