Guidance

Recovery of NHS charges: tariff and cap increases from 1 April 2018

Updated 25 September 2024

Applies to England, Scotland and Wales

Who should read this and why

Compensation Recovery Unit CRU) Personal Injury Claims Managers, compensators, representatives

Action

To note changes as detailed below.

Contact

DWP CRU

Tel: 0191 2252511

Email: CRU[email protected]

1. The NHS Injury Cost Recovery (ICR) Scheme – Annual Increase in the Tariff and Ceiling on Charges

The CRU, on behalf of the Department of Health and Social Care (DHSC), currently administers the above scheme, which allows for the recovery of National Health Service (NHS) costs following injuries where people claim and receive personal injury compensation.

The tariff and ceiling on charges (cap) payable by Compensators for the recovery of NHS treatment and ambulance charges under the NHS ICR scheme will increase from 1 April 2018. The increases will apply only to injuries sustained on or after this date.

This uplift in the level of charges is an annual event to reflect Hospital and Community Health Services inflation.

Scotland will also lay regulations to increase the tariff and ceiling of charges in line with England and Wales both in terms of amounts and implementation date.

2. Jersey Motor Traffic Costs Recovery

Jersey Health and Social Services Division (Jersey HSSD) will also increase their tariff and ceiling of cap charges, in line with the DHSC NHS ICR scheme.

3. Tariff charges: England, Scotland, Wales and Jersey

The following tables can be used as a quick reference guide:

Treatment and Ambulance Journey Charges

Accident date (on or after) Out-patient In-patient Cap Ambulance Charges (per person per journey)
Pre 2.7.1997 £295 £435 £3, 000  
02.07.1997 £354 £435 £10, 000  
01.01.2003 £440 £541 £30, 000  
01.04.2003 £452 £556 £33, 000  
01.04.2004 £473 £582 £34, 800  
01.04.2005 £483 £593 £35, 500  
01.04.2006 £505 £620 £37, 100  
29.01.2007 £505 £620 £37, 100 £159
01.04.2008 £547 £672 £40, 179 £165
01.04.2009 £566 £695 £41, 545 £171
01.04.2010 £585 £719 £42, 999 £177
01.04.2011 £600 £737 £44,056 £181
01.04.2012 £615 £755 £45,153 £185
01.04.2013 £627 £770 £46,046 £189
01.04.2014 £637 £783 £46,831 £192
01.04.2015 £647 £796 £47, 569 £195
01.04.2016 £665 £817 £48,849 £201
01.04.2017 £678 £833 £49,824 £205
01.04.2018 £688 £846 £50,561 £208

4. Any questions?

If you have any queries regarding this communication/change, please contact:

The DWP CRU Customer Feedback Team

Tel: 0191 2252511

Email: CRU[email protected]