National leaders have proposed significant curbs on the freedom of foundation trusts, including the ability to enforce mergers and subjecting them to controls on capital spending.
Changes to the tariff this year would increase revenue for 137 NHS providers and reduce it for 47 compared to 2018-19 prices, according to consultation documents released by regulators.
The 30 worst financially performing NHS trusts will be subject to a new regulatory regime as part of plans to bring the provider sector into the black by 2020-21.
National regulators have stepped in to resolve a multimillion pound dispute between commissioners and a struggling trust over its backlog of patients awaiting treatment.
NHS regulators are considering a new standard payment mechanism which would involve a “blended” approach between block contracts and activity based tariffs, HSJ understands.
More than half a billion pounds will be withheld from NHS providers during the next two financial years to pay for a new central procurement service, HSJ can reveal.
Ian Dalton says NHS providers will need to achieve higher levels of productivity than those achieved last year, despite the extra funding provided by the government.
NHS leaders are proposing to cut the payments made to hospitals for traditional outpatient appointments, HSJ understands.
A High Court was told the NHS “cannot wind back the clock to block pricing” in the first of two judicial review hearings over NHS England’s accountable care organisation contract.
Regional health leaders are drawing up plans to abandon payment by results based on national tariffs and move to a cost and risk based contract for acute providers, along with an STP-level control total.
The NHS England chief executive has said he and NHS Improvement are “entirely open” to health economies dropping payment by results in favour of alternative funding systems for the next two years.
The mental health sector and NHS England are “in danger of operating in parallel universes” because of the disconnect between national policies on commissioning models, the new chair of the Mental Health Network has told HSJ.
More than £6.5bn of the £22bn efficiencies the NHS needs to make by 2021 will come from “national” interventions like continued pay restraint and cuts to the community pharmacy contract, according to NHS England figures released on Monday afternoon.
The chief executive of NHS Improvement has stepped into the burgeoning row over contracting for 2016-17, saying commissioners that have made “unrealistic” offers have until Friday to come up with new proposals.
The past three years have seen a steep rise in the amount of NHS elective care being commissioned under “block contracts”, according to data shared exclusively with HSJ.
National tariff prices are set to be increased in 2016-17 for the first time in several years, as regulators seek to stabilise provider finances and reflect new cost pressures, HSJ has learned.
Government plans to make it harder for providers to block NHS tariff proposals face challenge in the House of Lords this week. Labour peers have argued they renege on assurances made during the passage of the Health Act 2012.