Recovery of NHS charges: tariff and cap increase from 1 April 2021
Updated 25 September 2024
Applies to England, Scotland and Wales
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Who should read this and why
Compensation Recovery Unit Personal Injury Claims Managers, compensators, representatives
Action
To note changes as detailed below.
Contact
DWP Compensation Recovery Unit
Tel: 0800 15 13196
Email: CRU.Customerfeedback@dwp.gov.uk
1.The NHS Injury Cost Recovery (ICR) Scheme – Annual Increase in the Tariff and Ceiling on Charges.
The Compensation Recovery Unit, 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 Injury Cost Recovery scheme will increase from 1st April 2021. 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 and Guernsey Motor Traffic Costs Recovery
Jersey Health and Social Services Division (Jersey HSSD) and States of Guernsey (acting by and through the Committee for Health and Social Care) will also increase their tariff and ceiling of cap charges, in line with the DHSC NHS ICR scheme.
3.Tariff charges: England, Scotland, Wales, Jersey and Guernsey
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 |
| 01.04.2019 | £725 | £891 | £53,278 | £219 |
| 01.04.2020 | £743 | £913 | £54,566 | £224 |
| 01.04.2021 | £744 | £915 | £54,682 | £225 |
4.Any questions?
If you have any queries regarding this communication or change, please contact:
DWP Compensation Recovery Unit
Tel: 0800 15 13196