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Postgraduate Medical Education Tariffs

Postgraduate Medical Education Tariffs. Overview Transition Current Postgraduate Medical Funding Interim Postgraduate Medical Tariff Future of National Tariffs - Educational Resource Groups (ERG) Guidance. Agenda. Overview- Education and training funding.

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Postgraduate Medical Education Tariffs

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  1. Postgraduate Medical Education Tariffs

  2. Overview Transition Current Postgraduate Medical Funding Interim Postgraduate Medical Tariff Future of National Tariffs - Educational Resource Groups (ERG) Guidance Agenda

  3. Overview- Education and training funding Traditionally MPET funding has been distributed on a historic basis through: • Local tariffs • Block/fixed payments ‘Liberating the NHS: Developing the Healthcare Workforce - From Design to Delivery’ (January 2012) outlined the desire to move to a tariff system to: • Ensure equity of funding for placements • Provide a transparent payment system In April 2013 interim tariffs were introduced to cover provider placement costs for: • non medical placements • Secondary care undergraduate medical placements In April 2014, interim tariffs for Postgraduate Medical have been introduced A transition pathway has been implemented to support providers and minimise destabilisation of services

  4. Transition DH transition model is based on the following assumptions: • Transition to new tariffs is financially neutral for the whole system • To prevent providers being destabilised • Tariffs create a full cost and volume system • Can last up to 13 years • The transition model is based on 2011/12 activity • Postgraduate medical secondary care tariff impact added as from 2014/15 (Year 2) • Caps will be placed on the tariffs for ‘gaining’ trusts, in order to fund the transition plan • Annual cap on losses is set at 0.25% of trust income • A maximum annual loss of £2m

  5. Current Postgraduate Medical Funding Current (Local) tariff • Funding provided at either 50% or 100% of basic trainee salary • Includes £850 study leave and £950 admin per trainee • Libraries and infrastructure funded by a separate fixed cost amount • Less than full time trainees funded at 100% salary • NIHR trainees funded separately from NIHR allocation

  6. Interim Postgraduate Medical Tariff Tariff is applied to training posts not individuals Excludes: • Trust funded posts • Dental Trainees • Trainees in primary care (for example FY2GP) • Academic (NIHR) trainees • Less than Full Time Trainees • Placements in hospices • Placements in Public Health • Doctors in Difficulty • Out of Programme Experiences

  7. Interim Postgraduate Medical Tariff National tariff is formed of 2 elements: • Weighted placement fee per trainee (£12,400 x MFF) • 50% of basic salary cost plus London weighting • No other payments for infrastructure etc are allowable

  8. Interim tariff – Placement Fee Placement Fee confirmed at £12,400 x MFF per wte The placement fee for postgraduate medical secondary care tariff supports the delivery of the training curricula. HEE will expect outputs to be maintained or improved with regards the delivery of the curricula, including • Access to Study Leave (must be at a minimum at pre-tariff levels for 2014/15) • Administration support for postgraduate medical education • Clinical medical education staff eg Director of Medical Education, clinical tutors, mentors, supervisors, trainers • Programmed activities (PAs) to support educational supervisors • Local course delivery- which may be part of a regional programme • Provision of library services and resources and supporting IT access • Provision of simulation facilities • Faculty Development HEE will require quality and data reporting to demonstrate that the appropriate facilities and support are available to trainees and the tariff has been appropriately utilised.

  9. Example of Interim Tariff Impact - Trust A £701,096

  10. Example of Interim Tariff Impact - Trust B £185,714

  11. Future tariff system – Education Resource Groups • Development of Educational Resource Groups (ERG) to create full education tariff system (expected go live 2016/17) • Managed by Monitor • Would align to service tariff • Would cover majority of payments to providers rather than salaries • Ensure services/education cross subsidisation is eliminated • Redistribute funds between providers • Overwrite current tariff transition

  12. Future tariff system – Education Resource Groups • Building on the pilot cost collections already completed, HEE/DoH will be requesting two mandatory collections for 2013/14 activity from all Trusts • The first was at the end of January 2014 to cover the first six months of 2013/14 • The second in June/July 2014, to cover full year of 2013/14 activity. This collection will run alongside the annual reference cost collection. • Scope • Undergraduate medical and dental students • Non-medical students and trainees (i.e. nurses, allied health professional and healthcare scientists) • Postgraduate/salaried medical and dental trainees

  13. Guidance and Resources Tariff guidance, FAQs and draft quality guidance Http://hee.nhs.uk/work-programmes/resources/tariff-guidance-and-implementation/ Reference cost guidance http://hee.nhs.uk/work-programmes/resources/costing-education-and-training/

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