From April 2014 the funding of the NJR was changed from a levy on the sales of implants to a subscription-based model, with the subscription charge being based on the number of procedures submitted to the NJR.
Trusts/Local Health Boards and independent sector healthcare providers are now invoiced directly by HQIP which holds the NJR budget on behalf of the Steering Committee. A report on the transfer to the new model can be found under ‘Highlights: our work’.
Income and expenditure 2014/15
The NJR is self-financing and from 1 April 2014 has been funded by a subscription paid by Trusts, Health Boards and independent sector healthcare providers. Moving to this model, from the previous model based on a levy charged on the sale of hip, knee, ankle, elbow, and shoulder implants, has reduced the cost of the NJR to the NHS.
The rate of the subscription is recommended by the NJR Steering Committee for approval by NHS England, and is subject to a Memorandum of Understanding between NHS England, Welsh Government, Health and Social Care Board Northern Ireland, and the Independent Healthcare Advisory Services.
In 2014-15, the National Joint Registry adopted a subscription based funding model which replaced the levy on surgical implants collected previously.
During 2014-15, subscriptions totalling £2,231,191 were collected from NHS and independent sector providers compared to levies of (2014: £3,378,841). Other income of £453,184 (2014: £41,826) included supplier contributions and income for a price benchmarking service.
Expenditure on the management and development of the National Joint Registry was £3,351,502 (2014: £3,029,494). This included governance costs of £140,226 (2014: £119,342).
Below are some of the 2014-15 costs associated with major NJR project areas:
- Publication of consultant-level data £129,573 (2014: £67,147)
- Price Benchmarking £201,570 (2014: £67,995)
- Data Quality Dashboard £59,600 (2014: £58,500)
- Patient implant cards £34,998 (2014: £20,303)
- Unique Device Identifiers £65,691 (2014: £nil)
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 November 2015 (www.hqip.org.uk), and also from the Charity Commission and Companies House.
The NJR’s financial results are included in the audited accounts of the Healthcare Quality Improvement Partnership’s (HQIP) which manages the registry.
The full audited accounts are available on HQIP’s website from September 2014 (ww.hqip.org.uk) and also from the Charity Commission and Companies House.