Research Design Service: East Midlands
National Institute for Health Research
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Guidance on excess treatment costs

  Created on Monday, 23 Nov 2015. Posted in Costing | Toolkit/Database

The value of Excess Treatment Costs is not a large sum in the context of overall NHS funding but anecdotal evidence suggests that the (non) payment of Excess Treatment Costs has become a point of friction between providers and commissioners.

Excess Treatment Costs are the difference between the total treatment costs and the cost of standard treatment.
Excess Treatment Costs are part of treatment costs and therefore normal commissioning arrangements apply.

This new guidance on meeting Excess Treatment Costs relates specifically to non-commercial research (i.e. research funded by the NIHR, other areas of central Government including Research Councils, NIHR noncommercial Partners and also Investigator-initiated, commercial-collaborative studies (Industry-funded, non-industry sponsored studies).

It covers the following topics:

  • Meeting the costs of research
  • Excess Treatment Costs
  • Excess Treatment Savings
  • The responsibilities of commissioners, providers and researchers in the funding of Excess Treatment Costs