Revision of marginal tariff – The Royal College of Emergency Medicine

The Royal College of Emergency Medicine welcomes the announcement this morning from Monitor and NHS England in which the marginal tariff is revised from 30% to 70%. This will result in a substantial improvement in the finances of acute trusts, particularly those for whom acute admissions are a substantial and increasing proportion of their work.

The College has argued for years that the effect of the marginal tariff guaranteed financial and operational failure for acute trusts with elective care activity used to cross subsidise acute care and a consequent bed occupancy rate that ensured poor A&E performance at times of increased admissions.

Dr Clifford Mann, President of the College said, “Having been vociferous, informed critics of the current marginal tariff it is of course welcome news to hear it has been revised. The RCEM will continue to demand that this money is spent on front line services relevant to the admission of acutely ill and injured patients and not diverted for other purposes.”

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