In 2013/14, the NJR was funded through a levy raised on the sale of hip, knee, ankle, elbow, and shoulder implants and HQIP managed the levy payment collection and holds the NJR budget on behalf of the Steering Committee. The NJR’s funding model was reviewed during this reporting period and will adopt a new model from 1 April 2014.
Income and expenditure 2013/14
The NJR is self financing. In 2013/14, it was funded by a levy raised on the sale of hip, knee, ankle, shoulder, and elbow implants to NHS and independent healthcare providers in England, Wales, and Northern Ireland (the latter from February 2013). Details about the change to funding arrangements from 1 April 2014 can be found under 'Highlights: Our work'.
The rate of the levy is recommended by the NJR Steering Committee for approval by the NHS England, and is subject to a Memorandum of Understanding between NHS England, Welsh Government, Health and Social Care Board Northern Ireland, Independent Healthcare Advisory Services and the Association of British Healthcare Industries (ABHI) Orthopaedics Special Interest Section.
The levy was set at £20.00 per joint from 1 April 2013 to 31 March 2014. Levy income in 2013/14 was £3,378,841 (2012/13: £3,292,579). Expenditure for the same period was £3,029,494 (2012/13: £2,509,721).
The total governance costs for the registry during 2013/14 was £158,015.00. This comprised:
- Members’ expenses £17,629.00
- Remuneration of Committee Chairmen* £108,000.00
- Members’ appointments £30,414.00
- Legal fees £1,972.00
*From 2013/14 remuneration of the NJRSC Chairman and NJRSC Sub-committee Chairmen commenced to reflect the responsibility and work load associated with undertaking these roles. Payments were not fully implemented during the year and will be backdated during 2014.
Below are some of the 2013/14 costs associated with major NJR project areas:
- Publication of consultant-level data £75,196.16
- Price Benchmarking Phase Two £67,995.00
- Clinician Feedback Phase Two £71,150.00
- NJR PROMs Year Three £103,644.00
- DNA Bio Bank study £74,059.00
The NJR’s financial results are included in the audited accounts of HQIP (Healthcare Quality Improvement Partnership) which manages the registry.
The full audited accounts are available on HQIP’s website from September 2014 (www.hqip.org.uk), and also from the Charity Commission and Companies House.