Information released by the NHS Health and Social Care Information Centre indicates more than half of the income hospitals get for admissions attracting a mandatory tariff under the national Payment by Results (PbR) system comes from dealing with people aged over 60. This group accounts for 43 per cent of all admissions paid under mandatory PbR; yielding a total income to hospitals of £10.9 billion (51 per cent of their income from mandatory PbR).
Analysis of Hospital Episodes Statistics (HES) PbR data features as a special topic in the monthly HES data for April 2011 to January 2012. PbR is the system whereby providers are paid a standard national price for each patient, taking into account the type and complexity of their condition.
- Of the 16.2 million admissions recorded within the HES PbR data during April 2010 to March 2011, 13.3 million (82%) had a mandatory price under PbR..
- Providers of NHS care received a total income of £21.3 billion through PbR for treating these 13.3 million admissions during the period.
- NHS healthcare providers’ income for an average spell of care varies from place to place. The average price per spell for acute NHS providers ranged between £1,148 and £4,271. Hospitals with a high level of specialist activity largely account for this variation.
Of the 13.3 million hospital admissions with a mandatory PbR price:
- 10% of patients accounted for 40% of the income received by NHS healthcare providers.
- 1% of patients accounted for 10% of the income received by NHS healthcare providers.
- The average income hospitals received per patient was £2,708.
- Among the top 10% of patients, the average income per patient for hospitals was £11,150.
- For the top 1%, the average income per patient for hospitals was £26,180.
- The average income per patient for the lowest 10% of patients was £471.
- Females accounted for more than half (56%) of the total income hospitals received whilst accounting for 57% of admissions.
- People in their seventies were the age group that accounted for the biggest proportion of income paid under the mandatory PbR tariff (accounting for 17% of income or £3.7 billion).
NHS Information Centre (2012). National mandatory tariffs: over 60s account for half of hospital admissions income. London: NHS Networks, May 2012.