Westminster Health Forum

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Payment systems and reimbursement in healthcare

February 2020


Price: £95 PLUS VAT
Format: DOWNLOADABLE PDF


This conference considered the development of payment systems and reimbursement in the NHS.


It was timed to bring together stakeholders and policymakers to discuss:


  • Incentivising integration in the tariff system;
  • The future of the purchaser/provider split; and
  • Reimbursement and risk sharing in the development of new pharmaceuticals and technologies.

Keynote speakers included:


  • Chris Walters, Director, Pricing and Costing, NHS England and NHS Improvement;
  • Professor Martin Chalkley, Professor, Centre for Health Economics, University of York;
  • Dr Stuart Dollow, Founder, Vermilion Life Sciences;
  • David Furness, Director of Policy, Independent Healthcare Providers Network; and
  • Amy Manning, Founder, S12 Solutions.

Further speakers included: Matthew BellFrontier EconomicsJoanne BuckleMillimanRebecca CleggBerkshire West Clinical Commissioning GroupTim JaggardUniversity College London Hospitals NHS Foundation TrustJames RimmerNHS Southampton City Clinical Commissioning Group and NHS Clinical Commissioners and Tania VanburenThe Royal College of Radiologists.


The chairs were Rt Hon the Lord Lansley, former Secretary of State for Health and Member, House of Lords EU Internal Market Sub-Committee and Sara Siegel, Partner, Head of Healthcare, Deloitte.


The agenda


  • Developing the payment system and priorities moving forward;
  • The impact of the 2019/20 National Tariff on providers;
  • Assessemnt of the current payment system - appropriate incentives, measuring performance, and the purchaser/provider split;
  • Pharmaceutical payment systems - reimbursement, risk sharing, and access to medicines;
  • Supporting the uptake of innovations and implementing the Innovation and Technology Payment 2019/20;
  • Key issues for the independent sector - transparency, stability, and supporting partnership working;
  • Next steps for payment systems:
    • Rolling out Integrated Care Systems and developing new payment models;
    • Responding to local variations and assessing the updated Market Forces Factor;
    • Moving towards blended payment systems and the future of payment by results; and
    • Promoting prevention in the payment system.


This pack includes

  • Dropbox video recording of the conference
  • PDF transcript of the discussion, including all speaker remarks and Q&A
  • PDFs of speakers' slide material (subject to permission)
  • PDFs of the delegate pack, including speaker biographies and attendee list
  • PDFs of delegate articles