Following a public consultation last year, we have outlined the fees that providers of health and adult social care in England will pay from April 2018 to cover the costs of their regulation. We made proposals that affected NHS trusts, NHS GPs and community social care providers.
CQC’s regulatory functions are funded both by fees paid by providers and by grant-in-aid from the Department of Health. Government policy requires CQC to fully recover the chargeable costs of regulating health and adult social care in England.
Fees that providers pay have reached full chargeable cost recovery for most of our providers. We consulted on our fees scheme to ensure that fees continue to be charged and distributed fairly. We also sought to make sure that the fees scheme captures current developments within each sector.
Following consideration of the responses, we have made a number of decisions on our fees scheme for 2018/19, which are outlined in our response to the consultation. The only sector that will see an overall increase in fees is the community social care sector, in line with our agreed four year trajectory to full chargeable cost recovery. Our grant-in-aid funding from government will decrease by the same amount.
Examples of the fee changes that community social care providers, NHS trusts and NHS GPs can expect include:
- A community social care provider with 1 location and 15 service users will see their fee decrease from £2,192 to £926
- A community social care provider with 3 locations and 50, 100 and 45 service users at each of the locations will see their fee increase from £6,093 to £9,643
- An NHS trust with a turnover of £120 million will see their fee decrease from £158,902 to £85,200
- An NHS trust with a turnover of £681 million will see their fee increase from £322,249 to £483,510
- An NHS GP provider with 1 location and a patient list size of 5,200 will see their fee decrease from £4,526 to £3,473
- An NHS GP provider with 2 locations and patient list sizes of 10,000 and 8,300 at each of the locations will see their fee increase from £8,371 to £11,449.
For all other sectors the fee scheme remains unchanged, which means a provider’s fee will remain the same as that for 2017/18, providing their registration remains unchanged.
Our fees for 2018/19 represent 0.16% of overall indicative turnover of the health and social care market.
You can find the annual fee for your service for 2018/19 using the fees calculator published on our website.
You can also find guidance on how and when to pay your fees, including information on paying by instalment.