Highlights: Economic model & price benchmarking

The NJR decided to change the way that it is funded in 2014/15 to reduce its cost to the NHS

In 2013/14, the NJR undertook a review of its current funding model with the aim of:

  • Reducing the cost of the NJR to the NHS and independent sector who have to date borne the full operational cost of the registry and
  • Devising a new economic model to ensure a fair and proportionate contribution from other key stakeholders, notably orthopaedic device suppliers

The NJR is pleased to confirm that with effect from the 1 April 2014, the cost of the NJR levy will be a new, lower rate of £15.60 (gross), £13 (net) per procedure from £20 (gross), £15.20 (net). In the first year, it is anticipated that this will represent a significant cost saving to the NHS.

The changes that have enabled this cost saving include:

  • Securing a fair and proportionate contribution of the overall cost of the NJR from orthopaedic device manufacturers through chargeable, enhanced services including the NJR Supplier Feedback Service
  • Changing the levy collection arrangements to remove the Supplier Administration Fee

Under these new arrangements, each provider organisation will be issued with an annual invoice directly from the Healthcare Quality Improvement Partnership (HQIP) for an NJR subscription charge based on either the number of submissions to the NJR or the number of records contained within HES or PEDW, whichever is the higher.  A minimum charge will also be included for those units carrying out low numbers of procedures.

Working to save the NHS more

Work was also commissioned to examine, in conjunction with Her Majesty’s Revenue and Customs (HMRC) to determine whether or not NHS Trusts would be able to reclaim the VAT element of the levy.  The NJR is expected to be able to inform Trusts of the outcome of that consultation in 2014.