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Clinical Costing Standards

These clinical costing standards set out recommended best practice for the production of clinical costs and will support the production of patient level costs in acute and mental health organisations. The standards aim to support a robust and consistent approach to costing across the NHS. The 2014/15 version of the acute clinical costing standards are included within Monitor’s “Approved costing guidance”. They are to be followed by those organisations participating in the voluntary patient level cost collection in 2014. The standards recognise a shared belief by the HFMA, Monitor, NHS England and the Department of Health that the finance profession should have the lead role in setting standards and promoting the highest quality in costing practice.

If you require previous versions of the standards please click here.

 

Acute Health Clinical Costing Standards

Acute Health Clinical Costing Standards 2014/15

The acute standards have been further revised to improve consistency and clarity. This document is only available for download. The changes for 2014/15 build on feedback from a survey of costing leads and have been fully debated and discussed with the HFMA acute costing practitioner group. Key changes include a significant review of standard 3 to provide more detailed guidance on allocating costs. Three new standards have been developed (allocating ward costs, theatre costs and medical staffing costs). Standard 8a has been further developed to incorporate more detailed guidance on matching, specifically relating to radiology tests and drugs.

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Excel

Materiality and quality score (MAQS) template - Acute (February 2014)

Standard 9 in the clinical costing standards sets out a methodology for organisations to measure the materiality and quality of their costing systems and processes. This spread sheet provides a template for organisations to calculate their own MAQ score. (Please note included financial figures are indicative only and should be deleted before use.)

 

Mental Health Clinical Costing Standards

Mental Health Clinical Costing Standards 2014/15

This document is only available for download. The changes for 2014/15 build on feedback from a survey of costing leads and have been fully debated and discussed with the HFMA mental health costing practitioner group. Key changes include a significant review of standard 2 including detailed guidance on the costs to be included within each cost pool group and further guidance on matching resources to individual service users. The MAQS template for mental health organisations has been reviewed and as a result changes to the functionality and allocation options have been made in this version. Any organisations interested in participating in work to update the clinical costing standards or the MAQS should contact costing@hfma.org.uk.

» Download PDF
Excel

Materiality and quality score (MAQS) template - Mental Health (February 2014) 

The HFMA mental health costing practitioner group has further developed the materiality and quality score (MAQS) template for the mental health sector. The template has new functionality that allows a MAQS template to be completed for individual services or service lines. This template has been developed in conjunction with mental health costing practitioners and the options included to allocate costs are specific to mental health to reflect differences in costing methodology, data availability, and the more limited implementation of patient level costing (PLICS) in this sector. Organisations are actively encouraged to complete the MAQS template and to feedback any issues
to costing@hfma.org.uk.