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Maternity Services

Answer

The maternity pathway payment system was first mandated for use in 2013-14, and represents a significant change in the way that maternity services are reimbursed. Previously maternity services were paid for on a fee for service basis. Under the new payment system, activity is bundled into three pathways-antenatal, delivery and postnatal-each of which is paid separately.

From 2014-15, national tariffs will be set by Monitor, but flexibility will continue to be allowed by the Department to address financial risks associated with implementing the new system. Provision for local modification to the national price, for example, where a local service is needed to ensure safe care, but would otherwise be non-viable, will also continue. Monitor and NHS England have jointly established a review process and will monitor how the new system is working. Amendments will be considered to address any perverse effects and minimise administrative burdens.

In 2010, a costing exercise was undertaken to inform the tariff setting decisions and to set price levels to fund sufficient staffing levels in maternity units. A formal review of the maternity tariff post implementation is planned to take place later this year and will help to inform the 2016-17 tariff.

Secondary information

Type

Written question

Reference

195772; 579 cc749-750W

Session

2013-14

Subjects

Finance Maternity services

Link

View this Written question on www.publications.parliament.uk