Summary of coronavirus cost reimbursement guidance and revised financial arrangements 1 April – 31 July 2020

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On 17 March, NHS England and NHS Improvement (NHSE&I) issued next steps guidance in response to COVID-19. The guidance makes fundamental changes to the financial regime and the impact for finance teams is significant.

NHSE&I recommend that NHS organisations undertake an urgent review of financial governance to ensure that decisions to commit resources in response to COVID-19 are robust.  All NHS providers and commissioners must carefully record the costs incurred in responding to the outbreak. Records must meet the requirements of external audit and public scrutiny.

The operational planning process for 2020/21 is suspended. Commissioners should agree block contracts with all NHS providers with whom they have a contract, to cover the period 1 April to 31 July 2020.

This briefing summarises the key points. The full guidance should be referred to for further detail.

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